Inspection on 28/02/08 for Foresters Lodge Care Home

This inspection was carried out on 28th February 2008.

CSCI found this care home to be providing an Good service.

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

Foresters Lodge Care Home 02/12/08

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Foresters Lodge Care Home 46 St Johns Avenue Bridlington East Yorkshire YO16 4NL Lead Inspector Pauline ORourke Key Unannounced Inspection 10:00 28th February 2008 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 Foresters Lodge Care Home DS0000070300.V356131.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. Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Foresters Lodge Care Home Address 46 St Johns Avenue Bridlington East Yorkshire YO16 4NL 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) 01262 602522 01262 609200 Burlington Care Limited Mrs Deborah Jayne Creaser Care Home 53 Category(ies) of Dementia (53), Old age, not falling within any registration, with number other category (53), Physical disability (8) of places Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N; to service users of the following gender: Either; whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP; Dementia - Code DE; Physical Disability - Code PD (maximum number of places: 8). The maximum number of service users who can be accommodated is: 53. N/a 2. Date of last inspection Brief Description of the Service: Foresters Lodge care home is registered to provide care for a maximum of 53 people. The home is situated in the seaside resort of Bridlington on the east coast. Bridlington provides service users with ample social and leisure opportunities; the resort has a large leisure world, spa restaurants and some high street shops. The home offers comfortable accommodation with a mixture of single and double ensuite bedrooms. There are four lounges, 2 dining rooms and a smoking lounge with a patio and garden to the rear. Information about the home is available in a Service User Guide and this is freely available at the home with a copy in each person’s private accommodation. A copy of the inspection report is available on request. Information provided by the manager on 27th February 2008 indicated that the fees range from£360 to £461 depending on the type of care required. Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • • Reviewing information that has been received about the home since it was registered Information provided by the registered person on an Annual Quality Assurance Assessment Comment cards returned from people living at Foresters Lodge, health care professionals and relatives. A visit to the home by two inspectors that lasted for six and a half hours. During the visit to the home twelve people who live there, four staff and two visitors were spoken with. Care records relating to four people, four staff members and the management activities of the home were inspected. Care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspectors to gain an insight of what life is like at Foresters Lodge for the people living there. The provider and the manager were available to assist throughout the visit and were both available for feedback at the close. What the service does well: The home provides a service that meets the expectations and needs of people who live there. They receive care and support for their health and physical needs. The provider and manager work to ensure the people who live at Foresters Lodge can live the lives they want to. There are regular meetings for the people who live in the home and the staff. This allows people to express their wishes. There is also a suggestions box that allows people to express their ideas and opinions anonymously. Staff work as key workers and this allows them to get to know people in the home. The relationship between the staff and people in the home was relaxed and respectful. People living in the home said ‘they (the staff) are all lovely’ and ‘they always have time to talk and are all kind’ a relative said ‘ the staff are always polite’ Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 6 The staff can spend time talking to people either individually or as a group and regular activities are organised both in the house and outside of the home. Staff try to personalise activities to the people involved and work with families. The staff who work at the home are thoroughly checked before they start their employment and they receive support and training to ensure they have the skills needed to do their job. The home is clean and there is a renewal and maintenance programme in place for the first twelve months of business. This will be reviewed every year. 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. Foresters Lodge Care Home DS0000070300.V356131.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 Foresters Lodge Care Home DS0000070300.V356131.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): 3, standard 6 does not apply People admitted to the home can be confident their needs have been assessed and can be met by the staff. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People coming in to Foresters Lodge have an assessment of the help and support they need. A member of the management team from the home carries out this assessment. This assessment is carried out even if there is information provided by a care manager. Four case files were seen and they all contained an assessment of need. One of the files seen was of someone who had been admitted as an emergency placement, three days prior to the inspection and there was an assessment and care plan in place. Senior staff take responsibility for making sure people recently admitted have the opportunity to ask questions about the home and to help them settle in. Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 9 Information about Foresters Lodge is provided in a Service User Guide. It is detailed and includes a copy of the contract they should receive. The contracts seen in the case files did not contain the financial break down of the fees payable and by whom they are payable. It was agreed with the proprietor and the manager that these documents would be updated with the information required in April 2008 when the annual increases in the fees are implemented. Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10 People receive the care and support they need. The staff provide support in a sensitive way that promotes the independence and dignity of the people who live at Foresters Lodge. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The case files seen all contained a detailed care plan that was pertinent to the individual concerned. The care plans included risk assessments again these were individual and not just standard assessments. The care plans and risk assessments are reviewed on a monthly basis and the daily records support this process. People spoken with were aware that staff keep records about them, and the person they are about or their relative has signed the majority of the plans. The care plans contained detailed information about the health needs of the person concerned. People have accessed specialist health services as Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 11 necessary and the information contains detail about their body weight and nutritional needs. Feedback from a GP indicated that they thought there was a lack of professionalism since the change in the manager but there was no evidence of this during the visit. A district nurse spoken with said that the staff always work with them and ask advice when they need it. She said that ‘staff were very much on the ball’ in relation to people health needs and always treated people with respect and dignity. The home is split in to two units and each unit manages their own medication. The dispensing pharmacy provides all medication in a monitored dosage system. The medicines seen were stored and administered appropriately. Each unit had a fridge specifically for medication a record of the temperature of the fridge is kept twice a day. All medication records kept were accurate and up to date. Arrangements are in place to dispose of medication that is no longer needed with a specialist company. Staff have completed training with the dispensing pharmacy and have regular updates. Several staff have completed a Distance Learning course in ‘The Safe Handling of Medicines’. None of the people living at Foresters Lodge was self-medicating at the time of this visit. During the visit staff were heard and seen treating people with dignity and respect. It was clear that the staff know the people in the home and used their preferred name and knew about people that were important to them. Several people displayed challenging behaviour and the staff were patient and always took their time to try and find out what they wanted. People spoken with said ‘staff always have time to talk and are all kind’ and a relative spoken with said ‘the staff are always polite’. Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15 People are able to make choices on a daily basis and are supported to do this by the staff. They enjoy a good and varied diet and a social and recreational programme helps them to maintain their interests and hobbies. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The case files seen contained some detail of people’s likes and dislikes, including their hobbies and interests. During the visit people were seen making their own decisions about whether they were joined in with the available activities. Several people spent most of the day in their own room only coming out of them for meals or to go to the smoking room. Staff were knowledgeable about the people they were looking after and knew who was usually in their room and who was having a ‘slow’ day and spending it in their room instead of coming in to the communal areas. Activities are planned each day and people were seen to enjoy a game of bingo using playing cards. This gave people the opportunity to manage their own board regardless of any disabilities they may have had. The home has a dedicated bus and trips are organised in the better weather on a regular basis. Some of the places visited Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 13 include, Hornsea Pond, lavender fields, the sea front, and local garden centres. Staff also organise movie afternoons specifically using movies that people remembered and enjoyed from their youth. Entertainers visit once a month and staff were seen entertaining people in the lounges. During the visit it was observed that relatives visited at any time of the day. Those visitors spoken with said that staff always welcomed them when they visited and keep them informed if there are any problems when they cannot visit. The manager said that the staff were supportive of the relatives when it was needed in respect of the people in the home. People are encouraged to make their own choices in the day-to- day aspects of their lives and this was evident during the visit. Where these choices are directly related to their personal care they are recorded in their case files. This was evident for one person whose religious beliefs affect the type of medical treatment they can have. Staff had clearly identified this in their care plan. The Service User Guide has information for a variety of agencies available that may be able to offer advice and support external to the home. Meals are planned on a four weekly cycle. They are changed to accommodate the seasons and they use fresh local produce. People are offered a choice at every meal and staff ask them each day what they would like the following day for their lunch. When it is someone’s birthday then they always have a cake provided. The menus also take in to account people’s favourite foods and are discussed at each residents meeting. Family and friends can stay for meals if they want to. The home has two dining rooms and both were observed during the meal. Staff offered each person a choice and it didn’t matter if they had forgotten what they had chosen the previous day. Those people who required assistance were given it discreetly and staff joined them for lunch. Where people changed their minds as to the pudding they wanted they were shown the choices so they could see what the alternatives were and what they looked like. Feedback received from people using the service indicated that they were not happy with the meals, as staff were not following the advice of the dietician. There was no evidence that this was happening. People spoken with said they enjoyed the food provided. Where meals were liquidised all of the food was put in to the liquidiser and it was suggested that the elements of the meals should be liquidised separately to allow people to experience the different tastes of the food. One person who had been making a lot of noise had her lunch in the lounge, which she ate with her fingers. Staff checked on her regularly and she appeared content and was quiet. Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who live at Foresters Lodge and their representatives are able to express their concerns through the complaints procedure and are protected from abuse, so their rights are protected. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There is a comprehensive complaints procedure in place, it is advertised on the information board as well as being in the Service User Guide. All of the people spoken with would take any concerns to the manager, their key worker or any member of staff. Feedback received from relatives indicated that they knew how to complain if they needed to. No complaints have been received since the home was registered. An Adult protection protocol is in place and staff were aware of their responsibilities under this procedure. Those staff doing their National Vocational Qualifications level 2 have received training in adult protection and in January 2008 the majority of the staff team attended POVA training. Staff spoken with whilst not fully aware of the protocols said they world report any suspicions of abusive behaviour. Staff are thoroughly checked prior to the commencement of their employment to ensure they are suitable to work with vulnerable adults. Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 15 People living in the home and their representatives are encouraged to manage their own finances. Where monies are held in the home, they re kept in a safe. The records seen were comprehensive and accurate. Information in the Service User Guide and on the contract informs people about the protocols for the safe keeping of valuables. The staff contract informs staff that they cannot accept gifts. Foresters Lodge Care Home DS0000070300.V356131.