Inspection on 22/02/07 for Haighfield Nursing Home

This inspection was carried out on 22nd 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

Haighfield Nursing Home 22/02/06

Haighfield Nursing Home 02/12/05

Haighfield Nursing Home 11/02/05

Haighfield Nursing Home 05/07/04

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

CARE HOMES FOR OLDER PEOPLE Haighfield Nursing Home 241 Wigan Road Standish Wigan Lancashire WN1 2RF Lead Inspector Judith Stanley Unannounced Inspection 22nd February 2007 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Haighfield Nursing Home DS0000005680.V319832.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. Haighfield Nursing Home DS0000005680.V319832.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Haighfield Nursing Home Address 241 Wigan Road Standish Wigan Lancashire WN1 2RF 01942 821165 01942 200599 haighfield@m-a.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) M & A Management Anne Ryan Casey Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45) of places Haighfield Nursing Home DS0000005680.V319832.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered for a maximum of 45 service users to include:up to 45 service users in the category of OP (Older People) 22nd February 2006 Date of last inspection Brief Description of the Service: Haighfield Care Home offers nursing and personal care and support for up to 45 service users over the age of 65 years. Haighfield is situated on the main road between Wigan and Standish. Local amenities are a short drive away form the home. The home is a four storey, purpose built home, with a purpose built extension. The home offers 35 single rooms and five shared rooms, some rooms have en suite facilities, however all rooms have a hand basin and bathrooms and toilets are in close proximity to service users accommodation and communal areas. The home offers two small patio areas at the rear of the home but outside garden space is limited. The external areas are well maintained and the grounds are well presented. The current scale of fees ranges from £365.00 to £515.00. Additional charges are made for hairdressing and for some of the planned trips, for example canal barge trips and pub lunches. Haighfield Nursing Home DS0000005680.V319832.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection to Haighfield took place on the 22 February 2007 and included a site visit. The inspection was carried out over a six-hour period. The homes manager was available to assist with the inspection. The inspector looked at records the home hold on residents (care plans) and other records the home needs to keep to ensure the home is being run properly. The inspector looked around the home and spoke with residents, staff and visitors. To find out more information about the home comments cards were sent to residents, relatives and other visiting professionals for example doctors and district nurses asking them what they thought about the home and the care provided. Eleven residents, six relatives and four doctors returned completed comment cards. Although there were no added comments regarding the service made by residents the ticked boxes indicated that resident were satisfied with the overall care provided. One relative said “ the impression I have, is that it is a professionally run nursing home with kind and considerate staff who are sensitive and alert to the needs of the residents”. Another said, “ we took our relative to inspect the home, she was invited to stay for a meal. When we went to pick her up she said, “ I have picked my room, I’m staying”. One relative has made a comment about there not being enough toilets near the lounge and that after several times of mentioning this nothing has been done to improve the situation. The inspector discussed this with the manager and both agreed that with the opening of the new lounge, which has toilets in close proximity this should rectify this situation. The comment cards retuned by the doctors indicated that they were all satisfied with the care that their patients receive. Information received prior to the inspection indicated that there had been no complaints made to the manager of the home and the CSCI has not received any complaints or concerns about the home or the services provided. What the service does well: The home provides different areas for residents to have a choice as to where they sit and with whom they chose to spend time with. The staff at the home value the residents and treat them as individuals allowing them to make decisions and choices for themselves, for example one residents likes to stay in her room most of the time and listen to her own Haighfield Nursing Home DS0000005680.V319832.R01.S.doc Version 5.2 Page 6 choice of music. Another resident likes to spend time writing in her room, staff make sure the resident has the necessary equipment and supplies to do this. There is dedicated, well-trained and competent staff team that work well throughout the home providing good, consistent and reliable care for people living at the home. The administration systems are well organised and well managed; this helps the home run smoothly and effectively. 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. Haighfield Nursing Home DS0000005680.V319832.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 Haighfield Nursing Home DS0000005680.V319832.