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Inspection on 31/10/06 for Eastfield Farm Residential Home Limited

Also see our care home review for Eastfield Farm Residential Home Limited for more information

This inspection was carried out on 31st October 2006.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents are well supported by staff who are trained and experienced to provide appropriate and individual care to meet assessed needs. Arrangements to access health service professionals are good. Admission procedures to the home are good and prospective residents are invited to look round the home before making a decision to move in. There is a good activities programme based on residents` interests. Due to the rural location of the home, involvement with the community is usually by way of visits to the home rather than residents travelling outside. However, some residents have trips out of the home with their relatives. Residents and relatives were particularly complementary about the food provided and lunch was observed as being a particularly enjoyable event. Resident and relative participation in what goes on in the home is good. The home employs a full-time cleaner and the cleanliness in the home was noted to be very good.

What has improved since the last inspection?

Accident records are now maintained in a confidential manner. A new kitchen has been installed. The ongoing training programme covers mandatory subjects, eg health and safety, moving and handling, fire safety as well as specialist training and completing NVQ level II; staff interviewed demonstrated they were being kept up to date with their training.

What the care home could do better:

Advice should be sought from the supplying pharmacist regarding disposal of medicines which are currently being incinerated on the premises. The proposed policy for absence management should be implemented without delay and measures taken to reduce the problems caused by some staff who regularly take sick leave at short notice. The report by the providers of their visits to the home could be improved, however their daily involvement with the home and constant availability is recognised.