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People live in a warm, comfortable and safe environment. They can access all areas of the home, which encourages independence. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: A tour of Foresters Lodge was carried out and the environment was found to be warm, clean and odour free. The new provider is currently in the process of renovating the home. In the last six months he has replaced carpet throughout both wings, replaced floorboards and decorated several rooms. The bedrooms were found to have been personalised by the occupant. For example one person enjoyed gardening so staff had provided plant pots for outside the patio doors in the bedroom. Another person had a computer space and used a laptop to enhance their life. There is a smoking lounge and this meets the requirements of the new smoking legislation. However it was quite Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 17 cool in the room and more radiators are required to ensure people can keep warm whilst in there. On Oak wing all the bedrooms have a wet room ensuite, all the doors have automatic door closers. There is a lift for access to all floors. A maintenance schedule has been provided and this shows the planned improvements to the environment for the first year of trading. The laundry system is sufficient to deal with the level of nursing and personal care provided. The machines treat the laundry in a solution that kills off the germs that cause many infections. There are two washers and two driers and there are two designated laundry staff that work in the daytime. Foresters Lodge Care Home DS0000070300.V356131.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Staff that, have been thoroughly vetted prior to the commencement of their employment support people. They receive regular training and are in sufficient numbers to ensure they can provide the support required by the people in the home. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: At the time of the inspection there were four care staff on duty on Maple wing and one nurse and three carers on Oak wing plus either the manager or deputy manager. Ancillary staff also supports them. The rotas show that there are usually three members of night staff on maple and two members of night staff on oak wings, at least one member of staff is a trained nurse. The manager is looking to increase the nursing support so that there is a trained person on each wing at all times. Staff spoken with said that they felt there were enough staff on duty to manage the level of caring they had to do. More than 50 of the staff have completed or are in the process of completing the National Vocational Qualifications level two in care. Other training accessed includes Fire safety, moving and handling, health and safety, peg feeding and nutrition, diabetes, first aid. Each member of staff has a training profile and this is discussed in supervision. Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 19 Four staff files were seen and these contained all the necessary preemployment checks along with evidence of supervision and appraisals and contracts. One carer said that she was interviewed and could not start the position until all of her checks had come back. Several staff members said that they worked together as a team and if anyone was struggling and needed help it was provided. This sense of team was clearly evident during the visit. People living in the home said ‘they are all lovely’ and ‘they always have time to talk and are all kind’ a relative said ‘ the staff are always polite’ These comments are backed up by thank you letters in the quality development review 2007. Foresters Lodge Care Home DS0000070300.V356131.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People live in a home that is well managed and systems are in place to protect their health and safety. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The manager has worked at Foresters Lodge since 1998 and is a Level one nurse she is supported by the deputy manager who is also a level one nurse and who used to be the manager. People spoken with during the visit said that the manager and all of the management team are always available if they want to speak to them and they have confidence in their ability to change things if they are not right. Staff also said that the manager was fair and operated an open door policy to all. Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 21 Foresters Lodge has a quality assurance system in place that includes, meetings of people who live in the home, staff meetings, regular audits of the services provided and any feedback received from relatives. The quality assurance system also looks at the environment and an annual report is produced that identifies the areas for further improvement. When it is necessary people can leave their personal monies in the office safe. The records and cash held were checked and all tallied. Receipts are kept and the accounts are audited on a regular basis. The health and safety records were checked and all were found to be up to date. Risk assessments for fire, the environment, COSHH and people who live in the home. All accidents and incidents are recorded and when necessary they are reported to the Commission of Social Care Inspection. Whilst the accidents are reviewed on a regular basis it was suggested to the manager that the key workers incorporate these in to the monthly reviews carried out. This might then show any patterns of incidents and allow staff to alter the care plan accordingly. During the visit it was noted that wheelchairs were being used without their footrests. No wheelchair should be used without footrests unless it is self propelled by the occupant through the use of their legs. This presents a hazard and must cease immediately. Foresters Lodge Care Home DS0000070300.V356131.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 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 X X 2 Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 23 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 13 4(b) Requirement The registered person must ensure that all wheelchairs are used in the correct manner utilising the footrests. This will prevent accidents happening to people being moved in these wheelchairs. Timescale for action 31/03/08 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 Refer to Standard OP1 OP3 Good Practice Recommendations All documentation relating to the service provided at Foresters Lodge or information about the people who live there should reflect the different stands of diversity which are: gender (including gender identity), age, sexual orientation, race, religion or belief and disability. This will allow everyone to feel welcome whichever part of the community they come from. The complaints procedure should be available in different formats this will allow everyone to access it equally. 2 OP16 Foresters Lodge Care Home DS0000070300.V356131.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Foresters Lodge Care Home DS0000070300.V356131.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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!