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): 1 and 3 were assessed. Standard 6 does not apply as Haighfield does not provided intermediate care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides prospective residents and their supporters with up to date and relevant information about the home and the services and facilities they aim to provide. Pre admission assessments are in place to ensure the home can meet the assessed needs of the residents. EVIDENCE: The home has recently amended the statement of purpose and the service user guide to include details of the new manager. The information states, “ our is to maintain the highest standards of care for all our residents by completing a detailed nursing assessment prior to admission. This will enable us to provide a detailed care plan that will recognise each individual’s physical, mental and spiritual needs”. Both documents contained the complaints Haighfield Nursing Home DS0000005680.V319832.R01.S.doc Version 5.2 Page 9 procedure and what residents and relatives should do if they have any concerns or complaints. Three residents files were chosen for inspection. On examination all contained a pre admission assessment to ensure the resident’s health, personal and social care needs could be met. Assessments are carried out at the most convenient place for the prospective resident, either at their own home or in hospital or at Haighfield. The assessment covers residents general well-being, risk, mobility, continence, personal care, medication, nutrition, oral care, foot care and skin care. The assessment provides staff with information they need to ensure that the individuals care needs can be met and provides the base line for the drawing up of the care plan. Haighfield Nursing Home DS0000005680.V319832.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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans were clear and concise and provide staff with information they need to meet the needs of the residents. Personal support is offered in such a way as to promote and protect resident’s privacy and dignity. EVIDENCE: Three care plans were chosen for inspection. The information contained in the care plans gave staff detailed information about the care each resident required. A social profile is also available that informs staff of the life experiences of the resident’s, this helps staff get to know them better. The profile includes information on the residents family life, working life, what they enjoyed doing and likes and dislikes. Information also includes a questionnaire for example; do you want access to your care plan? Yes or No. Do you wish your relative to have access to your care plan? Yes or No. Other questions are Haighfield Nursing Home DS0000005680.V319832.R01.S.doc Version 5.2 Page 11 asked about individual keys to rooms and keys for locked cupboard space and if the resident wishes to look after their own finances. Other information in the care plans includes risk assessments for moving and handling, the use of bedrails, the use of wheelchairs, risk of fall, diet and nutrition, pressure care and the number of carers needed to move or assist a resident. There was evidence to demonstrate in the care plans that outside agencies, such as the resident’s doctor, the continence advisor, chiropodist and the speech and language therapist has been contacted as required. Observations throughout the inspection showed that the personal care needs of the residents were being met. It was noted that residents finger nails were clean and trimmed, clothes were nicely washed and ironed, the hairdresser was visiting the home at the time of the inspection and most ladies and gentlemen (if required) had had their hair done. Gentleman were seen to be clean-shaven and smartly dressed. All staff were seen knocking on bedroom, bathroom and toilet doors and waiting for a response before entering. It was noted that there was a respectful, friendly banter between residents and staff and good relationships had been formed. Residents spoke with fondness about the staff and one resident said, “ the staff are lovely, they are really caring”, another said, “ you couldn’t ask for better care”. The nurse in charge was observed giving out the morning medication and was assisted by a new nurse who was on induction. Medication was given out in a systematic and efficient manner. Residents were given their medication in an appropriate manner and offered water with their tablets to help them swallow them. Medication given was immediately recorded on the individual’s drug sheet. No errors in medication were noted. Haighfield Nursing Home DS0000005680.V319832.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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are offered a wide range of activities to meet their capabilities and expectations. The meals served at Haighfield are well balanced and nutritious and offer residents variety and choice. EVIDENCE: The care supervisor oversees the home activities; who plans with the help of the residents a wide range of indoor and outdoor activities. Two residents spoken with told the inspector they were looking forward to an entertainer visiting the home at weekend and the dance demonstration. Some staff had recently undertaken training in an exercise programme called “Moving On”. Staff encouraged residents to participate with exercises that help with circulation, balance and strengthening. All residents are closely monitored and there was recorded evidence of the exercise programme being properly used. Other activities