Inspection on 09/02/07 for Glendaph Nursing Home

This inspection was carried out on 9th February 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

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

CARE HOMES FOR OLDER PEOPLE Glendaph Nursing Home North Road Kingsland Leominster Herefordshire HR6 9RZ Lead Inspector Julian Mason Unannounced Inspection 9th February 2007 9:20am 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 Glendaph Nursing Home DS0000068252.V329780.R02.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. Glendaph Nursing Home DS0000068252.V329780.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glendaph Nursing Home Address North Road Kingsland Leominster Herefordshire HR6 9RZ 01568 708337 01568 708866 glendaph@geoshine.co.uk 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) Geoshine Limited Mrs Helen May Blake Care Home 31 Category(ies) of Dementia - over 65 years of age (31), Learning registration, with number disability over 65 years of age (31), Old age, not of places falling within any other category (31), Physical disability over 65 years of age (31), Sensory Impairment over 65 years of age (31), Physical disability under 65 years of age (31), Terminally ill over 65 years of age (31) Glendaph Nursing Home DS0000068252.V329780.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st December 2005 Brief Description of the Service: Glendaph Nursing Home is situated in the village of Kingsland (which is four miles from the town of Leominster) and is surrounded by 1.5 acres of mature gardens, which are accessible to wheelchairs users. It is privately owned and registered to provide nursing care for up to 31 adults. Service users’ care needs could arise from a physical disability, or dementia, or a terminal illness or general frailty due to old age. The Home is also equipped to provide specialist nursing care for people who may have particular medical conditions, such as an acquired head injury, multiple sclerosis, Parkinson’s disease, or motor neurone disease.The Home was opened in 1970. The Home has 13 single bedrooms, 2 have en-suite facilities and 9 double bedrooms, and none have en-suite facilities. There is a passenger lift. The Home holds the “Investor in People” award and is also accredited, to an internationally recognised standard, for operating and maintaining a Quality Management System. It is also a registered training centre and employs an Education Officer. Training is offered for National Vocational Qualifications at various levels, as well as for key skills, health & safety courses and post registration education and practice for qualified nurses. These courses are undertaken internally by the Home’s staff and externally for other care homes upon request. Glendaph Nursing Home DS0000068252.V329780.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included an unannounced visit to the home. The inspection visit started at 9.20am and finished mid-afternoon on the same day. One inspector visited the home and observed some of the events and routines of the day. Several residents files were examined and a range of records were sampled. A tour of the building was undertaken and the inspector participated in the lunchtime meal. The inspector was able to have discussions with a number of staff and residents who were in the home at the time of the visit. The Registered Manager was present throughout the inspection and was able to provide a useful range of additional information about the service. The Registered Manager had completed a pre-inspection questionnaire, which gave some additional information about the home. Nine “have your say about…” questionnaires were completed by residents, fifteen “relatives / visitors comment cards” were also completed and four “…Professionals in contact with the care home” comment cards were returned to the Commission. What the service does well: What has improved since the last inspection? What they could do better: The National Minimum Standards inspected during this visit have all been assessed as “good”. The home has systems and processes in place to ensure that the changing needs and circumstances of residents are met. Glendaph Nursing Home DS0000068252.V329780.R02.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. The summary of this inspection report can be made available in other formats on request. Glendaph Nursing Home DS0000068252.V329780.R02.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 Glendaph Nursing Home DS0000068252.V329780.R02.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An appropriate assessment of needs is carried out for all prospective residents. EVIDENCE: An assessment of needs is completed for all new residents and the Registered Manager who is a qualified nurse carries out this process. The home only accommodates those people whose needs can be met by the service. The home’s assessment of prospective residents is based on a range of processes that relate to an individual’s health and social care needs. The assessment also includes gathering information about individual likes and dislikes to ensure the home is fully informed about a person’s needs. Information is gathered from a range of sources including relevant professionals, family members and previous carers. Glendaph Nursing Home DS0000068252.V329780.R02.S.doc Version 5.2 Page 9 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are being used to ensure the needs of residents are identified and met. Health care and medication is well managed by a competent professional staff team. Residents privacy and dignity is respected. EVIDENCE: Individual case files contained a range of information relating