Inspection on 16/01/07 for Fallings Park Lodge

This inspection was carried out on 16th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Fallings Park Lodge 26/02/08

Fallings Park Lodge 04/12/07

Fallings Park Lodge 20/08/07

Fallings Park Lodge 20/06/07

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Fallings Park Lodge 99a Old Fallings Lane Fallings Park Wolverhampton West Midlands WV10 8BJ Lead Inspector Ian Harris Key Unannounced Inspection 16th January 2007 08:00 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 Fallings Park Lodge DS0000068603.V326818.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. Fallings Park Lodge DS0000068603.V326818.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fallings Park Lodge Address 99a Old Fallings Lane Fallings Park Wolverhampton West Midlands WV10 8BJ 01902 863766 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) Aplin Care Homes Ltd Yvonne Margaret Lavender Care Home 48 Category(ies) of Dementia - over 65 years of age (13), Old age, registration, with number not falling within any other category (35) of places Fallings Park Lodge DS0000068603.V326818.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. In the OP category Females 60 years and above and males 65 years and above The home should only accommodate up to 13 service users with dementia. Up to seven service users aged 55 years plus, other service users must be over 60 years. The Second floor lounge and bedrooms are used for the thirteen service users with dementia. New Service Date of last inspection Brief Description of the Service: Fallings Park Lodge is a new purpose built care home situated in the residential area of Fallings Park and is close to local shops and amenities. The home has three floors with wheelchair and disabled access throughout. There are 48 bedrooms all of which have en-suite and a modern nurse call system. There are five communal lounges each incorporating dining facilities for the residents. The top floor has thirteen rooms, which are registered for use by residents with dementia. The home has extensive gardens and grounds, which has raised flower beds and there is car parking at the front of the building. The current fees range from £336 to £385 per week Fallings Park Lodge DS0000068603.V326818.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced full inspection and took place over 2 days in the presence of the Care Manager and another inspector. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked 4 members of staff 10 residents and 6 relatives were consulted. What the service does well: What has improved since the last inspection? This was the first inspection of a new home. Fallings Park Lodge DS0000068603.V326818.R01.S.doc Version 5.2 Page 6 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. Fallings Park Lodge DS0000068603.V326818.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 Fallings Park Lodge DS0000068603.V326818.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): 1,2,3,4,5 and 6 the Quality in these outcome area is Good. This judgement has been made using available evidence including a visit to this service. The homes statement of purpose and service user guide provides service users and prospective users with details of the services the home provides, enabling an informed decision about admission to the home. Assessment of need is conducted in a respectful and plain speaking way so that service users understand their needs will be met during their stay. EVIDENCE: The home has a good Statement of purpose and a Service Users Guide. All the residents who are funded by the Local Authority undergo a full multidisciplinary assessment prior to admission. The residents’ who are self funding are assessed by the Care Manager, using the homes assessment forms. Fallings Park Lodge DS0000068603.V326818.R01.S.doc Version 5.2 Page 9 Copies of the assessment, Care Plan are placed on the residents’ files. The Six residents files and care plans inspected contained pre admission assessments of the persons needs, both from assessments by the home’s staff and other relevant professionals. Observations and discussions with residents, the Care Manager and staff on duty indicated that the home continues to meet the individual needs of the elderly people living at the home in a satisfactory and sensitive manner. All residents are encouraged to visit the home prior to admission. However it was noted that on occasions the visits are declined and relatives visit the home on behalf of the prospective resident prior to admission. A trial period is included in the statement of terms and conditions of residence and the homes contracts and is discussed with the residents and their relatives at the time of admission. Since the home has opened the staff have been very supportive in helping residents in settle in. The home does not offer intermediate care. Short stays and respite care is offer only when a permanent bed is vacant. Fallings Park Lodge DS0000068603.V326818.