Inspection on 09/02/06 for Farm Lane Care Home

This inspection was carried out on 9th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Farm Lane Care Home 19/01/09

Farm Lane Care Home 21/04/08

Farm Lane Care Home 24/09/07

Farm Lane Care Home 11/09/06

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Farm Lane Care Home Farm Lane Fulham Broadway London SW6 Lead Inspector Tony Lawrence Unannounced Inspection 9th February 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 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. Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Farm Lane Care Home Address Farm Lane Fulham Broadway London SW6 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) 0207 386 4180 manager.burroughs@careuk.com Care UK Community Partnerships Limited Mrs Sarjit Jagroop Care Home 66 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (24), Old age, not falling within any other of places category (40) Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registration be for: Care Home with Nursing Ground Floor - 14 Older People First Floor - 25 Older People Second Floor - 25 Older People First and Second Floor 1 Younger Adult per Floor N/A Date of last inspection Brief Description of the Service: Farm Lane is a care home providing accommodation and nursing care for older people, people with dementia and people in need of rehabilitation before returning home after a stay in hospital. The home opened in September 2005 and is located in a residential area of Fulham, close to shops and other local facilities. Accommodation is provided on the ground, first and second floors and there is a large attractive roof garden and conservatory. Passenger lifts enable people living in the home to use all parts of the building. Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two days, Thursday 9th and Friday 10th February 2006. This was the first inspection of the home after it opened in September 2005. Tony Lawrence and Jackie Derbyshire, CSCI Regulation Inspectors carried out the inspection. They spoke with people living in the home, staff, managers and relatives who were visiting. The Inspectors also checked care records and saw all parts of the home. Farm Lane provides an excellent standard of accommodation and is well staffed to meet the care needs of people living in the home. Care practices in the home are excellent. 22 service users, 9 relatives/visitors and 8 health and social care professionals returned confidential questionnaires and their comments are included in this report. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 6 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 Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 7 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 the following standard(s): 3 and 6. The care needs of new service users are well assessed and recorded before they move into the home. A successful rehabilitation service prepares people to return home after a stay in hospital. EVIDENCE: The Inspectors reviewed the care plans of people in the dementia care unit, the unit for frail elderly people and the rehabilitation unit. Each care plan file included a full care needs assessment completed by a social worker or a senior member of staff from Farm Lane. Care plans also included relevant medical and social reports. Staff in the rehabilitation unit told an Inspector that most of the admissions are planned and appropriate information is provided for each patient. The Inspector checked three care plan files and saw copies of care needs assessments and other reports. Staff on each unit were able to tell the Inspectors important information about each service user, including their care needs, preferred routines, likes and dislikes and details of family members. Three service users on the rehabilitation unit spoke very positively about the care and support they receive and all said they were confident they would have the support they needed when they returned home. Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 7, 8, 9 and 10. The health and personal care needs of service users are met well in the home. EVIDENCE: Each person admitted to the home has a care plan that details their health and social care needs and how these will be met in the home. The Inspectors found that care plan files are well organised and contain all relevant information about each service user. Staff said that, as part of the admission procedures, a full range of assessments is completed for each person, including pressure care, manual handling, continence, nutrition and activities for daily living. Night care staff complete their own assessment and record individual’s preferred bedtimes, sleeping patterns and morning routines. Care plan goals are agreed for each person, covering personal care, sleeping, mobility and these are generally well recorded. While these are generally well recorded, staff should make sure that goals are clear about what support is needed and how this will be provided. Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 9 Staff on duty said that they complete daily care notes for each service user. Care records checked by the Inspectors were detailed and generally well completed. There is a need to make sure that all entries and legible, dated and signed. Staff must also make sure that records of service users’ food and fluid intake are completed where required. In one case the records appear to show that a service user had nothing to eat or drink for a period of 17 hours. During this visit the Inspectors reviewed the medication management on each unit. On the rehabilitation unit, all prescribed medication is administered from original containers, rather than dosette boxes or blister packs. All medication is securely stored in the medical room. A trolley is used to take medication to each patient and staff sign the Medication Administration Record (MAR) sheet whenever they give medication. MAR sheets are well completed and there are no errors or omissions. Controlled drugs and securely stored and the register is always signed by two members of staff, including the nurse responsible for giving the medication. A separate fridge is used for the storage of eye drops and the fridge and medical room temperatures are regularly checked and recorded. The Inspector was also impressed with the unit’s programme for preparing service users to manage their medication after they return home. The Boots Monitored Dosage System is used for prescribed medication on the home’s other units. Medication is delivered in blister packs every 28 days and the home’s manager said that the Boots service responds well to changes in medication or the need to provide medication for service users who are admitted to the home in between deliveries. While in the majority of cases the system works well, arrangements for one service user reviewed by the Inspectors were confusing. This confusion was caused by staff using medication brought in by the service user alongside blister packs provided by Boots. Staff should make sure that any surplus medication is disposed of safely. During this visit, the Inspectors spent time talking with service users and their relatives/visitors on each unit. Each person living in the home said that they were treated with respect at all times by staff. Each person has his/her own single room and bedroom doors are lockable if privacy is needed. Relatives and visitors said that they could also see people privately if they wish, either in their bedroom or in one of the communal rooms on each unit. 3 GP’s and six health and social care professionals also returned confidential questionnaires. Their responses were overwhelmingly positive about care provided by managers and staff. Specific comments included: ‘The home’s Manager is receptive to suggestions, readily accessible and cares about how the home is run’. ‘Residents’ relatives are welcome anytime for any complaints / suggestions’. Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 10 ‘The home needs time to settle down but residents appear well cared for. The manager discusses issues openly and listens to what service users and other health professionals have to say’. ‘When advice is given to nursing and care staff I sometimes feel that I have to chase things up so that they get done’. ‘The care staff are very caring to clients’. 22 people living in the home returned confidential questionnaires. Their comments were also very positive. ‘We’re all friends together here in the home’. ‘It is very nice here. If I were older I would like to come here permanently’. ‘Some of the staff are unfamiliar to me. I’d like it if I didn’t recognise them, to introduce themselves to me before speaking to me’. ‘It’s a very nice home, everybody is very careful about what they do’. ‘The home is nice, they are all very kind. It’s only that I want to go to my own home, staff do the best they can’. ‘It’s a lovely little place to live in, I would recommend it to anyone that I associate with, the home is lovely, the nurses are lovely. I have no complaints, I am happy here’. Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People living in the home are supported to take part in a range of appropriate activities and outings. An excellent variety of nutritious meals are provided. EVIDENCE: Service users who spoke with the Inspectors and those who returned confidential questionnaires all said that they are able to make choices about their daily lives. Examples included choices at meal times, daily routines and choice of clothes. Care plans include details of each person’s hobbies and interests. The home employs two activities co-ordinators and they work with staff to provide individual and small group activities. A weekly programme of activities is provided that includes exercise and reminiscence sessions, men’s and women’s’ groups, ball and board games. During this visit, one of the activities co-ordinators ran a group discussing items from the day’s newspaper and later went to a local pub for lunch with a service user. Other service users were having their hair done by the visiting hairdresser. 19 of the 22 service users who returned confidential questionnaires said that the home provides suitable activities. 3 people said suitable activities are ‘sometimes’ provided. Relatives and visitors who spoke with the Inspectors were very positive about the care provided at Farm Lane. Visitors said that they are able to visit at any time and staff are always very welcoming. All 9 relatives/visitors who returned confidential questionnaires said that they are welcome at any time, they can Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 12 visit their relative/friend in private and the home keeps them informed of all important matters. The manager confirmed that staff from the home are not involved in managing service users’ finances. The service user him/herself or a representative does this. Service users and staff said that people are encouraged to bring personal possessions and small items of furniture with them when they move into the home. The Inspectors felt that all bedrooms are well personalised. The home employs a cook and assistant cook who prepare all meals for service users. A cook/chill system is used and meals are delivered to each unit in heated trolleys. Service users and staff told the Inspectors that snacks ad hot and cold drinks are available at all times. Special diets are provided when health staff or the dietician advises this. Service users who spoke with the Inspectors and 21 of the 22 people who returned questionnaires said that they enjoy the food that is provided. An Inspector saw lunch served in one dining room during this visit. The food was attractively presented, the service was unhurried and staff were available to support service users, if this was needed. One service user commented ‘food could stand improvement, the quality is not what I’d expect. The choice is good though’. One health/social care professional commented ‘the catering manager communicates frequently and very effectively with service users and other professionals at the home to build and provide a varied menu, paying particular attention to clients’ preferences and needs’. Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. The home has clear complaints and protection policies and procedures that are known to service users, staff and visitors. Service users are cared for safely. EVIDENCE: The home has a clear complaints policy and this is displayed on notice boards on each unit. One relative told an Inspector that they were unaware of the home’s complaints procedures. The Manager should make sure that all relatives are informed of the home’s policy and procedures. The Manager confirmed that one formal complaint has been received since the home opened in September. An Inspector checked the record of complaints and the complainant was satisfied with the home’s investigation and response. The home follows the local authority’s protection of vulnerable adults procedures and these are available in the home for reference. The Manager confirmed that there have been no adult protection concerns or investigations since the home opened in September 2005. Service users who spoke with the Inspectors and 22 people who returned questionnaires all said that they feel safe at Farm Lane. Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 25 and 26. The home provides excellent standards of private and communal accommodation. EVIDENCE: During this visit the Inspectors saw all communal parts of the home and some service users’ bedrooms, with their permission. Newly built and opening in September 2005, the home offers excellent standards of accommodation. Each service user has a single room with ensuite shower and WC. Rooms are comfortable, well furnished and decorated. Staff have supported people to individualise their rooms with photos and other personal items. All service users who spoke with the Inspectors said that they are very happy with the accommodation at Farm Lane. As well as the ensuite facilities, there is a sufficient number of toilets and assisted bath and shower rooms that are located close to service users’ rooms and communal areas. Each unit has a number of comfortable communal lounges, an attractive dining room and a separate room for service users who smoke. A hydrotherapy pool, Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 15 gym and training kitchen are also provided. There is also a large, comfortably furnished conservatory that leads to a large patio roof garden with plants tables and chairs. Appropriate security measures are in place and these do not infringe service users’ privacy. Throughout this visit all parts of the home were clean, tidy and hygienic. The Inspectors discussed two issues with the Manager during this visit. There is a need to clarify with the London Fire and Emergency Planning Authority (LFEPA) whether bedroom doors must be fitted with door closers. During this visit, the Inspectors saw bedroom doors that were open and would not close in the event of a fire. Staff told the Inspectors that when the fire alarm sounds, they go round and close any open doors. This is not an acceptable practice and places service users and staff at risk. Following this visit, an Inspector checked with the Fire Safety Officer from LFEPA and……………….. There is also a need to make sure that hot water temperatures in service users’ bedrooms and assisted bath and shower rooms enable service users to have a comfortable bath or shower. The home’s maintenance staff record water temperatures throughout the home each week. While these are well recorded, the records show that temperatures well below 43°C are regularly recorded. The home’s hot water supply system must be checked to make sure that hot water is provided at the right temperature. Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. The home is well staffed to meet the care needs of service users. EVIDENCE: To assess these Standards, the Inspectors checked the home’s staffing rota and spoke with managers and staff. The home has a separate rota for each unit and these show that most areas are well staffed at all times of the day and night. On each unit, Inspectors felt there are good ratios of staff to service users at all times of the day. Night staffing levels on most units are satisfactory, but the Inspectors feel that the number of night staff on the first floor dementia care unit should be reviewed to make sure that service users have appropriate support during the night. In addition to the qualified nurses working in the home, there is a care staff team of 38. The Manager confirmed that 42 of care staff have completed their NVQ Level 2 training. 10 more staff are due to start their training in April 2006. The Manager expects to meet the target of 50 qualified staff during 2006. An Inspector checked the staff recruitment files for 2 nurses and 2 care staff working in the home. The files are very well organised, all checks are in place and the home’s administrative staff are to be congratulated on the excellent standards achieved in maintaining the home’s personnel records. All staff complete core training as part of their induction. Staff who spoke with the Inspectors were very positive about the raining offered at Farm Lane. The Inspectors were impressed that maintenance staff are supported to complete dementia awareness training with nurses and care staff. Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. The home is well managed and service users are cared for safely. EVIDENCE: The home’s Manager is a qualified nurse and experienced manager. She has been registered by the Commission as a ‘fit person’ to manage the home. Service users, relatives/visitors and staff commented very positively about the leadership provided by the Manager. Since the home opened in September 2005, there have been regular monthly visits to the home by managers from Care UK to monitor the day-to-day performance of the service. A written report is sent to the home’s Manager and the Commission after each visit. Service users told the Inspectors that they are asked for their views by staff and managers in the home. Service users also said that they are listened to and staff in the home are very responsive to comments. The home’s Manager ensured that service users and Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 18 their relatives/ visitors were told of this inspection and their comments are included in this report. During this visit an Inspector talked with the home’s manager and the maintenance officer about health and safety measures that are in place. Training is provided for all staff in food hygiene, fire safety, moving and handling and first aid. Regular checks are made of water temperatures and fire safety equipment. Risk assessments, including a fire safety risk assessment, are all in place. Accidents and significant incidents are well recorded and the Commission is informed where this is required. Three health and safety issues were discussed with staff during this visit. Bedroom doors in the home are not fitted with door closers and will not close if there is a fire in the home. The Manager must check with the Fire Safety Officer to make sure that fire safety measures in the home are satisfactory. While standards in the home’s kitchen are excellent, the Inspectors feel that suitable containers should be provided for opened packets of rice, pasta and cereals. The kitchen fire extinguisher and fire blanket should also be fixed to the wall to make them easier to use in an emergency. Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 4 3 X 4 4 4 3 STAFFING Standard No Score 27 3 28 3 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 2 Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 3 Standard OP8 OP9 OP19 Regulation 17 13 13 Requirement Records of service users’ food and fluid intake must be completed where required. Staff must make sure that any surplus medication is disposed of safely. The home’s hot water supply system must be checked to make sure that hot water is provided at the right temperature. The Manager must check with the Fire Safety Officer to make sure that fire safety measures in the home are satisfactory. Timescale for action 30/04/06 30/04/06 30/04/06 4 OP38 23 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP7 Good Practice Recommendations Service users’ care plans should include clear goals. All entries in service users’ care plans should be legible, dated and signed. DS0000064137.V265483.R01.S.doc Version 5.1 Page 21 Farm Lane Care Home 3 4 5 6 OP16 OP27 OP38 OP38 The Manager should make sure that all relatives are informed of the home’s complaints policy and procedures. The number of night staff on the first floor dementia care unit should be reviewed to make sure that service users have appropriate support during the night. Suitable containers should be provided for open packets of cereal, rice, pasta etc stored in the kitchen. The fire extinguisher and fire blanket in the kitchen should be fixed to the wall. Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Hammersmith Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Farm Lane Care Home DS0000064137.V265483.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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