to the health and care needs of residents. The home’s care plan format detailed the actions and interventions needed to meet the continuing needs of each resident. The care plans clearly represented the information gained through the home’s assessment process. Individual plans are regularly reviewed and updated, and take account of changing needs and circumstances. Out of the nine residents questionnaires that were completed, seven residents said that they “always” received the care and support needed with two stating that this “usually” happens. Glendaph Nursing Home DS0000068252.V329780.R02.S.doc Version 5.2 Page 10 Risk assessments are completed to cover a range of health and care needs; the assessments are being used by staff to promote the safety and welfare of individual residents. Where residents are not able to be fully involved in the planning of their care, appropriate arrangements are in place to consult and involve residents representatives. One relative stating that: “I feel my mother’s care is of the highest standard”. The Registered Manager “has always been helpful and explained mum’s care needs and treatment well.” Nurses in the home are carrying out a range of specific medical procedures and practices that are consistent with the continuing health needs of individual residents. The Registered Manager demonstrated a clear responsibly for the overall monitoring and evaluation of these interventions and the necessary liaison with relevant health care professionals. Residents are registered with a range of local community health services that are appropriate to their needs. Systems are in place to ensure that all health appointments and arrangements are monitored and completed. Liaison between the home’s staff and visiting health and social care professionals is good. One visiting GP stating that: “Staff always available, informative and helpful.” The home promotes partnership working as part of a residential culture that aims to achieve the best possible outcomes for residents. Another visiting health care professional confirms that: “Communication is good within the home. All the staff will inform me of concerns regarding the residents. They all have a good knowledge of those they are caring for………. The senior staff have a very holistic view of the residents and demonstrate this in their care.” The Registered Manager, nurses and staff have well-established relationships with a range of healthcare services. The home is able to access a range of advice and guidance that may be needed about matters of health and wellbeing. Arrangements are also in place for healthcare professionals to visit the home to deliver specific training to the staff team. The home has appropriate arrangements and opportunities in place to promote exercise and physical activity. These arrangements are detailed in care plans and reflect the choices, abilities and circumstances of individual residents. Glendaph Nursing Home has appropriate policies and procedures in place for the receipt, administration and disposal of medication. The role and responsibilities for the Nurse on duty in regard to the daily administration of medication is clearly defined. The Registered Manager was able to describe processes that supported Nurses to maintain their occupational competence regarding the administration of medication. The home held a range of medical and nursing information that indicated staff are kept up-to-date with important guidance relating to practice, medicines and equipment. The home uses an administration of medication record sheet to ensure prescription and non-prescription drugs are recorded at the point of receipt, Glendaph Nursing Home DS0000068252.V329780.R02.S.doc Version 5.2 Page 11 administration and disposal. The records demonstrated that the delivery and recording of the administration of medication is being carried out to the required standards. The home’s Controlled Drugs Register also indicated that this aspect of practice is being carried out appropriately. Glendaph has also undergone an external medication audit, which was carried out by a community pharmacist. The audit indicated that the home is achieving appropriate standards for the administration of medication. The home has policies and procedures in place for the promotion and protection of residents privacy and dignity. Staff were seen to carryout their role and responsibilities with awareness and sensitivity. Staff ensured that when personal care was taking place the doors to residents rooms were shut and in shared bedrooms the privacy curtains were used. In answer to the question in the relatives / visitors questionnaire: “Can you visit your relative friend in private”, all fifteen respondents said “yes”. Glendaph Nursing Home DS0000068252.V329780.R02.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 good. This judgement has been made using available evidence including a visit to this service. The home provides a range of in-house and community based activities in which residents can choose to participate. Visitors are always welcome and residents are able to choose how they arrange their day. Residents receive a healthy, varied diet according to their needs and choices. EVIDENCE: The pre-inspection questionnaire completed by the Registered Manager stated that in-house activities included various games and puzzles, reminiscence and recall activities, TV, music, DVD’s and the use of musical equipment. Forthcoming in-house entertainment also included theatre and musical presentations. Previous community activities have included lunches and outings, trips to local entertainment venues; pub visits, shopping trips, transport