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Inspection on 01/09/05 for Falstone Court Nursing Home

Also see our care home review for Falstone Court Nursing Home for more information

This inspection was carried out on 1st September 2005.

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

Activities coordinator is very committed to his work. His role is very much valued by staff, visitors and service users alike. Meaningful social activities are available to service users including visits to local places of interest. The home has recently been in discussions with a representative of Dementia Care society which has generated useful ideas for improving the quality of life for the service users. As a result, a number of initiatives on dementia care are being planned for the home. The detailed company policies and procedures provide good guidance to the staff and serves as reference documents for the to use. General risk assessment of the building is carried out on an annual basis ensuring the safety of the service users. This is part of the company`s quality assurance procedures.

What has improved since the last inspection?

Since the last inspection one of the small sitting rooms have been converted into a Light Therapy room with therapeutic lighting facility and music. Staff stated that this facility is used selectively for those service users who would benefit from such an environment. The enclosed garden has been made more attractive to sit in and the service users and visitors commented positively on the improvement it has made to the quality of life for them. The nurse call panels located throughout the home and in bedrooms have been replaced as the old system was showing signs of wear and tear. The company had responded positively to the requirement made in the last inspection report by replacing these. In previous inspection reports, one service user was identified as needing an appropriate door opening device to facilitate her general care and welfare, and to end what seem to be an isolation. The home had again responded positively to this recommendation.

What the care home could do better:

Arrangements for serving food on the ground floor was unsatisfactory and must be reviewed to ensure that service users would not have to wait for long periods. Carpet on ground floor sitting room is badly stained and either need thorough cleaning or replaced. In telephone conversation with the general manger for the home, she confirmed that there are plans to replace this. Individual staff supervision should be provided as part of the staff development. Statement of terms and conditions is still not available to service users. The company should this as it is a requirement under the law for the home to have such a contract between the company and the service users. Some items of furnishings in some bedrooms are rather worn and need to be repaired or replaced. The inspector was later advised that there are plans to replace some of the worn furniture.

