Inspection on 12/12/07 for Forest Lodge Care Home

This inspection was carried out on 12th December 2007.

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.

Other inspections for this house

Forest Lodge Care Home 21/05/08

Forest Lodge Care Home 21/05/07

Forest Lodge Care Home 02/05/06

Forest Lodge Care Home 28/11/05

Forest Lodge Care Home 28/07/05

Forest Lodge Care Home 10/01/05

Forest Lodge Care Home 30/07/04

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

CARE HOMES FOR OLDER PEOPLE Forest Lodge Care Home 20 Forest Road East Nottingham NG1 4HH Lead Inspector Rob Cooper Unannounced Inspection 12th December 2007 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 Forest Lodge Care Home DS0000002198.V355012.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. Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Forest Lodge Care Home Address 20 Forest Road East Nottingham NG1 4HH 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) 0115 978 0617 0115 942 2582 Mr Riaz Khan Mr Riaz Khan Care Home 28 Category(ies) of Past or present alcohol dependence (1), registration, with number Dementia - over 65 years of age (6), Old age, of places not falling within any other category (28) Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Mr Riaz Khan is registered to provide personal care and accommodation for service users of both sexes whose primary needs fall within the following categories: - Old age, not falling in any other category (OP) up to 28 Dementia, over 65 years (DE (E)) up to 6. Within the maximum number of 28 service users Mr Khan may continue care of the following: one service user aged 55 years of age with Alcohol Dependency as identified in an application dated 22/8/03 and one service user aged 61 years as identified in an application dated 19/3/05 21st May 2007 2. Date of last inspection Brief Description of the Service: Forest Lodge provides care for a maximum of 28 people. The service is registered to accept older people and up to six people who have Dementia. There are also two people whose needs are outside of the registration category who are also accommodated. The home is a large, detached house within one mile of the city centre and close to the tram route. It overlooks the Forest recreation ground and is also close to the Arboretum Park. The accommodation is arranged over two floors and includes some bedrooms with en-suite toilets. There is a vertical lift and a chair lift to provide access to the first floor. There are two lounges, a dining room and a conservatory offering a choice of communal space. There is an external patio area and ample car parking. A sloped entrance provides access for wheelchair users. Staff are multi-lingual and current service users are from various cultural backgrounds. The cost of the service is currently between £298.21 and £323.36 per week. This fee does not include hairdressing, chiropody, toiletries, magazines, external transport or holidays. Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit as part of the key inspection process – so that no one at Forest Lodge knew that this inspection visit was going to take place. The visit took approximately four and a half hours through the middle of the day, with one inspector and an ‘expert by experience’ present. The methods used during this key inspection and were to visit Forest Lodge, where a method called case tracking was used; this involved identifying four residents and looking at their individual files and making a judgement about the quality of care they are receiving, and if their needs are being met. In addition to case tracking an ‘expert by experience’ was also used. This is a volunteer who by virtue of their ‘experience’ of being an older person is able to understand and empathise with the residents, and by talking to them gain a better insight into what life is like for residents living at Forest Lodge. This was followed by a partial tour of Forest Lodge, looking at the activities on offer, and talking to two members of staff about the quality of the service, and their experiences of working at Forest Lodge. The expert by experience also spoke to nine residents during the course of this inspection visit. During 2007 the Commission for Social care inspection introduced an Annual Quality Assurance Assessment (known as an AQAA) as part of the inspection methodology, this allows care homes like Forest Lodge to self assess their service. Information provided by Forest Lodge helped to form the judgements in this report. We also received six surveys from members of staff, and eight surveys from residents, which also helped with the judgements that we made. The registered manager Riaz Khan and the deputy manager provided much of the information during this key inspection visit. On the day of this inspection there were twenty-seven residents in residence, and one resident was in hospital. Prospective residents can obtain information about Forest Lodge direct from the care home, and this would include seeing previous inspection reports prepared by the Commission for Social Care Inspection. What the service does well: Forest Lodge have some very comfortable sitting areas for residents, and the care home is set in very pleasant surroundings, overlooking the park, and surrounded by trees, and grass. A local school visit Forest Lodge, with school children playing tabletop games with the residents, which is a very popular Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 6 activity. Forest Lodge is well equipped to meet the needs of people with restricted mobility, having a ‘talking’ lift that announces which floor passengers are on, as well as a range of different bathing and showering options to meet the needs and choice of the residents. 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. The summary of this inspection report can be made available in other formats on request. Forest Lodge Care Home DS0000002198.V355012.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 Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12&3 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Prospective residents at Forest Lodge had sufficient information before they moved in to make an informed choice about where to live. EVIDENCE: Both the statement of purpose and service user guide for Forest Lodge were seen. Both documents contained all of the information, which Care Homes Regulations say that they should, and provide residents and prospective residents with enough information to be able to make an informed choice about living at Forest Lodge. Evidence was also seen that residents have been given copies of the Service User Guide, with copies in their bedrooms, and evidence in the files that residents had signed to show they had received a copy. Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 9 As part of the case tracking process four resident’s files were seen, each one contained a copy of terms and conditions of residence, however the individual resident had not signed their contract, and it is recommended that either residents or a relative, if they are not able, sign on their behalf. Each of the files seen contained an assessment of need, which had been completed either in-house or by the resident’s Social Worker. They included two Shared Nottinghamshire Assessment Profiles (SNAP’s), which are Nottinghamshire’s preferred assessment tool for older people, and one Extended Community Care Assessment and one in-house assessment. All of the assessments were completed before the resident moved in to Forest Lodge, and evidence that the resident’s care needs had been based upon those assessments. Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 & 11 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. The residents have their health and personal care well managed, supported and by the staff at Forest Lodge, although the recording side could be better. EVIDENCE: Each of the four resident’s files that were seen contained a plan of care, which had been produced from the assessments and identified personal goals and needs and how to meet them. There was evidence that care plans were being reviewed regularly, and the files also contained risk assessments to accompany care plans for identified individual risks. None of the files that were seen contained specific care plans related to resident’s health care needs, instead health related maters are recorded in the daily notes, this makes it difficult to track health care issues, and information relating to specific medical conditions such as diabetes, is ‘lost’ among the daily information. Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 11 A local chemist provides Forest Lodge with their medication. An inspection of the storage, and booking in and out procedures showed that medication is handled safely and there is a clear audit trail for medication from the point of ordering to administration and/or disposal. Administration records were inspected and found to be complete. The lunchtime medication round was partially observed, and there were no concerns seen in the administration procedures. No resident at Forest Lodge currently self-medicates. While the medication procedures at Forest Lodge appear safe, there are a number of steps, which could be taken to improve the procedures. For example there are no photographs on the administration records, which would help staff to identify residents, and there is no sample signature sheet for staff, which would help identify who has administered medication. Discussions between residents and the expert by experience identified that the residents’ thought that they were treated with care and dignity and that their health problems were dealt with satisfactorily. The staff knocked on their doors before entering the rooms and spoke to them in a respectful way. Observation of staff to resident interaction during the inspection visit was positive, with several examples of choice being offered, particularly in the areas of food and drink. Each of the resident’s files contained a sheet of paper signed by the resident with their wishes at the time of their death, and evidence of involvement from the resident’s families, and contact telephone numbers. Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15 Quality in this outcome area is adequate; this judgement has been made using available evidence including a visit to this service. Residents at Forest Lodge have a lifestyle that reflects their cultural, social and religious interests, and needs, however more could be done to help residents make choices, and take more control of their lives. EVIDENCE: The expert by experience spent time talking to residents and was told that there were few social activities, those activities that did exist were poorly attended. Some residents wanted to be taken out; a visit to the Library was mentioned. Records relating to activities were scarce, so that there was not a great deal of evidence to support the view that activities are taking place. On the plus side, a new widescreen LCD television has been purchased, as residents said they were finding it difficult to see the television. The new larger (much larger) screen makes watching television much easier. In addition at the end of the inspection visit a number of school children arrived at Forest Lodge from a local school, to play board games with the residents, and this was obviously a very popular and regular activity. Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 13 On the day of the inspection visit no relatives were visiting Forest Lodge, so it was not possible to speak with any visitors. However residents did say that their families were able to visit them, and Forest Lodge had taken steps to ensure that residents were safe and comfortable when their relatives were visiting. Each of the residents spoken with said they thought there was a good choice at Forest Lodge, and gave examples. The choices ranged from the food and drink available, through to the activities on offer. The menu board was actually quite small, and it would help those with limited vision to see the menu if it was larger. The expert by experience sampled the lunch at Forest Lodge – Chicken, chips & vegetables, and said that it was very tasty. Choice was limited, and one Asian resident said they would have preferred an Asian meal. Residents were observed having difficulty with their food, which they needed help with cutting up, the staff had not noticed this, and the expert buy experience had to draw this to the attention of the staff. Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Residents at Forest Lodge are safe, and their complaints are taken seriously and dealt with. EVIDENCE: Forest Lodge has not received any complaints since the last key inspection in May 2007. The complaints procedure forms part of the service user guide, and copies were seen in several bedrooms. Two residents were asked about making complaints; all three said they had not felt the need, but knew how to, and who to complain to. Two senior members of staff have attended safeguarding adults training run by Nottinghamshire City Council. A review of the training plan showed that there is a planned programme for all staff to receive this training in January. This training is aimed at raising staff awareness of abuse, and through raising the issues, offering residents greater protection against abusive practice. Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Residents at Forest Lodge live in a safe, clean and comfortable home, with their personal possessions around them. EVIDENCE: Forest Lodge is a large care home with a number of lounges and sitting areas, so that residents are able to sit in smaller groups and take part in different activities. The building is well equipped to cater for the needs of those people who have restricted mobility with a ‘talking’ passenger lift which announces the floor that it has reached, walk in showers, grab rails and a range of different bathing options. There is an excellent view over the park next door, and a number of squirrels were running around the trees outside of the window, to occupy those residents interested in wildlife. There are a number of pleasant sitting areas outside, and an external covered smoking area. Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 16 The building was found to be clean and there were no unpleasant odours found during the inspection visit. Staff were seen cleaning in various areas of Forest Lodge during the inspection. Two residents were asked about the cleanliness of Forest Lodge, and both said that they were quite happy, and that they thought the staff kept the home clean and tidy. Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 & 30 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Staff at Forest Lodge have been recruited professionally, and are competent and trained to do their jobs. EVIDENCE: A review of Forest Lodge’s staffing rota showed that there are currently enough staff working at Forest Lodge to meet the resident’s needs, with usually four staff working in the morning, and three or four in the afternoon/evening, and there are also two waking night staff working each night. Discussions with two members of staff and inspection of the rota showed that shortages are usually covered in-house. None of the staff who were spoken with were concerned that staffing levels were too low to meet resident’s needs. The staff training records were seen and these showed that out of a staff team of fifteen care staff, there are currently six members of staff with a National Vocational Qualification (NVQ) to level II in care, with a further two currently studying for their NVQ level II. In addition a one member of staff has their NVQ III qualification. National Vocational Qualifications (NVQ’s) are seen as the basic qualification for care staff, and it is recommended that a minimum of 50 of the care staff have at least an NVQ qualification. Forest Lodge is very close to achieving this 50 figure. Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 18 Four staff files were seen, and these contained all of the information that would show that staff had been recruited in a safe manner – in that applicants had to fill out an application form, provide two written references and undergo a Criminal Records Bureau check. A review of the documentation showed that there were no issues raised in the recruitment process, and that it was possible to prove the process had worked to protect residents. Discussions with two staff members about their recruitment evidenced that they had undergone preemployment checks, and had not started working until those checks had been completed. A review of the staff training records showed that Forest Lodge does have a training plan for its staff, and that there are staff training courses planned for the coming months. The records showed that staff were receiving the skills training to be able to do their jobs, and discussions with two members of staff supported this view, and provided evidence of the different training courses staff had attended, including training in the mandatory areas – fire, food hygiene etc. Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 36 & 38 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Forest Lodge is a safe, well-managed care home with good systems for ensuring it’s quality in place. EVIDENCE: The registered manager has been through the Commission for Social Care Inspection’s ‘fit person’ process, and has been judged to be fit to manage a residential care home. Evidence was seen that the manager is suitably experienced and qualified, having been in post for nearly twenty years. Forest Lodge has a quality assurance system, which relies on questionnaires being filled in by residents and visitors. Copies of the questionnaire were seen Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 20 together with evidence that the questionnaires had been evaluated, and an action plan produced. Forest Lodge does not have a ‘small cash needs’ system for resident’s personal finances. Residents are either responsible for their own cash, or it is managed by a` relative on their behalf. Four staff files were seen with regard to formal staff supervision. Each member of staff had supervision records within them, which showed that staff were being properly supervised. Two staff members were asked about their supervision, and said that while they felt well supported. A number of health & safety records were seen, and were found to be correct and up-to-date. These included the fire safety records, which showed that regular training and practices are taking place, with the fire alarm having been serviced in July 2007. The inspection of the Control Of Substances Hazardous to Health (COSHH) records showed that there were no data sheets or risk assessments available, and these should be obtained as they are required under the Control of Substances Hazardous to Health Regulations (COSHH) 1988. Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP38 Regulation Requirement Timescale for action 29/02/08 Regulation Data sheets relating to the 23 (5) Control Of Substances Hazardous to Health (COSHH) must be obtained and risk assessments carried out to comply with the Control of Substances Hazardous to Health Regulations (COSHH) 1988. 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 OP2 OP8 Good Practice Recommendations Residents should sign their contracts/ terms of conditions of residence, or if they are unable a relative on their behalf should do this. Residents care files should contain care plans related to health care needs, so that important information relating to health is not ‘lost’ in the daily notes amid all of the other information contained there. DS0000002198.V355012.R01.S.doc Version 5.2 Page 23 Forest Lodge Care Home 3. OP9 4. OP9 5. 5. OP9 OP12 6. 7. 8. OP14 OP15 OP15 The addition of photographs to the Medication Administration record sheets would improve resident safety, and help staff to identify residents correctly when administering medication. A sample signature sheet for staff administering medication, would help in identifying which member of staff administered medication at a given time should the need arise. A review of medication procedures should be undertaken, including whether the current supplier can meet Forest Lodge’s needs. Recording of activities at Forest Lodge needs to be improved to provide evidence that residents are offered a stimulating lifestyle and their cultural and social needs are being met. The menu board needs to be made bigger, so that residents who have visual difficulties might be able to see the menu better. When writing the menu, consideration should be given to individual choice, and variety, so that resident’s needs in relation to food `can be met. Staff should be aware that some residents will need extra help at mealtimes, and should be available to offer any such assistance that is required. Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Forest Lodge Care Home DS0000002198.V355012.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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