within the home include film shows, bingo, bucket bingo, quizzes, dominoes and arts and crafts. Haighfield Nursing Home DS0000005680.V319832.R01.S.doc Version 5.2 Page 13 One visitor spoken with was pleased with the care her relative received and commented that the staff were very good and that there is always something going on. The home welcomes visitors at any time and relatives can sit with their visitors in one of the lounge areas or accompany the resident to their own room. One visitor said, “ the staff always make you feel welcome whenever you visit, the home has a friendly atmosphere”. The menus were available for inspection and the home provides a well balanced and nutritious diet. The choice of breakfast was not included on the weekly menus provided prior to the inspection. Residents should be made aware of the choices available. Breakfast is served between 09.00 – 10.00 am. It is good that breakfast is served until late, however consideration should be given to those residents who are early risers and having to wait until 09.00 am for breakfast is a long time for some residents. Staff should ensure that early risers are offered a drink and if required a small snack to put them on until 09.00 am. The inspector observed breakfast being served. Residents were offered, fruit juice, grapefruit, cereals, scrambled or poached eggs, bacon and toast, tea or coffee. This should be on the menu so that residents can make their choice. Lunch is the main meal of the day, which consisted of roast chicken, roast and creamed potatoes, carrots and cabbage and gravy, followed by coconut sponge and custard. There was a lighter option available. The lunch menu was eventually written on a wipe board, however this was not clear and difficult to read. On the menus provided prior to the inspection it shows a choice of dessert, this should be also be included on the menus displayed. A lighter afternoon is served with a variety of options available. When the inspector spoke with the residents none of them were aware of the day’s meals. One resident spoken with said, “ I enjoy my meals, the food served is always good and that the portions served are ample”. Staff were observed sitting and assisting residents who needed help with their meal in a discreet and sensitive manner. The inspector heard a member of staff chatting nicely with the resident whilst assisting to feed. The dining area is pleasant and the tables were set in an appropriately manner with placemats, drinks, and condiments. Residents are encouraged to dine Haighfield Nursing Home DS0000005680.V319832.R01.S.doc Version 5.2 Page 14 together as mealtimes are seen as a social occasion, however some residents were seen having lunch in their room as was their choice. It was noted that the television was turned off during mealtimes and softer music was played as not to drown out conversation. Haighfield Nursing Home DS0000005680.V319832.R01.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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their supporters can be assured that their complaints and concerns will be listened to and appropriate action taken. The home has an adult policy in place. Staff at the home are suitably trained in the protection of vulnerable adults ensuring that residents are protected from abuse in any of its forms. EVIDENCE: The complaints file was available for inspection. There have been complaints made to the manager of the home and no complaints have been made to the CSCI. Details of how to make a complaint are available in the service users guide, including the address and telephone number of the CSCI. The home has appropriate policies and procedures for the protection of vulnerable adults. Staff confirmed that they had received training in this area and were knowledgeable in this area and were clear about their obligations in protecting residents from abuse in any of its forms. Haighfield Nursing Home DS0000005680.V319832.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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment is good providing residents with a comfortable, clean and pleasant place for residents to live. EVIDENCE: From a tour of the premises, it was evident the home is maintained to a good standard both internally and externally. The manager assured the inspector that the rubbish at the rear of the home would be removed as soon as possible now the work on the new lounge had been completed. Several of the residents rooms were inspected these were seen to be clean and tidy and residents had personalised their rooms with their own possessions brought from home. Haighfield Nursing Home DS0000005680.V319832.R01.S.doc Version 5.2 Page 17 The lounges were homely and comfortable for residents to sit in. The main lounge/dining area on the first floor is the ‘hub’ of the home where most residents sit together. It was noted that the corridor carpets are heavily stained and are past cleaning, the home would benefit from new corridor carpets as this spoils the overall effect of the home. The dining room carpet tiles especially around the tables are stained and these need to be replaced. The carpet in one resident’s room was ripped and must be replaced as this is dangerous and people could easily trip up and hurt themselves. Bathrooms and toilets were clean and nicely decorated and were fitted with suitable aids to assist with bathing and grab rails. The standard of cleanliness within the home is high and no offensive