CARE HOMES FOR OLDER PEOPLE Falstone Court Nursing Home Rocklodge Road Roker Sunderland SR6 9NQ Lead Inspector Sam Doku Unannounced Thursday 1 September 2005 11:30am st 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 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. Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Falstone Court Address Rocklodge Road Roker Sunderland SR6 9NQ 0191 549 6699 0191 549 7799 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ashbourne Healthcare Care home with nursing 41 Category(ies) of DE(E) Dementia - over 65 (41) registration, with number of places Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: NO Date of last inspection 10th February 2005 Brief Description of the Service: Falstone Court Nursing Home is a 41 place facility, which consists of two floors. The home provides nursing care for people with a dementia type illness. Falstone Court opened as a purpose built home in 1995 and is next door to a sister home Falstone Manor. A general manager oversees both homes and is based at Falstone Manor, as are personnel records and financial information. The home is on the sea front and can easily be seen when driving along the main road towards the city centre from the Swallow Hotel. A car park is provided and the home is accessible to those with a disability. Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 Page 6 Arrangements for serving food on the ground floor was unsatisfactory and must be reviewed to ensure that service users would not have to wait for long periods. Carpet on ground floor sitting room is badly stained and either need thorough cleaning or replaced. In telephone conversation with the general manger for the home, she confirmed that there are plans to replace this. Individual staff supervision should be provided as part of the staff development. Statement of terms and conditions is still not available to service users. The company should this as it is a requirement under the law for the home to have such a contract between the company and the service users. Some items of furnishings in some bedrooms are rather worn and need to be repaired or replaced. The inspector was later advised that there are plans to replace some of the worn furniture. 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. Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4, and 5. The home has a policy stating that assessments are completed prior to admission, ensuring that the needs of potential service users can be met. Pre-admission information is available to prospective service users and their relatives to enable them to make informed choice about whether or not Falstone Court could meet their needs. EVIDENCE: The home’s policy is that prospective service users would have their needs assessed by their social worker/PCT Nurse Assessor and also by the home before admission is agreed. The nurse in charge confirmed that this is the case and examination of service users files also confirmed this arrangement. This enables the manager of the home to establish if the identified care/nursing needs can be adequately met in the home and that there is the necessary skills and resources to meet those needs. Four service users records were examined and these contained copies of preadmission assessments by PCT nurse assessors and also assessments that had Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 Page 9 been carried by the nursing staff of the home. This process is designed to ensure that the home has up to date information about the prospective service users and also to assure them and their families that proper steps are being taken to ensure that their needs can be met. Although the service users who were spoken with could not remember visiting the home before admission was arranged, two visitors confirmed that they were visited by a social worker and also by staff from the home as part of the assessment process. They all said they found the exercise useful as it gave them the opportunity to meet with the staff and ask appropriate questions about the home and the facilities offered. It is the policy of the home that all prospective service users are invited to visit the home to meet with other residents and staff. This arrangement is stated in the Service User Guide, copies of which are available to all service users. However, because of the mental frailty of the service users, the nurse in charge stated that it has not always been appropriate for prospective service users to personally visit the home before their admission. Such visits are often made by relatives to assure themselves of the facilities available to care for their loved ones. Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 10. Assessments set out the nursing, social and personal care needs of each service user and plans are formulated to meet them. This has ensured that the care needs of the individuals are met. The service users are treated with respect and dignity by the staff. EVIDENCE: The files that were examined contained details of the service users’ social, personal and nursing care needs. These were set out in the care plans, daily report records and GP/professional visits records. The records showed evidence of visits to GP surgeries, consultant psychiatrists, chiropody treatment, opticians, dentists and other healthcare professionals. In discussions with service users and two relatives, they all confirmed that their healthcare needs are met within the home and feel that the staff take active role in promoting this. Service users and relatives were also spoken with regarding privacy and dignity. The service users confirmed that the staff respect their privacy, and treat them with respect and dignity. This was confirmed by the relatives. Staff interaction with service users was friendly but professional and staff were Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 Page 11 observed to treat service users with respect and dignity. For example, staff were observed to ask service users discreetly if they would want assistance with persona tasks. Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15. Residents are offered the opportunity of participating in a wide range of leisure and social activities enabling them to lead active and fulfilled lives. One observed practice regarding assistance with meals compromised the dignity and self esteem of the service user involved. EVIDENCE: The files that were examined contained details of the service users social interests. Staff confirmed that they obtain such information from the family. This allows the staff to provide appropriate recreational activities for the individual service users. Records maintained by the activities coordinator indicate that the service users have meaningful recreational activities organised for them. The staff confirmed that the activities organiser regularly engages service users in recreational activities such as card games, video film and bus rides to the coast and other near-by places of interest. Two relatives commented positively on the role of the activities coordinator in engaging the service users in meaningful activities. The relatives who were spoken with stated that they are able to visit at anytime convenient to them and were very appreciative of this level of this Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 Page 13 flexibility. There was general agreement between relatives and service users that the daily routines are organised flexibly to take account of individual likes and dislikes. A four-week rotational menu is in operation in the home. The service users who were spoken with commented positively on the quality and quantity of the meals provided in the home. Examination of past menus indicated that the home provides wholesome and nutritious meals for the service users thus promoting good health. The manner in which diner was served on the day of the inspection must be reviewed to ensure an improvement to the process. The inspector joined the service users on the ground floor for lunch. It was noticed that some service users had to wait for a long time before they received their meal. In one case there was no communication between the carer and service user when being assisted with her meal. The carer failed to concentrate on the assistance he was offering to the service user. On numerous occasions, the carer left the service user without explanation or excuse to collect empty dishes from other tables only to return to start to “feed” the service user without any verbal communication between the carer and the service user. Such practice is considered bad practice and the manager must take necessary steps to address this. Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17, 18. The home has a clear and accessible complaints procedure, which is an effective part of the strategy to protect the service users from abuse and promote their safety and wellbeing. EVIDENCE: The home has in place a satisfactory policy and procedural guidance on abuse and staff are aware of how to instigate the ‘Whistle Blowing’ policy should this become necessary. The Service User Guide and Statement of Purpose have summaries of the complaints procedure. The nurse in charge indicated that copies of these were available to service users and their relatives and therefore provide the opportunity for them to complain if they wish. In discussions with individual staff members, it was evident that the staff have received training in the Multi Agency Panel for the Protection of Vulnerable Adults (MAPPVA) procedures and also of the home’s whistle blowing policy. Staff were aware of the various forms of elder abuse and how these could be prevented. Such training and awareness amongst staff is aimed at reducing the likelihood of abuse to service users. Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 23, 24, 25, 30. Service users benefit from well maintained, homely, safe and clean environment. This helps promote a positive image for service users, and ensure they remain comfortable and safe. EVIDENCE: The home was designed to accommodate older people, some of whom may have mobility problems. There is good access into and around all areas of the home. The home offers 41 single occupancy rooms with en-suite facilities. There are also specialist bathing facilities and shower rooms. The home is close to sea front, local shops, other amenities, and to local transport routes. These have provided the opportunity for service users to continue to exercise independence and choice in the way they are supported to lead their lives in the home. Fire risk assessment had been carried out including general risk assessment of the building. All staff have received training in fire safety and record of fire drill has been maintained. This provides the names of staff who have been involved with the various fire drills. These arrangements have been maintained Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 Page 16 to ensure a safe environment and the safety and well-being of the service users. A number of the service users who were spoken with stated that they found their rooms very comfortable and homely. Most have furnished their rooms with personal items thus ensuring homely and familiar environment for them. Service users commented on being happy with having personal belongings in their rooms. All parts of the home, including individual bedrooms are decorated to good standard and well maintained. Heating and lighting in individual bedrooms was adequate at the time of the inspection. The type of heating system installed is of the type that allows individuals to control the room temperature to suit personal preferences. Individual rooms have good ventilation and natural lighting. This ensures comfortable surroundings for the service users. The home has written policies and procedures relating to safe handling of hazardous materials for staff to follow. The nurse in charge indicated that staff have had training in health and safety, infection control and food hygiene. At the time of the inspection the home was noted to be clean and free from offensive odour. The laundry machines have facilities for sluicing and washing foul linen at very high temperature to avoid the spread of infection. The above safety measures, practices and policies ensured that service users live in safe and comfortable environment. Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30. The home maintains adequate staffing levels to meet the needs of the service users. Suitable arrangements for staff training are in place to ensure that staff are equipped to provide good quality service that benefits the service users. However, individual supervision arrangements are lacking and need to be addressed. EVIDENCE: The staffing rotas were examined and found to be sufficient in numbers to meet the care needs of the service users. Examination of past rotas showed evidence of staffing levels being consistently maintained. However, on the morning of the inspection, it was noticed that the home was short of one carer due to the misreading of the rota. This was compensated for in the afternoon by providing extra carer for eh afternoon shift. The home maintains a clear policy on recruitment and the examination of staff records confirmed that the home follows these policies rigorously. All the staff who were spoken with confirmed that they have been given terms and conditions of employment and job description. The records also showed that all staff have had CRB checks done. The staff training log was not available for inspection but the staff who were interviewed stated that they have had training in moving and handling, first aid, fire safety training, food hygiene, challenging behaviour management, falls prevention and protection of vulnerable adults awareness training. Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 Page 18 In discussions with staff, they confirmed that individual supervision arrangements are still not in place and feel that they could benefit from such arrangements. Newly appointed staff are provided with induction training followed by foundation training within the first six months of employment. There was evidence that the emphasis on providing suitable training to the staff has positive impact for the service users. On the whole, the good practice models observed on the day of the inspection was evidence of the good training provided. Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 36, 37, 38. The general manager is appropriately qualified and experienced. She ensures that service users benefit from a well run home. The health, safety and welfare of the service users are always promoted and protected. EVIDENCE: The home is managed by a unit manager who is overseen by a general manager. The home presently has no unit manager and the circumstances leading to the resignation of the last unit manager was discussed with senior managers of Ashbourne Healthcare. The Commission was not advised of the circumstances, which should have been reported to the Commission under regulation 37 of the Care Homes Regulations 2001. Ashbourne Healthcare, the company that owns the home, has produced detailed Health and Safety policies and copies of these were made available for inspection. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). The training provided for the staff Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 Page 20 ensures that the staff maintain safe working practices which safeguard the safety and wellbeing of the service users. Servicing records were examined and it was noted that all portable appliances have been tested. A record is maintained of regular water temperature tests in the home. There is evidence of regular servicing of fire equipment, gas and electrical appliances being carried out by the contracted companies. All the servicing records that were examined were up to date. These included servicing of hoists, water treatment, electrical installation and gas servicing. Up to date servicing and maintenance of these services and equipments ensure a safe environment for the service users and the staff who work there. A quality assurance system remains in place. It involves monthly audits of the various services within the home such as health and safety matters, catering, clinical practices and care plans. Comprehensive service user/relatives anonymous satisfaction survey questionnaires continue to be sent to relatives. This ensures that the views of the service users and their relatives are sought with the view to improving the quality of the service. Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 2 3 3 x 3 3 3 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 Standard No 16 17 18 Score 3 3 3 2 x 3 x x 2 3 3 Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 Page 22 NO Are there any outstanding requirements from the last inspection? 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 2 Regulation 5(b)(a) Requirement All service users must be provided with statements of terms and conditions of residence. The arrangements for serving meals must be reviewed to avoid long delays for service users. Assistance with meals must be provided in a way that enhances the dignity and self esteem of service users. The carpet in ground floor dining room requires thorough cleaning or must be renewed. All event in the home which affect well-being of service users must be reported to CSCI. Timescale for action 1.4.06 2. 3. 15 15 12(4)(a) 1.9.05 1.9.05 4. 5. 26 31 23(2)(d) 37 20.12.05 1.9.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 24 36 Good Practice Recommendations Some items of furnishing in bedrooms are rather worn and in need of repair or replacing. Suitable arrangements hould be made to ensure that staff regular supervision from the manager. B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 Page 23 Falstone Court Nursing Home Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Baltic House Port of Tyne, Tyne Dock South Shields NE34 9PT National Enquiry Line: 0845 015 0120 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 Falstone Court Nursing Home B52 B02 S18192 Falstone Court V219453 1 Sep 2005 Stage 4.doc Version 1.40 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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