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,and 10 the Quality in these outcome areas is adequate. This judgement has been made using available evidence including a visit to this service. Each resident has a adequate, individual care plan that should be improved by recording more detail and must be reviewed on a monthly basis. The home has good contact with local G.P. s. local hospitals and paramedical services, which ensures that resident’s health needs are met. The systems for the administration of medication are good with clear and comprehensive recording arrangements being in place to ensure resident’s medication needs are met. EVIDENCE: The home provides a Care Plan for each individual resident based on the initial assessment. Where possible the Care Plans are drawn up by the Care Staff in consultation with the resident and their family. There was evidence on the files to show the Care Plans are being carried out but they have not been reviewed yet. All care plans must be reviewed on a monthly basis. It was also noted Fallings Park Lodge DS0000068603.V326818.R01.S.doc Version 5.2 Page 11 that some of them lack a detail on how staff are to assist residents to achieve the set goals. All information regarding residents should be collated into a compartmentalized file. The files do not contain an inventory of residents’ property at the time of admission. The home is well supported by local G. P. s. and all of the paramedical services. Wherever possible, the residents are encouraged to retain their own G. P s, Opticians, and Dentists. It was noted that if the resident has moved out of their area the Care Manager ensures that, these services are provided by local practitioners. The records indicate that resident’s medical needs are being met this was confirmed by a number of residents and through observation on the day of inspection. A number of residents stated that the staff arrange for hospital visits and G.P. visit and that they feel that their health has improved since coming into the home. Medication is administered by means of a monitored dosage system. The system appears to be working very well. The home receives good support from the pharmacist. All Senior Staff have been trained to use the system before they are allowed to administer medication and completed the Safe Handling of Medication training course. The home has very good policies and procedures, regarding the administration, storage and recording of medication. However it was noted that the does not have a medical refrigerator of storing medicines. All residents have single rooms. No personal care interventions take place in communal areas. Observed practice on the day of inspection was appropriate and showed respect for the residents. Consultation with health care and social care professionals is carried out within the resident’s bedrooms. Visitors are able to meet residents in their bedrooms or the quiet room on the first floor offers that privacy when not being used. Residents’ wishes with regard to terminal care and arrangements after death are obtained at the assessment stage, if possible. Family members are involved in these discussions if appropriate. Unless there are medical reasons for not doing so, service users are able to spend their final days in their own rooms. Where the needs of service users change, re-assessments are requested. The home has clear policies with regard to dying and death. The Care Manager and Care Staff are conscious of the need to provide extra support to the residents in their final days at the home. All the Staff are very aware of the need to be particularly sensitive, caring and attentive to the residents needs prior to their death. The care manager is also aware of the support the staff should provide to relatives and colleagues. Resident’s relatives are encouraged to be fully involved in the residents care at this particular time. Fallings Park Lodge DS0000068603.V326818.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, and 15 the Quality in these outcome areas is adequate This judgement has been made using available evidence including a visit to this service. The home does not provide a good programme of social activities within the home, which are designed to meet the capabilities of most of the residents. The Care Manager and staff encourage family and friends to maintain good contact with their relatives at the home. The meals in the home are good offering both choice and variety and also catering for special dietary needs. EVIDENCE: The routines and activities within the home are not as flexible as they could be due to the demands of some of the residents and the availability of staff. There was no evidence to show that staff consult with the residents regarding the choice of meals, activities within the home and outings however the care manager stated that this is done through the key-workers. The home does not have a staff member designated to organise social and leisure activities and who identified interests the residents wish to pursue, which would be an advantage. It was noted that there is little activities provide for residents with Fallings Park Lodge DS0000068603.V326818.R01.S.doc Version 5.2 Page 13 Dementia. Staff at the home, encourage regular contact between residents and their relatives and it is the homes intention to inviting them to future parties, fetes, outings and celebrations. It was noted that one of the relatives of a resident is involved in providing some activities with the residents. All residents were very complimentary about the standard and choice of food provided. It was apparent that the menu will be changed to incorporate seasonal changes. Several service users told the Inspectors that the food was good, tasty and well prepared. The kitchen is well equipped, kept clean and tidy. The catering staff are trained in food safety and hygiene matters. Fallings Park Lodge DS0000068603.V326818.