odours were apparent. It was noted that on the corridor outside room 37 the light on the landing was not working, this requires attention, as that area of the corridor was particularly dark. Systems were in place to control the risk of infection. Staff were seen wearing protective aprons and gloves for different tasks and staff were observed washing their hands between tasks. It was noted that in some bathrooms cloth towels were being used as well as paper towels. The manager is reminded about the risk of cross infection where cloth towels are used for a number of residents. The homes laundry is sited on the ground floor away from food storage and food preparation areas and does not intrude on the residents. The laundry staff were spoken with and confirmed they getting used to a new system to ensure that all resident’s laundry was washed, put in a named box and returned to the residents room promptly. Staff confirmed that all the laundry equipment was in good working order. Haighfield Nursing Home DS0000005680.V319832.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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels at the home and the skill mix of the staff is good and appropriate to the needs of the residents. The recruitment and selection practices were good ensuring the safety and protection of residents living at the home. EVIDENCE: On the day of the inspection there were sufficient staff on duty. Staff rotas (off duty) were submitted to the CSCI prior to the inspection and were available for inspection. Staff training is ongoing with 67 of staff having completed National Vocational Qualification (NVQ) level 2 and 4 staff having achieved NVQ level 3. Mandatory training is updated as required and information and certificates regarding staff training was available for inspection in staff training files. Three staff files were looked at. All files contained a written application form, two references, Criminal Records Bureau checks (CRBs) had been obtained for all staff prior to commencing work and other forms of identification were held on files, for example birth certificate or copy of passport details. Haighfield Nursing Home DS0000005680.V319832.R01.S.doc Version 5.2 Page 19 Throughout the inspection it was evident that staff were trained and competent to do their jobs. In the main the nurse in charge oversees the nursing tasks, deals with medication, reports and care plans and has responsibility of the shift and reports to the manager of the home. The care supervisor oversees the care assistants and ensures that staff carry out their jobs efficiently and effectively. Haighfield Nursing Home DS0000005680.V319832.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 were assessed 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 resulting in consistent and reliable care for the people living at the home. EVIDENCE: The manager has the necessary skills and qualifications to manage the home. Both residents and staff were complementary about the manager and her style of leadership. One member of staff said “ That since Anne took over there have been several changes, however these are always explained and the reasons for the changes given. Anne is always available to talk to and is very supportive”. Haighfield Nursing Home DS0000005680.V319832.R01.S.doc Version 5.2 Page 21 Systems were in place for auditing and monitoring the quality of the service. This is done through regular meetings and discussions with staff, residents and relatives. The owner of the home visit at least once a week and completes a monthly report, of which the owner was reminded these must be kept on site and readily available for inspection. The home holds personal allowances for some residents. These were seen to be securely stored and individual wallets. In some cases the families deal with their relatives finances. Any transactions are documented on individual balanced sheets and any receipts were kept. Information obtained prior to the inspection indicated that maintenance checks had been carried out for the gas, fire equipment and alarms, hoists, electrics and water testing. Certificates were available to verify this information as correct. All accidents, illness and injuries were suitably recorded and the CSCI informed as required. During the inspection safe working practices were observed within the home. Haighfield Nursing Home DS0000005680.V319832.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 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 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x x x 3 Haighfield Nursing Home DS0000005680.V319832.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 OP19 Regulation 23 Requirement As discussed the registered person must ensure that the carpet in one residents room is replaced, as the carpet is ripped and is a potential danger to all people entering the room as they easily trip over the tear. Timescale for action 30/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP19 OP33 Good Practice Recommendations The carpet in the corridor near the main lounge is stained and needs replacing. The registered person should ensure that a copy of the report of the Regulation 26 monthly visit is available on site. Haighfield Nursing Home DS0000005680.V319832.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Haighfield Nursing Home DS0000005680.V319832.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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