CARE HOMES FOR OLDER PEOPLE Eastfield Farm Residential Home Limited Halsham East Yorkshire HU12 0BP Lead Inspector Pam Dimishky Key Unannounced Inspection 31st October 2006 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 Eastfield Farm Residential Home Limited DS0000062571.V318246.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. Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastfield Farm Residential Home Limited Address Halsham East Yorkshire HU12 0BP 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) 01964 671134 Eastfield Farm Residential Home Limited Mrs Maureen Ann Whiteley Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25) of places Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th March 2006 Brief Description of the Service: Eastfield Farm Residential Home is a privately owned care home that is registered to care for and accommodate 25 older people, including those with dementia. The home is situated in a rural setting and local amenities are only accessible via public transport or car. The accommodation comprises of seventeen single rooms and four shared rooms - eleven of the single rooms and one of the shared rooms have en-suite facilities. The first floor is accessible via a stair lift. Communal space comprises of three lounges and a dining room - some of these areas have open views over the countryside. The garden is easily accessible for service users and in the summer benches, tables and parasols are placed outside. There is ample parking space at the front of the building. Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a period of 5.25 hours. The inspector looked around all of the building, a number of records were examined and several residents, two members of staff and the deputy manager were spoken to. All the key standards have been assessed at this inspection. Questionnaires were forwarded to residents, relatives, staff and health and social care professionals in contact with the home, 39 of which were returned to the Commission; responses have been reflected in this report. Fees for the home range from £323 to £405; additional costs include private chiropody, hairdresser, manicurist and newspapers. What the service does well: What has improved since the last inspection? Accident records are now maintained in a confidential manner. A new kitchen has been installed. The ongoing training programme covers mandatory subjects, eg health and safety, moving and handling, fire safety as well as Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 6 specialist training and completing NVQ level II; staff interviewed demonstrated they were being kept up to date with their training. 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. Eastfield Farm Residential Home Limited DS0000062571.V318246.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 Eastfield Farm Residential Home Limited DS0000062571.V318246.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): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission procedure includes a proper assessment being made of residents moving into the service to ensure the home can meet their needs. The home is not registered for intermediate care. EVIDENCE: Residents are assessed prior to entering the care home. They are given terms and conditions of the home, signed by the resident and/or their representative, and a copy of the service user guide and home’s statement of purpose a copy of which is kept in the policy file and displayed on the notice board in the lounge. A copy of the pre-admission assessment was seen in individual case records and the deputy manager stated there is a further assessment made on admission to the home before the resident retires to bed. Residents are involved in the assessment process along with their relatives. Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 9 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Generally there is a clear and consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet residents’ care needs. However, in the case of two residents who had moved into the home recently, the care plan had not been developed and the home cannot be sure these residents’ needs were being met. The health needs of residents are well met with evidence of good multi disciplinary working taking place on a regular basis. The systems for the administration of medication are good and staff are appropriately trained ensuring the safety of the residents. Personal support in this home is provided in such a way as to promote and protect residents privacy, dignity and independence. EVIDENCE: Five case files were examined and were generally seen to include all the information for staff to provide care to meet the resident’s assessed needs. However, in the case of two residents who moved into the home four weeks previously, a care plan had yet to be developed which means staff could not be Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 10 sure they were providing the care needed. Daily records evidence the care provided, although these could be improved by recording in more detail. Care plans are being reviewed monthly and, more formally, on an annual basis by social services care management. Arrangements are in place to access advice and support from health service professionals through the general practitioner and there is evidence of regular visits from the district nurse, chiropodist, and optician. Some residents retain their own dentist and others have visits arranged take place in the home; the community psychiatric nurse provides advice and visits the home on request, diabetic advice is obtained through Withernsea Hospital and support provided from the general practitioner, along with six monthly checks. Risk assessments are in place for pressure care, the risk of falls, memory impairment and more individual risks. Medications are appropriately stored and recorded. Only staff who have received appropriate medication training administer medications and there is a medications policy and procedure in place which includes for self administration. No controlled drugs are being used at the present time, but suitable arrangements are in place for these to be stored. More care needs to be made when recording drugs, as one resident’s medication had been signed as given, but remained in the blister pack. Drugs which may have been refused, or rejected by the resident, are incinerated on the premises and the deputy manager was advised to obtain advice about this practice from the supplying pharmacist and for the procedure to be written up in the home’s medications policy and procedure. Staff were able to demonstrate how they treat residents with dignity and respect particularly when delivering personal care; this was confirmed in conversation with residents and from the information provided in the resident questionnaires returned to the Commission. Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to take advantage of activities provided by the home and are able to participate in community and family life. Residents are able to make choices and are supported in making decisions about the way they live. The meals in this home are good offering both choice and variety and catering for special dietary needs. EVIDENCE: Residents’ routines of daily living and interests are identified with them and their relatives and recorded as part of the daily living plan. The home does have a bath rota which has been developed in accordance with the resident’s individual choice, but this is flexible and can be changed; relatives are also involved in these choices. Activities take place most days and on the day of this inspection residents were observed in having one to one discussions with staff, one resident was writing a letter, another was dancing with a member of staff to music from the compact disc player, some were watching television and a group of gentleman were busy reading and discussing news in the daily Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 12 papers. Plans are in place for a bonfire party, fireworks, supper, raffle and games for children, two pantomimes on 2nd and 21st December and a Christmas party on the 9th December to which relatives and friends are invited. Community links have been fostered with the home, but due to the remote location it is easier for events to take place in the home, eg harvest festival, visit by Methodist singers, ministers from the Roman Catholic and Church of England faiths visit and give a service. One resident did visit a local church every Sunday, but due to deteriorating mobility now participates in the inhouse services. The home operates an open house policy and relatives and visitors are welcome at any reasonable time and offered a meal. Lunch provided on the day of inspection (braising steak, gravy and vegetables followed by jam sponge and custard, or peaches and cream) looked appetising and was observed to be a social occasion with everyone the inspector spoke to, commenting on how good the food is. The menu is displayed in individual bedrooms and indicates wholesome, nutritious food is provided. Lunch is a set meal but the deputy manager stated alternatives are always available and the cook visits residents on a daily basis to discuss the menu and determine individual choices. Residents have a choice of eating in the dining room, lounge or in their own room. One resident said “the food is very good – I could not ask for better”. Advice and support for special diets is provided for as needed by the community dietician. Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaint procedure available to residents and their families. The home has a policy and procedure for the protection of vulnerable adults, staff have all received awareness training and any referrals are satisfactorily managed. EVIDENCE: A complaints policy and procedure is displayed on the notice board and included in the policies and procedures file in the lounge. Two concerns have been recorded since the last inspection and were seen to have been investigated and resolved satisfactorily. The manager and deputy manager have both had training for the protection of vulnerable adults and information has been cascaded to members of staff who were given supporting literature. In-house training has also been given by way of staff watching a video and completing a questionnaire to test their knowledge. Allegations against one member of staff are currently being investigated and appropriate action has been taken by the home in accordance with the procedures. Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 14 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): 19,22 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is good providing residents with a well maintained, attractive, safe clean and homely place to live. EVIDENCE: The home is located in a rural setting, is well maintained and presents as being comfortable and homely. Residents are encouraged to bring with them items of furniture and personalise their room with their own possessions and memorabilia. Entry to the home leads into a conservatory type lounge which extends across the width of the home; large windows allow residents to view the gardens and surrounding fields whilst seated. A quiet lounge is currently being converted for use as an activity room where residents and their relatives will be encouraged to participate. The laundry meets the minimum standards Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 15 and problems the home has experienced with unmarked clothing has partly been overcome by the installation of pigeon hole type racking so residents clothes are individually sorted. However, there continues to be some problems with new clothing being brought into the home without being marked. Following the environmental health officer’s visit December 2005, the provider has installed a new kitchen. A soap dispenser for hand washing has not been replaced and on the day of inspection only a container of detergent was available for this purpose. Temperature records are being kept daily for refrigerators and freezers which is good practice. The cook has attended a course about diabetics and provides special diets as needed. The home has a policy for the control of substances hazardous to health (COSHH) along with data sheets and assessments; a locked cupboard is identified for storage. It was not possible to test water temperatures at this inspection as the hot water was running cold due to the boiler being on a timer which was off. Hot water outlets have thermostatic control valves fitted and the deputy manager stated temperatures are checked monthly to ensure they are safe. The inspector advised it is good practice to keep a thermometer in the bathroom so water temperatures can be checked prior to immersion in accordance with a bathing policy which should be displayed in the bathroom. The home has aids and adaptations to maximise residents’ independence including grab rails and hoists; specialist equipment, eg special mattresses and beds are arranged through the district nurse. One resident was observed being transported in a wheelchair without footrests. The deputy manager stated there are two residents who refuse to use footrests; risk assessments have been undertaken and are reviewed regularly. The home employs a full-time cleaner and at the time of this inspection all areas of the home were clean and odour free. Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Sufficient staff are deployed at all times to meet the needs of the residents. The ongoing training programme ensures staff are well trained and therefore competent to do their jobs. However some of the procedures for the recruitment of staff are not robust and may not offer protection to people living in the home. EVIDENCE: Twenty-five residents were living in the home at the time of this inspection and staff rotas indicate that five staff are employed on the early shift, plus the manager or deputy manager, three on the late shift and two at night with the manager or deputy manager on call. The home is currently looking to recruit three care assistants as part of the new arrangements when the current manager retires at the end of December and the deputy manager applies for registration as the manager; two senior care assistants will replace the duties of the present deputy manager. The deputy manager stated the home is introducing a policy and procedure for absent management which should go some way to address the problems associated with those staff who regularly take sick leave at short notice. The deputy manager confirmed staff supervision is taking place every eight weeks and appraisal annually, however, two members of staff interviewed were not clear about this. Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 17 Personal files for the latest two staff appointments were examined and seen to be generally in order. However, a second reference for one was not evident, evidence the member of staff is physically and mentally fit to do the job, or statement to that effect, had not been obtained and application forms do not request employment history to be supplied with continuous dates, or any gaps explained. Both files included a contract of employment. The home has a staff recruitment policy which includes staff only being appointed following a check for POVA first being obtained and then only working under supervision until the CRB result is received; new staff receive induction (this meets the Skills for Care specifications) for the first six to eight weeks of commencing the job. Staff interviewed were able to demonstrate their awareness of the home’s policies and procedures and their commitment to training. Fourteen members of staff have either obtained or commenced NVQ level II or III. Two members of staff have a current first aid certificate and all staff are currently having inhouse training using a video followed by a questionnaire to check understanding. Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 18 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being managed properly and support is also given by the provider ensuring there is leadership, guidance and direction to staff. The home reviews aspects of its performance through a programme of self-review and consultations which include seeking the views of residents, staff and relatives. Residents’ financial interests are safeguarded by the home’s policy for the management of residents’ money, valuables and financial affairs. Residents’ health, safety and welfare is promoted and protected by the systems in place. EVIDENCE: The manager has worked in the home for fifteen years and has the qualifications and experience to run the home. Arrangements are in place for the deputy manager to apply for registration when the current manager retires at the end of this year. The provider, who lives close by, supports the manager and makes regular visits to the home. However, the reports do not Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 19 include all the information required by legislation and are not up to date; two months reports, September and October, are outstanding. The home has parts I and II of the local authority quality development scheme, and this has recently been reviewed and renewed. The scheme requires questionnaires about the home and services provided to be completed by staff, residents, relatives and visiting professionals. The results of these are published and are used to measure success in meeting the aims of the home. Residents and their relatives are encouraged to take responsibility for their own financial affairs and if necessary the home will advise power of attorney arrangements. One couple told the inspector they were concerned about the sale of their house and the deputy manager offered to contact a solicitor on their behalf. The home does keep small amounts of money on behalf of one resident but this was not accessible at the time of the inspection and therefore was not checked, but the deputymanager confirmed records are kept of income and expenditure and receipts are kept. Maintenance records listed in the pre-inspection questionnaire are up to date. Fire alarm and emergency lighting tests are recorded as taking place weekly, staff receive fire training at least twice a year and the stair-lift, three mobile hoists and two bath hoists have been serviced and had a six monthly thorough examination as required by health and safety legislation; a health and safety poster was seen to be displayed outside the dining room. Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 20 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 2 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 3 x x x 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 x x 3 Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 21 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. 2 Standard OP7 OP9 Regulation 17 13 Requirement The registered person must maintain in respect of each service user a care plan The registered person must make arrangements to ensure the recording and administration of medicines is safe and accurate The registered person must ensure staff employed in the home have provided all the information required to assess their fitness to do the job The registered person must make monthly unannounced visits to the home and make a report in accordance with this regulation Timescale for action 31/10/06 31/10/06 3 OP29 19,Sch 2 &4 31/10/06 4 OP33 26 31/10/06 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 OP19 Good Practice Recommendations It is good practice to display a bathing policy in the DS0000062571.V318246.R01.S.doc Version 5.2 Page 22 Eastfield Farm Residential Home Limited bathrooms and have a thermometer available to test water temperatures before a resident gets into the bath Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hessle Area Office First Floor 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Eastfield Farm Residential Home Limited DS0000062571.V318246.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!