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 and 17 the Quality in these outcome areas is good. This judgement has been made using available evidence including a visit to this service. The home has a good complaints system and there is evidence that residents’ and their families feel that their views are listened to and acted upon The home has good policies and procedures regarding protection from abuse, which includes a whistle blowing policy. EVIDENCE: The home has a good comprehensive complaints procedure. The residents and relatives are made aware of the procedure through the statement of their terms and conditions of residence, the service users guide, which a is issued on admission to the home. A copy is also placed in the reception hall. The home has a complaints book in which all complaints are recorded. It was noted that the home has not received any formal complaints since the home opened in December 2006 all minor complaints are dealt with appropriately and quickly. The home has good policies and procedures regarding Restraint, dealing with Aggressive Behaviour and Prevention of Abuse, which, includes a WhistleBlowing policy. These issues are also covered in internal and N.V.Q. training, which all care Staff undergo. Fallings Park Lodge DS0000068603.V326818.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): 19,20,21, 22,23,24,25, and 26 the quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home and the garden is Very high providing the residents with a very attractive, comfortable, homely place to live. However there are two main issue regarding the building that mean resident are at serious risk The home was found to be clean tidy and free of unpleasant odour. EVIDENCE: The home is a purpose built new building, which meets and often exceeds the statutory requirements regarding room sizes and was opened first in December last year. However during the inspection it was noted that none of the windows are fitted with restrictors, which allows residents to open the windows wide, creating a serious risk of falling out. Also it was noted the on the doors leading Fallings Park Lodge DS0000068603.V326818.R01.S.doc Version 5.2 Page 16 the staircases from the top floor, combination locks have been fitted to stop confused residents’ wandering onto the stairs. These locks have not been wired up to the fire alarm system in order to give immediate assess to the fire escapes in the event of a fire. Residents on this floor are at serious risk in the event of a fire. These locks must be removed immediately or wired up to the fire alarm. The home is furnished to a high standard throughout. All the bedrooms are well furnished, however it was noted that none of them have a lockable facility to keep private or valued items safely. The en-suites in the residents’ bedrooms would be improved by the provision of a towel rail and cabinet for toiletries. It was noted that there is not a sink in the laundry. A sink must be provided for hand washing in order to prevent cross infection. A number of the public areas look bear and without pictures, photographs plants, ornaments etc. and the bathrooms appear clinical the introduction of pictures plants etc. would improve the general appearance. It was also noted that the home does not have a mobile hoist for transferring residents’ from bed to chair safely. The home was found to be clean tidy and free from odour. The home has good hygiene and infection control policies and all the care and catering staff have undergone Food Hygiene and infection control training. All the staff are conscious of the risks of cross infection and use appropriate protective clothing. Fallings Park Lodge DS0000068603.V326818.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.and 30 the Quality in these outcome areas is adequate. This judgement has been made using available evidence including a visit to this service. The The The The home is staffed with adequate numbers and skill mix of staff. staff has a good understanding of the residents support needs. home has good policies and procedures regarding the recruitment of staff. manager should introduce a staff-training programme. EVIDENCE: The inspection of staff rotas and discussions with staff and residents indicated that the home is adequately staffed. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. However it was noted that as the numbers of residents increase and the dependency levels rise the staff are struggling to provide a good standard of care. Also it is noted that the home is now admitting more residents suffering with Dementia. In order to provide a good standard of care the care staff should be increased by 37 hour’s during the daytime in the Dementia unit and the staffing levels kept under view until the home is fully occupied. The home operates an good recruitment procedure. On inspecting 6 staff files, there was evidence within them that all C.R.B. checks are being carried out. It was noted that the home has an induction programme that meet the Skills for Care standards but it has not been implemented. Fallings Park Lodge DS0000068603.V326818.R01.S.doc Version 5.2 Page 18 All staff at the home are committed to developing their knowledge and skills through training and have opportunities to do so through external and internal training activities. The home has a programme of N.V.Q. training and exceeded the minimum standard. In addition care staff have attended courses on Safe handling of medication, Dementia care, Moving and Handling, and Health and safety at work. Fallings Park Lodge DS0000068603.V326818.