Inspection on 05/03/08 for Eastwood Lodge

This inspection was carried out on 5th March 2008.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Eastwood Lodge 13/09/07

Eastwood Lodge 06/06/06

Eastwood Lodge 05/12/05

Eastwood Lodge 11/05/05

Eastwood Lodge 10/12/04

Eastwood Lodge 18/05/04

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 Eastwood Lodge Stanhope Avenue Woodhall Spa Lincs LN10 6SP Lead Inspector Elisabeth Pinder Unannounced Inspection 08:30 5 March 2008 th 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 Eastwood Lodge DS0000002353.V357195.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. Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastwood Lodge Address Stanhope Avenue Woodhall Spa Lincs LN10 6SP 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) 01526 352188 Mr S J Cobb Mr J A Hill Ms Yvonne Margaret Lovely Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th September 2007 Brief Description of the Service: Eastwood Lodge Care Home is an Edwardian property, which has been upgraded and extended by its owners, Mr J Cobb and Mr S Hill. The home is situated in a suburban, tree-lined avenue in Woodall Spa, 300 yards from the shops and local facilities. The home is registered to provide personal care for up to nineteen people of both sexes over the age of 65 years. Accommodation is provided on two floors, with seven bedrooms on the ground floor and twelve on the upper floor, three of which are en-suite. Rooms on the upper floor are served by a chair/stair lift. There are car parking spaces to the front of the building. The garden has a patio area for people to use and the building and garden are on level ground, accessible for wheelchair users. Charges made by the home range from: £348.00 - £394.00 per week. Additional charges are made for services such as chiropody, hairdressing and toiletries. Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means that people who use this service experience adequate quality outcomes. This unannounced visit to the home was undertaken by one inspector and formed part of a key inspection, focusing on all the key standards. Throughout this report the terms ‘we’ and ‘us’ refer to The Commission for Social Care Inspection (CSCI). The visit lasted approximately six hours. Prior to the visit the manager had returned their Annual Quality Assurance Assessment (AQAA), this gave important information about the service, which was used in the planning of the inspection and will be mentioned throughout this report. The visit included following the care of three people with a range of needs through checking records that are held about them, talking with them and with two staff members on duty. Other residents were spoken with in general conversation, as was one relative. Short periods of observation were spent at various times of staff carrying out their duties. On this occasion no surveys had been requested, however, these had been completed for the last inspection undertaken in September 2007. What the service does well: What has improved since the last inspection? Procedures are in place for the manager or deputy manager to carry out a needs assessment of people before they move into the service to ensure their needs will be met. Care plans have improved in content, however, further work needs to be done, please refer to comments below. Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 6 The provision of activities has improved and a member of staff has been deployed to offer activities two hours each morning. Some areas have been re-decorated and re-carpeted and new lighting has been installed. 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. Eastwood Lodge DS0000002353.V357195.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 Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, & 3 Standard 6 is not applicable Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Information given to people is not all up to date, therefore, people coming into this service may not have enough information to help them make a decision about moving into the home. Procedures are in place to ensure a full needs assessment will be carried out prior to admission to make sure needs will be met. EVIDENCE: Information written in the AQAA indicates that sufficient information is available regarding meeting prospective residents’ needs. It told us that each person is given a statement of purpose and service user guide and people considering moving into the home are given the opportunity to visit and stay for a meal and meet with other people living and working in the home. Although there has not been any new admissions to the home since the previous inspection, the assessment paperwork was available for inspection. Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 9 People living in the home said they couldn’t remember what information they had been given but they were very satisfied with the care provided with one comment of, ‘it’s the next best thing to home’. Many of them were local people and they said they appreciated being able to stay in the town and access familiar facilities. The statement of purpose was available in the front entrance area and this informs people that ‘every effort will be made by staff in providing care to meet identified needs’. No information was given regarding our reports or how people could access these. The service user guide was not up to date and contained limited information to help people decide if it was the right home for them. Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans must continue to improve to ensure peoples’ needs are met. People who self-medicate do not have risk assessments and are not advised of the risks of keeping their own medication, therefore, may be at risk of harm. Staff respect the wishes and preferences of people living in this home while maintaining their privacy and dignity. EVIDENCE: The providers have taken some action to address the requirement made regarding a lack of detail in care plans. Three care plans were examined and whilst these have improved there is still a lack of detail to ensure staff have clear guidance on how to meet peoples’ needs. For example, one person had recently returned from hospital but their care plan and risk assessment did not show that it had been reviewed and only gave information regarding bathing needs. Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 11 Some risk assessments have been written regarding falls, nutrition and manual-handling and others are being developed, however, one person who self medicates did not have a risk assessment showing the potential risks from administering their own medication and, whilst provided with a lockable facility, did not use it. Daily records included information, which showed that health care was monitored through visits and referrals to and from other professionals such as doctors. One person said they could “have the doctor to visit when I want”. The staff member giving people their medication did so using safe procedures and confirmed she had undertaken relevant training. Records checked were well maintained and drugs were stored correctly. The home’s community pharmacist last visited in October 2007 and they were informed they were carrying too much stock and advised not to re-order some products. Although care plans only showed that the basic needs of people had been considered, staff spoken with were able to discuss the needs of individual people and were observed to be polite and courteous when talking to them. People spoken with all said they felt their needs were being met, although sometimes they have to wait for staff to attend to them. Information we received prior to the visit indicated that individual care plans are reviewed monthly with residents and their families/representatives. However, on examinining three files only one showed the involvement of the resident, none showed any involvement of relatives/representatives and none included details of any changes required to the current care. The AQAA also indicated people are offered the same choices regardless of any disablility, belief or sexual orientation. Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples’ interests are generally accommodated and they are able to enjoy a lifestyle, which is flexible, and are able to make choices with regards to activities. Meals provided are well balanced and nutritional. EVIDENCE: Information given to us in the AQAA indicates residents chose how to spend their time and where they eat their meals and this was evident during the visit. Many people living in the home are independent and said they enjoy being able to access local amenities on their own, one person said she goes to her hairdressers in the town every Thursday and the rest of the time she chooses to stay in her own room, another said he enjoys being able to go home every day or to the shops. Visitors were seen to come and go throughout the day and one person spoken with said she could come at any time and was always made to feel welcome. Since the previous visit a member of staff has been deployed to undertake activities for two hours each morning. Records are kept of those undertaken Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 13 and include bingo, dominoes, a chocolate party and a musical event. The local library visits those who are unable or choose not to go out and visiting clergy can be arranged if people wish. Menus checked showed that a set menu is offered and people do not have a choice of main meal, however, people spoken with said they are consulted each morning about the main meal of the day and they are able to ask for an alternative should they choose. The lunchtime meal was observed to be nutritious and well balanced and everyone said how much they enjoyed it. A discussion was held with the cook about how she obtains feedback from people and she said she had not been in post very long and only worked part-time but was sure the other cook did. However, no records could be found. Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in this home are confident that any concerns would be addressed appropriately, however the complaints procedure must contain up to date information to inform people how to contact the Commission. Up to date procedures must be in place for reporting allegations of adult abuse. EVIDENCE: The home has a complaints procedure, which tells people how to make a complaint and how it will be handled. However, this does not include the correct contact details for us. No formal complaints have been made since the previous inspection but one person said they had complained about their bedroom window being very dirty and to date it had not been cleaned. Staff spoken with had a good knowledge of the procedures to take should a complaint be made. People spoken with said they felt confident to raise concerns and felt these would be listened to and addressed. Staff could not locate the new revised version of Lincolnshire County Council Safeguarding Adults procedure but had access to the ‘No Secrets’ publication. They had a good knowledge of abuse and their responsibilities for reporting any allegations to the manager or provider and confirmed they had covered this during their NVQ (National Vocational Qualification) training. Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 15 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 & 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home is not sufficiently well maintained to provide residents with a homely and safe place to live. EVIDENCE: Information given to us in the AQAA indicated the home is kept clean and in good order and the providers acknowledge the environment needs improving. Some areas have been re-decorated and re-carpeted and new lighting has been installed. During a tour of the building a number of areas were in need of repair and redecoration. These included, the kitchen, where paintwork was peeling off the wall and the floor was uneven with broken tiles. The staff office where there was a large hole in the carpet which may be hazardous to staff and residents wishing to come into this office. The conservatory was dirty with electrical leads from the television and video lying on the floor Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 16 posing a health and safety risk to people. Records of portable appliance testing could not be located and when the provider was contacted he agreed to fax these to us within 48 hours. Currently the washing machine is broken and although this is on a service contract and a part has been ordered, staff said they have to take laundry to the local launderette while they wait for this to be mended. One person told us he could not go upstairs independently as he prefers, as the controls on the arm of the stair lift were broken and the only way for this to be used is for a second person to operate the button behind the chair. The service report for this equipment was examined and had strongly advised that the chair lift be replaced as soon as possible as the cable drum was showing signs of wear and the guide blade on the track was very worn. The providers were contacted and agreed to fax to us confirmation that the equipment had been made safe and quotes and dates by which a new one will be installed. The bedrooms of people whose care was being tracked were viewed and these were well personalised and warm. One person said she had repeatedly asked for her window to be cleaned on the outside as it was very dirty but this had not yet been done. The Environmental Health Officer visited the home on the 19/02/08 and three issues were highlighted. A telephone conversation was held with the Regional Manager the day after the visit and she confirmed that one of the issues related to the paintwork on the kitchen wall and the other two issues have already been addressed. Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are satisfactory staffing arrangements in place to meet the current needs of residents. Staff are trained to ensure they have sufficient knowledge and skills to provide appropriate care. Residents are as far as possible protected by a thorough staff recruitment process. EVIDENCE: Information sent to us before the inspection visit indicated that the service provides a good skill mix of staff on duty. This was confirmed during our visit, three staff were on duty until 12:00, then two staff until 21:00 hrs. There are currently fifteen people living in this home and throughout the night there is one wakeful staff and one sleeping-in staff. The manager is asked to ensure regular reviews of residents’ needs at night are undertaken to ensure sufficient staff are deployed throughout the night. Discussion with staff and observations made during the visit indicated that enough staff were on duty to meet peoples’ needs. They told us that staff are very kind and caring and most of the time they felt enough staff were available, however, one person said at times she has to wait for assistance, but said staff always come immediately to check if it is an emergency. Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 18 The Regional Manager confirmed that 64 of staff have obtained, or are working towards, a nationally recognised vocational award in care. Training records were unavailable during the visit but the Regional Manager told us that 78 of staff have completed moving and handling, fire and food hygiene training. Staff spoken with confirmed this, however, they had limited knowledge of equality and diversity and were unaware of the Mental Capacity Act, which came into force in October 2007. Staff said they felt supported in their work by the manager, however, formal supervision and appraisals are not taking place and the Regional Manager told us she was aware of this and is taking action to support the manager with this. Both staff spoken with confirmed they had been recruited in a safe and satisfactory way. An application form had been completed and two references and a criminal records bureau check had been obtained prior to their commencement. Both are currently completing induction training. Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. This service is being satisfactorily managed, however, there are insufficient systems in place to ensure peoples’ views about the service are sought in order to monitor the care being delivered and develop it further. A lack of up to date records may have the potential to put peoples’ health and safety at risk. EVIDENCE: The manager has been in post for approximately five years and has completed the Registered Managers Award. All sections in the AQAA were completed, however, it gave us limited details about the areas where they still need to improve. It told us that a number of policies and procedures are available, Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 20 however, some of these did not show that they had been looked at or reviewed since 2006. Records showed that a resident meeting was held in December 2007 and topics had covered activities, menus and the frequency of future meetings and it had been agreed that these would be held every three months. People spoken with said the providers speak with them on their visits but they had not had the opportunity to complete any satisfaction surveys. No systems are currently in place to seek the views of relatives/advocates or other people using the service. Records of events we must be told about could not be located and although the deputy came into the home for an hour she was unaware whether any events had taken place. Records showing dates when equipment was serviced showed that not all were up to date. For example, the hoist was last serviced 21/01/2007 and some portable appliances gave a test date of 04/2006. The Regional Manager confirmed that seven staff have undertaken health and safety training, however, the Department of Health ‘Essential Steps’ is not being used and during a tour of the building several bathrooms and toilets had communal bars of soap which has the potential risk of cross infection to people using them. People manage their own money where possible and records checked during the visit were up to date and accurate. Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X X 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 2 17 X 18 3 1 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 2 X 3 2 2 3 Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4&5 Requirement The statement of purpose and service user guide must be kept up to date to ensure people coming into the home have access to sufficient information to help them make a choice. A full written care plan must be completed for all residents to ensure their needs are met, and choices catered for. This requirement has been met in part, a further timescale is given. Care plans must show that all risks are identified and clear actions are documented to minimise the risk. Reviews of care plans must be improved to include details of any changes required to the current care given and these should show that residents and/or their representatives have the opportunity to be involved. The complaints procedure must be up to date to ensure people know how to contact the Commission. DS0000002353.V357195.R01.S.doc Timescale for action 30/04/08 2. OP7 15 [1] 30/04/08 3. OP16 22[6][a] 30/04/08 Eastwood Lodge Version 5.2 Page 23 4. OP19 13[3 & 4] Priority must be given to the environment to: • prevent the risk of cross infection • ensure all parts of the home to which residents have access are free from hazards to their safety • unnecessary risks to the health and safety of residents are eliminated. A system must be in place to assess and review the quality of care provided at the home. All staff must be appropriately supervised to ensure they have the necessary skills to care for residents. There must be a system in place to ensure that records are kept up to date and available for inspection. 30/04/08 5. 6. OP33 OP36 24 18[2][a] 30/06/08 30/04/08 7. OP37 17[3] 30/04/08 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 3 4 5 6 Refer to Standard OP15 OP18 OP27 OP30 OP37 OP38 Good Practice Recommendations The cook should obtain feedback from residents about the food provided to ensure food is to their liking. A copy of the new revised version of Lincolnshire County Council Safeguarding Adults procedure should be obtained to ensure correct safeguarding procedures are in place. Regular reviews of residents’ needs at night should be undertaken to ensure sufficient staff are deployed throughout the night. Staff should undertake training in equality and diversity and the Mental Capacity Act. All policies and procedures should be regularly reviewed. The Department of Health ‘Essential Steps’ should be used to assess the home’s current infection control DS0000002353.V357195.R01.S.doc Version 5.2 Page 24 Eastwood Lodge management. Eastwood Lodge DS0000002353.V357195.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bostocks Lane Nottingham NG10 5QG 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 Eastwood Lodge DS0000002353.V357195.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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