Inspection on 12/11/07 for Granby Care Home

This inspection was carried out on 12th November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Granby Care Home 28/01/10

Granby Care Home 24/02/06

Granby Care Home 18/11/05

Granby Care Home 10/03/05

Granby Care Home 21/10/04

Granby Care Home 16/03/04

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

CARE HOMES FOR OLDER PEOPLE Granby Care Home 50 Selborne Street Liverpool Merseyside L8 1YQ Lead Inspector Natalie Charnley Key Unannounced Inspection 09:00 12th November 2007 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 Granby Care Home DS0000032775.V348642.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. Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Granby Care Home Address 50 Selborne Street Liverpool Merseyside L8 1YQ 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) 0151 709 3988 www.liverpool.gov.uk Liverpool City Council Mrs Pauline Caddick-Bennett Care Home 30 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (29) of places Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To provide care for 30 persons over the age of 65 years and to include within that number 3 named persons within the category of DE. 24th August 2006 Date of last inspection Brief Description of the Service: Granby Care Home is a purpose built property owned and managed by Liverpool City Council. It is situated in the Granby area of Liverpool, and is close to shops, local amenities and other facilities. Accommodation comprises of 30 bedrooms, which are divided into three selfcontained units linked by a central area called the atrium. The atrium serves many purposes and is used for social gatherings and activities, sitting, reading or meeting with family and friends. Each unit has 10 bedrooms all with en-suite facilities, shower washbasin and toilet. All bedrooms are furnished but service users can bring their own furniture, if it meets the required safety standard. There are two lounges in each unit and a dining room with kitchenette were light refreshments can be made. There is one designated smoking areas at the home. The units also have a large bathroom and toilet, one of which provides assisted bathing facilities. A utility room with a washing machine and dryer is available for service users who choose to do their own laundry. The home is centrally heated throughout. The home has been designed to meet the needs of service users from all cultures and religions and a multi faith prayer room is available. All utility services are sited on the ground floor: there are offices and a staff room on the second floor, which can be accessed by a lift. The home has a bedroom for visitors who may wish to stay overnight. The home stands in its own grounds and there is a small car park to the front of the building. There are garden areas at various points around the home. It costs £359.00 per week to live at the home Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit to the home was unannounced and was carried out over a period of one day. We spoke with 3 staff and 4 residents about what it was like living and working at the home. No visitors were available at the time of the visit. The manager was asked to provide a selection of information in the form of an annual quality assurance document (AQAA), which was used as part of the inspection process. Comment cards were sent to the home for people who live at the home and staff to complete. This gave them the opportunity to contribute to the inspection process. We completed the inspection by looking at the homes records, a tour of the building, formal and informal interviews and information from previous inspection reports and AQAA document. Feedback was given to the person in charge during and at the end of the inspection. What the service does well: The acting manager has an open door visiting policy. People have access to a variety of community groups and supports, which support them in meeting their ethnic and religious beliefs. Meals are varied and suited to individual needs. This ensures that their health needs are met. One resident commented, “ I like the food here, its always nice”. Complaints procedures are clear and accessible. Residents can access this information in a variety of languages and formats if they need them. People’s independence and choice is encouraged. There is access to cooking and laundry facilities in order for people to maintain these skills and promote their independence. The recruitment and selection of staff takes into account the cultural needs of people. Staff checks are robust and ensure residents are protected. Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 6 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. Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 7 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. Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 8 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 Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 9 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): 1 and 3. Standard 6 was not assessed, as it isn’t offered at the home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The information that the service gives to people about the services they provide, allows people to make informed choices. EVIDENCE: Since the last inspection the home have made a statement of purpose and service user guide available in alternative languages. Other information, such as the complaints procedure have also been translated and are available in Cantonese, Urdu, Somali, Hindi, Bengali, Punjabi and Arabic. This ensures that people living at the home and those thinking about moving in are made aware of the way the home is run and the facilities on offer. An assessment was sampled for someone who had recently moved in. The assessment was clear and detailed what the person could and couldn’t do for themselves. Details were also recorded regarding their cultural and spiritual beliefs. Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 10 The home takes a large number of emergency placements, directly from social workers. An assessment of needs is always forwarded to the home before the person arrives, and these assessments were available on care files. This allows staff to ensure the person is suitable to be cared for at the home and that their needs can be fully met. Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of people are met and ensure that they receive appropriate care to their needs. EVIDENCE: Care plans were full of information, some of which was not relevant to a care plan. It is recommended that care plans are kept simple and contain information that is easy to follow and that a person can understand. One plan identified that a person had angina, arthritis and was prone to chest infections. There was no information as to how these medical conditions are managed at the home. Information must be given as to how the staff are addressing each individual problem. Care plans are written on a computer. Three of the four plans had not been signed by the member of staff who wrote them, nor were they dated. This should be done to ensure records can be audited and kept accurately. Records showed that plans were not always updated on a regular basis. This must be Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 12 carried out to ensure that care is kept up to date and suitable to the needs of people. People confirmed that they see a variety of other health professionals such as nurses, chiropodists and opticians. Records held by the home also confirmed this. Medication administration records were sampled for two of the three units at the home. Staff showed examples of good practice in the way they record when medication is not given for a particular reason. This includes detailed information that is helpful to other staff and how the problem is being addressed to ensure the safety of people. Two records showed that staff had handwritten medication instructions. One of which contained an error in which a tablet was to be given once a day instead of twice. This was addressed immediately by the assistant manager. Staff must ensure that if medications are handwritten, they are checked and signed by two members of staff to ensure errors are not made. Two people at the home need thickened fluids, such as drinks and soup. This is done by administering a powder that makes liquid thicken up. This medication is prescribed to people that need it and should be recorded as such. Currently this isn’t done, and could leave people at risk. All staff that administers medication has received training and storage of medication is suitable. Residents spoken with stated that they felt respected at all times and that their privacy was always maintained. One resident commented “we are left alone to get on with things but know that the staff are always there if we need them” Staff were observed speaking to residents in an appropriate way and knocking on bedroom and bathroom doors before entering. Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 13 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are not always supported to meet their social and recreational needs. This leaves them feeling bored and not occupied. EVIDENCE: People spoken with stated that they were encouraged to make personal choices. They stated they got up and went to bed when they wanted and residents were observed to be able to sit in their own rooms if they wished. Staff commented that they encouraged residents to mix with each other, however this was not always what individuals wanted. Whilst there were no visitors at the home during the site visit, people said that their visitors came at different times of the day and were made welcome by staff. People commented that they felt there was little to keep them active at the home. One person stated, “ I hate just sitting and staring at these four walls”, another said “ its just so boring here, there is nothing to do”. The home don’t employ an activity co-ordinator, staff have to arrange activities as part of their daily duties. Activities records showed that in November 1 activity had been arranged, but none had occurred in October of September. Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 14 Staff commented that “there is just not enough time” for them to do activities with people. Staffing numbers have been reduced recently and this has meant staff addressing direct care needs as a priority. There is also no budget available for people’s activities. Staff have to fundraise and use the profits from the tuck shop. The information sent by the home prior to the site visit showed that the manager acknowledges that activities need to improve and need to be arranged around the needs of the multicultural groups. The registered provider must address the issue of provision of activity at the home, as well as how this is financially managed. People must be given the opportunity to participate in activities and be socially stimulated. The home has access to a range of multi faith communities. There is also a multi faith prayer room available on site. Members of community groups visit on a regular basis and provide support and advocacy services. Staff working at the home speak a range of languages to support those residents who don’t have English as first language. The home employs a Muslim and a Chinese cook. There is also a kitchen assistant employed that specialises in cooking African food. A two week menu is available for people, with a separate menu for Chinese residents, written in their own language. Muslin residents can eat a full Halal diet. There is a separate area within the kitchen to prepare and cook this food. People can ask for an alternative meal if they don’t like the choice on the menu and also have access to ready meals if they wish. Staff spoken with demonstrated a good knowledge of the range of specialist diets at the home, including diabetic and soft diets. Soft diets are presented in a suitable way to ensure they look appetising for people. Surveys sent back to the inspector had mixed reviews about the food at the home. People spoken to during the visit to the home stated that they enjoyed the food, commenting, “Its very nice” and “ the food is good”. Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are protected from harm by staff who have a good working knowledge of safeguarding procedures. EVIDENCE: The home complaints procedure is the one for Liverpool City Council, known as “have your say”. It outlines who to contact and how the complaints get handled. Details of this procedure are also available in a number of different languages to ensure all people have access to this information. Records at the home show two complaints since the last inspection. Staff were able to demonstrate that these had been dealt with in a timely and appropriate way. No complaints have been made directly to the Commission for Social Care Inspection. Interviews with people and questionnaires returned to the inspector showed that residents knew how to make a complaint if they needed to. Staff have received training on adult protection since the last inspection. They displayed a sound knowledge of the procedures and how to ensure people are protected. Staff undergo checks before starting work at the home to ensure they are suitable to work with vulnerable people. Granby Care Home DS0000032775.V348642.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service live in a well maintained, warm and clean environment. This helps to ensure people are happy and safe where they live. EVIDENCE: The home is arranged around a central atrium and has access off to the three units. Each bedroom has en suite facilities, which enables residents to maintain their independence. A sample of bedrooms, bathrooms and toilets were checked. Rooms were personalised with residents belongings and all areas were clean and tidy. There were no malodorous areas of the home. Communal areas were light, bright and airy. There is one smoking lounge available for people who wish to smoke at the home. A fan has been installed to ensure the room is kept as smoke free as possible. Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 17 People have access to kitchen areas to make snacks and drinks as a way of promoting independence and choice. People were observed to enjoy this facility within the units and commented that it was nice to be able to get a drink when they wanted one. Laundry areas can also be accessed if people chose to do some of their own laundry. Staff have indicated that the laundry areas is due for refurbishment soon, which was also detailed in information sent to the inspector. The manager has addressed the number of environmental issues raised during the last inspection. The deputy manager explained that a long term solution was being sought to the leaking roof tiles by the council’s estates office. She also confirmed that there was a rolling programme of redecoration. Staff and people living at the home felt that the home has enough domestic staff to keep all areas clean, tidy and safe. Infection control procedures are in place for staff to follow to ensure that the home is a pleasant place to live and work. The home is accessible on all levels. Accommodation is all on the ground floor. Office space on the first floor is accessed by a lift. People spoken with were all happy with their standard of accommodation at the home. Comments were made “ I enjoy my room here, its comfy”. Granby Care Home DS0000032775.V348642.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported and cared for by staff that they like. This makes them feel safe in their environment. EVIDENCE: All staff and people spoken with during the inspection felt there was enough staff employed to care for residents. Where it becomes difficult is in the provision of activities for residents, which is addressed earlier in the report. Rotas and discussion with staff showed that there are between 5 and 6 care staff on a day shift and 4 to 5 care staff on nights. Due to the layout of the home, staff are normally allocated to specific units, which helps with stability of care. Comments were made such as “ I like the staff”, “they are nice to me here” and “a good bunch” when asked if they liked staff. Thank you cards were also displayed around the home from relatives who praised staff and the care they give. Staff are recruited from different faiths and many speak the same language as residents. This helps residents in maintaining their religious and cultural beliefs. Five staff files were checked, including the three most recently employed staff. These showed that staff had undergone appropriate checks to ensure they are Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 19 suitable to work with vulnerable people. One member of staff was unable to locate his recent Police check, done as an update, however the manger was addressing this as a matter of urgency. Staff receive an induction, employment contract, job description and have two written references taken up on them. This all ensures that they are able to perform their job safely. Staff interviews and the training matrix at the home showed that some training had taken place. Some staff had recently attended training on abuse awareness, grievance, dementia and fire safety. Whilst very few staff had completed first aid training, the manager ensures that a first aider is always on duty. This is to ensure the safety of residents and other visitors. Only four staff had up to date fire training, thirteen needed updating on health and safety and seventeen needed updating on manual handling. The training matrix showed no staff had attended food hygiene training. This could leave people at risk of harm if not addressed. Discussion took place with the assistant and deputy manager around training. Training is booked via a web site from the city council. Staff showed that there were no dates planed for staff to access training on outstanding topics, using this web site. If training cannot be arranged through this route, the responsible person must ensure that suitable alternatives are made. Granby Care Home DS0000032775.V348642.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good management and record keeping systems in place. This means that the best interests of people using the service is always promoted. EVIDENCE: There is currently a temporary manager in charge at the home. He is supported by an experienced deputy and assistant manager. The three managers all hold NVQ 4 qualifications, which helps them in their work. Members of the management team work along side the care team in order to provide support and guidance. Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 21 Staff spoke highly of the temporary manager and felt that he had introduced some good practices at the home. People also stated that the management team were “open and friendly”. ‘Residents Meetings’ are held on individual units. This allows people to have their say in the way the home is managed. People stated that they felt their needs were listened to and addressed by staff. On the day of the visit, staff were not able to locate copies of the monthly visits undertaken by the service manager, but confirmed that these take place. People are encouraged to manage small amounts of monies themselves, however not all bedrooms provide lockable storage. This must be made available for all people who wish to store money or valuables in their rooms. Receipts are held at the home when money is spent on behalf of people such as for clothes or taxis. A sample of these records were checked and found to be accurate. Information sent by the manager stated that all health and safety checks and certificates were up to date. A sample was seen during the inspection and found to be accurate. This ensures the people are protected from harm. Accident records were well recorded and ensure that residents safety is protected. Granby Care Home DS0000032775.V348642.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 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 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13(2) Requirement When thicken fluids are given to residents they must be recorded appropriately to ensure the welfare of residents. Activities must be offered to residents on a regular basis in order to keep them stimulated. Staff must receive training appropriate to the work they perform and that it is updated at the appropriate intervals. A programme outlining dates of when this training is to be undertaken should be submitted to CSCI. (Timescale of 30/11/06 not met) Timescale for action 01/12/07 2 3 OP12 OP30 12(1) 18 (c) 01/12/07 01/03/08 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 OP7 Good Practice Recommendations Care plans should be signed and further developed and DS0000032775.V348642.R02.S.doc Version 5.2 Page 24 Granby Care Home 2 3 4 OP9 OP12 OP24 regularly updated. Plans need to be more user friendly for residents so they can fully understand them Consideration should be made to ensure residents safety by two staff handwriting medication details into records. Consideration should be given to the employment of a designated activity co-ordinator. Consideration should be given to ensuring all bedrooms have lockable storage areas to enable residents to maintain their independence. The way in which activities at the home are financed needs reviewing to ensure social care is given the same priority as health care. Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Granby Care Home DS0000032775.V348642.R02.S.doc Version 5.2 Page 26 - 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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