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, 32, 33, 34, 35, 36, 37, and 38 the Quality in these outcome areas is adequate. This judgement has been made using available evidence including a visit to this service. The home is adequately managed, where residents interests and welfare is promoted. The home is operating a good system to assist residents with the safe handling and keeping of their personal finances and good records are being kept of all transactions made. The general records inspected are adequately maintained, however the filing systems and case records need improving. The home has good policies and procedures regarding Health and safety The home has a good quality assurance and staff supervision system in place. However they have not yet been implemented. EVIDENCE: Fallings Park Lodge DS0000068603.V326818.R01.S.doc Version 5.2 Page 20 The home is adequately managed by the Care Manager who is qualified in both practice and management and has considerable experience in caring for older people in residential homes There are clear lines of accountability within the home and the manager is very supportive of both staff and residents and is well supported by the Registered Person. Observations made and discussions with residents’ and staff indicated that the Care Manager is very approachable and operates an open door policy. The staff and residents who could express themselves stated that they are happy to approach the Care Manager and staff with any problems they might have and were confident that they would be responded to. There is a good staff supervision system in place however there is no evidence that the staff have regular supervision meetings. The care manage stated that she had not yet implemented the programme of staff supervision. It was also noted that the home has a Quality Assurance system in place, which includes questionnaires to residents, visitors and relatives and monthly audits to obtain feedback on the quality of service. However the home has only been open 6 weeks this programme has not been implemented. All the record’s and administrative procedures, which are required by the Residential Care Homes Regulations and that were inspected, were found to be adequately maintained. However work needs to be carried out to improve the filing systems and case records. All the Financial records and administrative procedures within the home that were, inspected were found to be well ordered and maintained. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues and a number of staff have received training on these issues. Fallings Park Lodge DS0000068603.V326818.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 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 1 1 3 2 3 1 1 3 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 2 3 1 Fallings Park Lodge DS0000068603.V326818.R01.S.doc Version 5.2 Page 22 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 OP19 Regulation 23 Requirement The registered person must ensure that the combination locks fitted to the doors leading to the stairs on the top floor be removed or wired up to the fire alarm system immediately. The registered person must ensure the restrictors are fitted to all of the widow in the home. The registered person must ensure that all bedrooms must be provided with a lockable facility. The registered person must provide a sink in the laundry. The registered person must ensure that pictures and plants and ornaments are provided throughout the public areas of the home. The registered person must provide a Mobile Hoist. The registered person must ensure that a varied programme of social activities both inside and outside of the home that meets all the residents caperabilities, be provided and a record is kept of what is DS0000068603.V326818.R01.S.doc Timescale for action 18/01/07 2 3 OP19 OP19 23 16 (2) (l) 18/01/07 01/03/07 4 5 OP19 OP19 23 23 01/03/07 01/03/07 6 7 OP19 OP12 13 (5) 16 (2) (m) 01/03/07 01/03/07 Fallings Park Lodge Version 5.2 Page 23 8 OP14 16 (2) (m & n) 9 OP7 Schedule 4 9 and 10 18 18 ( C ) (ii) 10 11 OP27 OP36 12 OP30 18 13 OP9 13 (2) provided and who attends. The registered person must ensure that regular residents meetings are held in order to consult regarding social interests and the needs of the residents. The registered person must ensure the an inventory is taken and recorded of all residents property The registered person must ensure that the levels of care staff are reviewed. The registered person must ensure the all staff receive formal supervision at least six times a year and that records are kept. The registered person must ensure that an induction programme is introduced that meets the Skills for Care standards. The registered person must provide a medical refrigerator of the safe storage of medicines. 01/03/07 01/03/07 01/03/07 01/03/07 01/03/07 01/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 1 Refer to Standard OP30 OP12 OP30 Good Practice Recommendations Care staff to receive training in dealing with challenging Behaviour The home appoints or designates an activities coordinator. To assist the manager in reviewing staff training, it is recommended that a training matrix be devised. Fallings Park Lodge DS0000068603.V326818.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Fallings Park Lodge DS0000068603.V326818.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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