Inspection on 02/11/06 for Finch Manor

This inspection was carried out on 2nd November 2006.

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

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

Other inspections for this house

Finch Manor 21/01/09

Finch Manor 03/04/08

Finch Manor 25/10/07

Finch Manor 08/05/06

Finch Manor 02/02/06

Finch Manor 27/07/05

Finch Manor 21/01/05

Finch Manor 19/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Finch Manor Finch Lea Drive Dovecot Liverpool Merseyside L14 9QN Lead Inspector Les Smith Key Unannounced 09:00 2 November 2006 nd 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 Finch Manor DS0000048861.V306757.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. Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Finch Manor Address Finch Lea Drive Dovecot Liverpool Merseyside L14 9QN 0151 259 0617 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) Moorshield Ltd Mrs Julie Archer-Moran Care Home 89 Category(ies) of Dementia - over 65 years of age (54), Old age, registration, with number not falling within any other category (35) of places Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The service should at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. A maximum of 89 older people may be accommodated of whom no more than 75 shall be in the category DE (E) and 14 in the category of OP. To accommodate four service users aged 55 to 65 years old on DE (E) unit 8th May 2006 Date of last inspection Brief Description of the Service: Finch Manor is a purpose built, single storey home situated in the Dovecot area of Liverpool. It is set in its own grounds with gardens to the front and rear and with two internal courtyard-sitting areas. The home provides care and support in four units. One with 14 places is for the general care and support of older people. Another has 21 places for older people with dementia who require personal care only and the remaining 54 places are across 2 units provide nursing care and support to older people with dementia. All of the residents accommodation is provided in single bedrooms with en-suite WC and wash hand-basin. A full range of aids and equipment is available providing assisted showers and baths and all areas of the home are accessible by wheelchair. Lounge and dining areas are located in each of the units and a central kitchen prepares food that is delivered in hot cupboards for care staff to serve to residents. An internal security system of keypads on connecting doors prevents residents from wandering out of the home or between units. Fees at the home range from £307 to £469 depending upon category. The home is within walking distance of local shops and there are public transport routes nearby. Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit took place over one day for a total of 8 hours. The inspector examined care records and associated documents, staff files, management records and had discussions with staff of all grades, residents and visitors to the home. Comments from relatives were all very positive in all aspects of the home and its management, ‘it is so much better’, ‘staff always very pleasant and care is excellent’, ‘the standard of cleanliness is very good’ and ‘we are very pleased with the care’. Throughout the visit staff were observed going about their duties in a cheerful manner and clearly had a good rapport with the residents. Activities were seen to be in progress throughout the day and residents appeared happy. Meals were seen to be well presented and appetising and the mid-day meal was clearly enjoyed with discrete assistance being offered to those residents who needed it. Maintenance of privacy and dignity was observed at all times and staff were seen to encourage residents to make choices whenever appropriate. Resident’s health needs are well met and access to other health care professionals and services is promoted. What the service does well: What has improved since the last inspection? What they could do better: The strengthening of medication management particularly in respect of handwritten MA sheets needs to be carried out. The removal and archiving of old and duplicate records from the care files is required to eliminate confusion and make the care files easier to use. Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 6 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. Finch Manor DS0000048861.V306757.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 Finch Manor DS0000048861.V306757.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information required to make an informed decision and be sure that their needs will be fully assessed thereby promoting confidence in the homes ability to meet their needs. EVIDENCE: The home has recently updated the Statement of Purpose and Service Users Guide. Both documents are well presented and easy to read contain all of the required information. Copies of the documents have been distributed to all residents or their representatives. Both documents are freely available on request and the Service Users Guide is given to prospective residents or their representative when viewing the home. A review of a random selection of residents’ files showed that appropriate contracts or Statements of Terms and Conditions are in place. A selection of care files including residents with complex needs or identified sensory impairment and communication difficulties were examined on the day Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 9 of inspection and all included a detailed pre-admission assessment document. The homes manager or senior nurse completes the pre-admission assessments which include details of nursing and personal care needs together with cognitive ability, challenging behavioural and social problems. Residents or their representatives are requested to complete a social history which is then used to inform the individulaised care and social recreation plans. The information gathered was appropriate in quantity and quality to enable construction of an initial care plan. The home has all the appropriate equipment and facilities to meet residents’ needs. Equipment and aids provided by the home include assisted baths and shower rooms, toilet adaptions such as raised toilet seats, hoists and slings and slide sheets for transferring and moving residents comfortably and safely. Wheelchair access is available to all areas of the home including the garden areas. Training in specialist areas has improved significantly in recent months and is ongoing. Finch Manor does not provide intermediate care. Finch Manor DS0000048861.V306757.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health, personal and social care needs are supported by a comprehensive care planning process however medication management needs to be strengthened to meet good practice guidelines. EVIDENCE: A range of care plans and associated documentation were examined during this visit. These included residents with differing needs such as sensory impairment, specialist nursing needs and varying levels of cognitive ability. The care planning process and documentation has been revised by the home since the last visit. The standard of documentation and completion has improved significantly. Care plans examined showed lapses in consistency. One care plan had no observations carried out since 27th September; three plans lacked a continence assessment, one file had a care plan for sleep but not completed whilst two care files had multiple nutritional assessments in place. It is strongly recommended old documents are removed from care files and archived to prevent any confusion and that a check list put in place to assist in ensuring that all required documents are in place within the care files. Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 11 Daily reports showed a good level of detail showing how the resident had spent their day and the care delivered. The leaving of gaps and blank spaces on the daily report sheets is not good practice and should cease. Regular monthly care plan evaluations were seen in all care files. Evaluations are a good standard giving clear reasons as to why a plan is to continue or why it should change. One care file was seen for a resident recently transferred from the residential to nursing unit and it is strongly recommended that a full review and assessment of care needs be carried out following such transfers. Associated documentation such as fluid and repositioning charts need further improvement to clearly demonstrate the level of care given. The associated care documentation provides the evidence that relevant care interventions have been carried out and accurate record keeping is essential. Wound records examined now show full details so improvements and deteriorations can be identified in the early stages allowing ongoing treatment to be planned effectively. Residents with sensory impairment or specific needs are clearly identified and the care plans reflect the additional input and care required due to their impairment. Appropriate referrals are made to GPs’ and other members of the multidisciplinary team such as tissue viability and recommendations made are implemented. Medication management has also improved but further improvements are required. Gaps in signatures on the Medication Administration Records (MARs) remain but are fewer in number. Medicines for residents either discharged or deceased were found in one drug cupboard. Care must be taken to check storage directions on all medications so that all staff is aware of any changes made by the manufacturers e.g. Insulin once opened does not require storage in a refrigerator. Handwritten scripts must be made clear and unambiguous e.g. Warfarin dose written as 5 with a frequency of ALT is not acceptable and places the resident at risk. Alteration of scripts on the MAR sheet must show the date of change and the source of the change. The home is reminded that any changes made on a MAR sheet must be supported by written confirmation from the medical practitioner. It is evident that staff have worked very hard to improve the standard of record keeping in relation to care planning and associated record keeping and although there are still areas that need addressing the progress made is commendable. Finch Manor DS0000048861.V306757.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. As far as possible residents have choice and flexibility in how they spend their day in the home, and participate in leisure and recreational activities according to their choice and preferences thereby promoting independence and wellbeing for each resident. Meals at Finch Manor are good, offering good choice and variety whilst catering for residents’ dietary needs or cultural preferences EVIDENCE: Finch Manor employs two full time activity co-ordinators who provide a good range of activities including one to one activities for those residents who cannot or do not wish to take part in group activities. Participation in activities is recorded within the individual care file. The residents in the general residential unit enjoy their regular bingo sessions and complain strongly should it for any reason be cancelled. The social histories obtained with the help of residents’ relatives allow for activities to be more specifically identified in line with residents’ preferences. The social recreation and activities programme has expanded a great deal since the last visit. Regular trips out are made to various locations and events including a nearby public house for meals. The coordinator also produces a monthly newsletter that is circulated to residents and their relatives who are encouraged to take part in activities such as Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 13 themed parties. During this visit staff members were observed interacting with residents on a social level and it is clear that residents enjoy good relationships with staff members. Visitors are welcome at the home at any time and evidence of this was seen with visitors arriving at the home from early morning. Visitors are requested to liaise with the home if they wish to make a late evening visit for security reasons. The opportunity for making decisions and exercising choice in many aspects of daily life is limited for the majority of residents assessed as having impaired cognitive ability but staff are encouraged to promote choice wherever possible e.g. choosing a set of clothes for the day. The home provides details of the CareAware advocacy services and leaflets are freely available throughout the home. The menus have been revised to increase the choice and variety available and now cover a four-week cycle. The chef makes a point of discussing meals with residents and finding out their likes and dislikes. Residents have the choice of a cooked breakfast or cereals every day as they choose and should they not wish to have either of the two main meals the chef will cook a meal of their choice wherever possible. Meals are well presented and staff members are available to assist residents who require help and were seen to be providing such assistance in a sensitive and dignified manner. Finch Manor DS0000048861.V306757.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their families may be confident that complaints are taken seriously and will be acted upon in a timely and effective manner and those residents are protected from any form of abuse. EVIDENCE: There have been no complaints to the home or directly to the CSCI since the last visit. There is an appropriate policy and procedure in place for the management of complaints and the procedure is included in the Service Users Guide and displayed in a prominent place at the home. Relevant forms to make a complaint are readily available in the main reception area of the home. The procedure has recently been extended to include a formal method whereby members of staff can bring any concerns that they may have to the attention of the management. It is recommended that any verbal complaints also be documented together with details of action taken. All residents are registered on the electoral roll albeit very few are able to exercise their legal right to vote. The home has provided training to staff in the various types of abuse, their recognition and the procedures to follow whenever abuse is suspected. Examination of the homes training schedule show that 85 of staff have now received this training and it is ongoing. Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 15 All members of staff spoken to had a good understanding of abuse, its’ various types, recognition of abuse and the correct procedures to follow. Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 16 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): 19,20,21,22,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of décor and furnishings within this home has improved significantly and provides residents with a homely, comfortable and safe environment to live EVIDENCE: A tour of the home was undertaken accompanied by the home manager. A major redecorating and refurbishment programme is continuing and ongoing. Rooms are being redecorated and refurbished at a rate of two per month. All rooms have been reviewed and prioritised taking into account soft furnishings and floor coverings as well as the décor. All the corridor carpets are in the process of being replaced. Armchairs for the communal areas are being replaced at the rate of six per month. Overbed tables have been replaced and the kitchen on one of the nursing units has been refurbished. Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 17 Relatives spoken to all expressed their satisfaction with individual rooms and were pleased with the significant improvements that have taken place ‘the standard of cleanliness is good now’. Rooms seen were tidy and well presented with most showing personalisation with residents’ own pictures and other items. There are sufficient bathing and toilet facilities throughout the home and all were clean and fresh. The practice of leaving toiletries in bathrooms has ceased as has the use of bathrooms for ad hoc storage as required by the previous report. The tour included the laundry and kitchen and both areas were clean and well organised. The standard of cleanliness throughout the home has been maintained at a high level and on the day of inspection the home was clean, pleasant and hygienic throughout. Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 18 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is sufficient care staff employed to meet the assessed needs of residents who are supported and protected by a robust recruitment policy EVIDENCE: Staffing levels have been reviewed and subsequently increased following the previous report. The maintenance of staffing levels throughout the day without a reduction in the afternoon and evening shift is a significant improvement and promotes timely and effective care to all residents at all times. Duty rosters show that staff is deployed in an appropriate skill mix. Examination of the staff records and training schedule shows that 21 of all care staff members have NVQ 2 with 29 having NVQ 3. The percentage of care staff with NVQ 2 or equivalent is 50 , which meets the 50 standard. The manager informed the inspector that recommencement of the NVQ programme has taken place and a further ten staff have commenced relevant training for their NVQ 2. The manager is also encouraging all ancillary staff to obtain the appropriate NVQ qualification for their area of work. A selection of staff personnel files including recent starters were examined and found to contain all of the required documents demonstrating a robust recruitment process that supports and protects residents. New staff members serve a probationary period and confirmation of a permanent post is only given following satisfactory completion of this period. Evidence was seen that new Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 19 staff receives a structured induction based on the ‘Skills for Care Induction to Care’ programme. A comprehensive training programme is in place and records show that all mandatory training is up to date. Specialist training has commenced and is ongoing. At the time of this visit 64 of care staff have received training in dementia care and challenging behaviour. Infection control, palliative care, tissue viability and eye care examples of other areas in which training has been provided. Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 20 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): 31,32,33,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management at Finch Manor provides good leadership and guidance promoting and protecting the health, safety and welfare of residents and manages the home in their best interests. EVIDENCE: The manager at Finch manor is appropriately qualified and shortly after this visit was registered by the CSCI. She has a clear vision and sense of direction with an open and transparent management style as evidenced in conversations with staff and relatives whilst maintaining a focus on managing the home in the best interests of residents. The operations manager makes regular monthly, unannounced visits and submits detailed reports of his findings to head office, the home manager and the CSCI. A definitive quality assurance system is not yet fully in place at the Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 21 home but some elements of self assessment have started with regular audits of some areas of work such as care planning. Policies and procedures are regularly reviewed and the organisation keeps abreast of legislation changes and initiates the reviews. Residents’ monies are held at head office and requests are made via the home manager if funds are required at home level. Records were seen to show that a separate bank account for residents’ monies has been established and appropriate records are held at the home. A sample of patient’s monies were checked and found to be correct. Formal supervision of staff is carried out at the home at bi-monthly intervals and clear records are held showing schedule of supervision sessions. Both home and individual records are securely stored and in good order, stored securely and used in accordance with the Data Protection Act 1998 thereby promoting and protecting the health, safety and welfare of both residents and staff. Fire alarm and emergency lighting checks are appropriately done and recorded. COSHH assessments had been undertaken and cleaning materials were stored in an appropriate place. On the day of this inspection the home was displaying a valid public liability certificate in a prominent place. All relevant safety certificates for Gas, Electricity, portable appliance tests and hoists were seen and were found to be valid. Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 22 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 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 4 4 3 N/A 3 3 3 3 Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13(2) Requirement The registered person must ensure that the receipt, storage, administration and disposal of medications meet the requirements of the Medicines Act 1968 and The Royal Pharmaceutical Society guidelines for administration and control of medicines in Care homes. Timescale for action 31/12/06 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 3 Refer to Standard OP7 OP16 OP28 Good Practice Recommendations It is strongly recommended that care files only contain current records and that old documents be archived. It is recommended that all verbal complaints be recorded together with details of any actions taken It is strongly recommended that residents moving are the residential to nursing care setting are fully assessed on transfer DS0000048861.V306757.R01.S.doc Version 5.2 Page 24 Finch Manor Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Finch Manor DS0000048861.V306757.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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