to family gatherings and a light aircraft flight. The home is currently looking to purchase a new vehicle to improve community access and accessibility for wheelchair users. Out of the nine residents questionnaires that were completed, six said that there are “always activities arranged by the home that I can take part in”; Glendaph Nursing Home DS0000068252.V329780.R02.S.doc Version 5.2 Page 13 three said that this is “usually” the case. One resident commented that: “Staff always invite me to be involved [in activities] if I’m up to it.” A senior carer at the home takes on some responsibility for the planning and coordination of activities. The home has plans to develop this role further and improve the range and participation of social activities and individual interests. Relatives and friends are able to visit the home at any time and this is confirmed in feedback from the relatives / visitors comment cards. All fifteen retuned cards stated, “yes” to the question: “do staff welcome you in the home at anytime”. The catering provision for the home is well organised. Menus rotate on a fourweek basis and provided a good range of home cooked food. The menus are balanced, nutritious and flexible enough to take account of changing preferences and needs. One resident commenting: “a good selection of food and varied diet.” Kitchen staff are well aware of special dietary requirements and are able to provide foods that meets with specific needs. Residents likes and dislikes are well known by the cook and care staff and the provision of food is discussed on a regular basis. Out of the nine returned questionnaires from residents, five indicated that they “always” liked the meals at the home; with four stating they “usually” liked them. Glendaph Nursing Home DS0000068252.V329780.R02.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. The home has systems and practices in place to ensure residents are protected and safeguarded. EVIDENCE: All new residents, or their representatives receive written guidance and information about how to raise a concern about the service. The home’s complaints book indicated that no formal complaint had been received about the home since the last inspection. Nearly all residents comment card responses indicated that they knew who to speak to if they wished to make a complaint. Relatives also indicated that they are aware of the home’s complaints procedure and the visiting professionals responses stated that they had not received any complaints about the service. The home has a policy for the protection of vulnerable adults and holds a copy of Herefordshire’s Multi Agency Procedures for Protection of Vulnerable Adults. The documents give clear explanations and guidance in relation to issues of adult abuse and the reporting to appropriate agencies. Most staff have received protection of vulnerable adults training and staff spoken to were clear about the action they would take to safeguard the residents in the home. Glendaph Nursing Home DS0000068252.V329780.R02.S.doc Version 5.2 Page 15 The home’s whistle-blowing policy also explains how staff can raise concerns about adult protection issues to appropriate bodies outside of the home and organisational structure. There has been one adult protection concern raised since the last inspection. The home cooperated fully with the multi-agency process, which resulted in no further action being taken. As a result of the process the Registered Manager has reviewed a number of medical and nursing practices and procedures to ensure the continuing protection and safety of residents is promoted. Glendaph Nursing Home DS0000068252.V329780.R02.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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a very clean, comfortable and safe home that meets their needs. Measures are in place to protect residents from infection and reduce risks where possible. EVIDENCE: A tour of the main building was conducted during which the inspector met residents and staff. Bedrooms appeared comfortable and clean with rooms being personalised with photographs, pictures and ornaments belonging to individual occupants. A good variety of specialised furniture and equipment is in use and staff confirmed that if a need were identified prior to admission the equipment would be in place when the person moved in. The home employs a maintenance person to ensure repairs and general health and safety standards are achieved. The Registered Manager highlighted a Glendaph Nursing Home DS0000068252.V329780.R02.S.doc Version 5.2 Page 17 proposed schedule of work, including decoration to improve the internal environment of the home. The returned residents comment cards highlighted that the home is nearly “always” clean and fresh, with residents commenting: “Both the home and the room are clean and tidy” and “good standard of cleanliness maintained by staff on a continual basis”. A shaft lift facilitated movement between floors and handrails were fitted where necessary. Communal rooms were appropriately furnished and arranged for use. The laundry is adequately equipped and personal protective equipment is readily available. Plenty of gloves and aprons are provided by the home for the prevention of cross infection and hand washing facilities and routines are well established. Staff received training in the control of infection. Glendaph Nursing Home DS0000068252.V329780.R02.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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team have the appropriate skills, knowledge and experience to provide care and support to meet residents need. The vetting of staff is completed to the required standards to ensure individuals are suitable to work with vulnerable adults. All staff receive training appropriate to their role and responsibilities. EVIDENCE: The pre inspection questionnaire indicated that there are seven registered nurses; seventeen care staff and eight ancillary staff employed in the home. Twelve of the care staff held a National Vocational Qualification (NVQ) to Level 2 or above. This amounted to just over 70 , which is well above the 50 required by the National Minimum Standards. In the resident comment card responses to the question: “Are staff available when you need them”, six answered “always” and two answered “usually”. A number of residents made additional comments in response to the question: “staff always seem to make time”. And “most every time and a good explanation if delayed.” The relative / visitor comment cards are unanimous regarding the question: “In your opinion are there always sufficient numbers of staff on duty”, all fifteen answered “yes”. The Registered Manager is free from the home’s staff Glendaph Nursing Home DS0000068252.V329780.R02.S.doc Version 5.2 Page 19 rota and is able to provide some additional support to the team at peak times of activity and need. On the day of the inspection, much of the region was subject to a sever weather warning, a number of staff were unable to make it into work. The Registered Manager and staff demonstrated a clear responsibility for the staffing needs of the home with short notice gaps in the rota being filled by a responsive and flexible staff team. Staff are confident and knowledgeable about the needs of individual residents, many had worked in the home for a considerable number of years. New staff are supported, mentored and coached to become competent members of the team. The recruitment and selection processes at the home follow an established procedure. Staff personnel files are appropriately stored and secured in the manager’s office. A sample of personnel files for staff working at the home was made available to the inspector. The files demonstrated that appropriate checks are being undertaken in relation to an individual’s employment and the role to be undertaken. The home uses a risk assessment process to assess the suitability of applicants to work with vulnerable people if their Criminal Records Bureau check highlights issues or concerns. Staff and training records indicated that staff received the training they needed to undertake their duties and develop their careers. The service has an Investors in People Award, which is due for renewal this year. Glendaph Nursing Home DS0000068252.V329780.R02.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 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed with the Registered Manager providing clear leadership and guidance to the staff team. Systems and procedures are in place to promote and safeguard the health and safety of everyone in the home. There are processes in place to monitor and review the quality of the service. EVIDENCE: The home is managed by an experienced, competent and qualified nurse who is also in the process of completing an appropriate management qualification. The manager has attended various training events to ensure that her occupational competence and good practice knowledge is maintained. In addition, the manager attends regular meetings with the Primary Care Trust where there are also speakers on various topics of interest and importance. Glendaph Nursing Home DS0000068252.V329780.R02.S.doc Version 5.2 Page 21 The home has recently changed ownership but this has not affected the standards of care or staffing arrangements. The new owner, manager and staff have achieved a smooth transition with very little disruption to the service. The home has systems and procedures in place for monitoring the quality of services delivered, which is assessed and approved to a recognised British Standard (BS EN ISO 9001:2000). The systems and procedures are due for reapproval this year. Currently, all residents financial interests are managed by themselves, their families or advocates. The home keeps small amounts of money for general needs such as hairdressing, newspapers etc and these transactions are being appropriately managed. The home has a range of policies and procedures to cover the necessary areas of health, safety and welfare of residents, visitors and staff. Staff are receiving a range of training relating to areas of health and safety such as fire prevention and evacuation, first aid, food hygiene and moving and handling. Fire drills are taking place with the frequency required. Testing of emergency lighting, fire alarms and fire fighting equipment is also taking place within appropriate timescales. During the course of the inspection automatic fire door closers were seen in operation. The pre-inspection information completed by the Registered Manager confirmed that fire, gas, electrical, heating, and water systems in the home are being maintained and equipment is being serviced. The home’s records demonstrated that a range of risk assessments are in place, which are regularly reviewed and updated. Glendaph Nursing Home DS0000068252.V329780.R02.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 4 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 3 Glendaph Nursing Home DS0000068252.V329780.R02.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Glendaph Nursing Home DS0000068252.V329780.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Glendaph Nursing Home DS0000068252.V329780.R02.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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