Inspection on 23/05/06 for Claridge Nursing Homes (Hampton Grange) Limited

This inspection was carried out on 23rd May 2006.

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

Claridge Nursing Homes (Hampton... 25/08/09

Claridge Nursing Homes (Hampton... 30/07/07

Claridge Nursing Homes (Hampton... 23/01/06

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

CARE HOMES FOR OLDER PEOPLE Hampton Grange Nursing Home Hampton Grange Nursing Home 48-50 Hampton Park Road Hereford Herefordshire HR1 1TH Lead Inspector Wendy Barrett Unannounced Inspection 23rd May 2006 09:30 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 Hampton Grange Nursing Home DS0000064819.V295519.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. Hampton Grange Nursing Home DS0000064819.V295519.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hampton Grange Nursing Home Address Hampton Grange Nursing Home 48-50 Hampton Park Road Hereford Herefordshire HR1 1TH 01432 272418 01432 274265 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) ANEW 24 Ltd Sylvia Mary Steed Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35), Physical disability (1), Physical disability of places over 65 years of age (35), Terminally ill over 65 years of age (35) Hampton Grange Nursing Home DS0000064819.V295519.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The three multiple occupancy bedrooms will be out of operation by 1st April 2006. The Homes registration will remain at 35 registered beds throughout the building of the new extension. A named resident with a physical disability and mild learning disability under 65 years of age. 23rd January 2006 2. Date of last inspection Brief Description of the Service: The Health Authority first registered Hampton Grange as a nursing home in 1992. Since the implementation of the Care Standards Act 2000 the home has been registered to provide care with nursing for up to thirty-five people who must be aged at least sixty-five years. From 2nd June 2006 one of these places can be used to accommodate any suitable resident who is under 65 years of age and has care needs arising from a physical disability. The remaining residents must require personal care and also have general nursing needs which may be a consequence of age related frailty or due to a physical disability or to terminal illness. The property comprises of a large Victorian house, which is set in fairly extensive grounds on the banks of the River Wye. The home is located in a residential area about a mile from the centre of Hereford and is also on a main bus route to the city. At the point of this inspection the accommodation available for residents included fourteen single, six double and three triple rooms. A building extension was subsequently registered for use on 2nd June. This development does away with the triple occupancy rooms and also provides additional single room accommodation. The home has one large sitting room, a substantial conservatory and large dining room. Both the additional conditions of registration listed above will no longer apply after this inspection and they will be removed from the registration certificate. In addition, the category of need (TI) will also be removed as this is no longer considered necessary as part of registration. However, the service will continue to provide a service for people with terminal illness as long as it has the capacity to meet the identified care needs. The current fees range from £475 to £595 per week. Hampton Grange Nursing Home DS0000064819.V295519.R01.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 two visits to the service. The first visit was unannounced. The second visit was announced so the Provider could be available to receive the feedback. Information used to form judgements made below was obtained through a preinspection questionnaire, resident and relative survey forms, and interviews with management, staff, residents and relatives at the home. Two relatives were contacted by telephone and invited to comment on their experience of the service. A sample of records and other documentation was inspected during the visits and other information held by the Commission was referenced. What the service does well: What has improved since the last inspection? Hampton Grange Nursing Home DS0000064819.V295519.R01.S.doc Version 5.2 Page 6 The building extension was just completed when this inspection took place. This will provide more single bedrooms with en-suite facilities, and will reduce the number of shared accommodation. Improvements to utility areas have been incorporated in this work e.g. new laundry facility, provision of new hairdressing, refreshment and quiet sitting area. Requirements made at the last inspection have been complied with. This has strengthened the overall safety of the premises and staff practices e.g. some bedroom doors are now fitted with devices to allow the resident to have the door open without compromising fire safety. Hot water pipes have been covered so that residents can’t get burnt if they fall against them. Staff are backing up the automatic water temperature controls by checking bath water temperatures with a thermometer. The Care Manager and her staff have recognised that they need to do more work to address the social and emotional needs of each resident. They have already started assessments so that they can develop care plans for residents who need particular help with these aspects of their lives. 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. Hampton Grange Nursing Home DS0000064819.V295519.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 Hampton Grange Nursing Home DS0000064819.V295519.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 The quality outcome in this area was good. This judgement has been made using available evidence including a visit to this service. Admissions to the home only take place if the service is confident staff have the skills, ability and qualifications to meet the assessed needs of the prospective resident. Residents have written details of their terms and conditions of residence. EVIDENCE: The care records of a recently admitted resident included information gathered by the Care Manager during a pre-admission visit to the resident’s home. This included a medical history and details of current personal care needs. Potential risks e.g. manual handling, had been carefully assessed at the point of admission so that staff could be given instructions on the best way to care for the resident. Essential basic details e.g. consent forms, property list and photograph were included in the record. Hampton Grange Nursing Home DS0000064819.V295519.R01.S.doc Version 5.2 Page 9 Two relatives of the recently admitted resident were interviewed at the home. They were very satisfied with the way the admission had been planned and that they were consulted to help staff make sure the admission went as smoothly as possible. They also appreciated that the home provided transport to move personal items to the care home. The relatives had been invited to attend a meeting on the morning of this inspection visit so that they could sit with involved professionals and discuss their mother’s ongoing care. A sample of signed copies of Contracts of Residence was seen at the home. It was noted that these documents do not identify the specific bedroom. This is an important aspect of the agreement and the Provider agreed to include this information in the document. Hampton Grange Nursing Home DS0000064819.V295519.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10 The quality outcome in this area was good. This judgement has been made using available evidence including a visit to this service. Residents have a written care plan that has been agreed with them and/or their relatives. The plans include risk assessments to keep residents safe, and they show how individual preferences are being respected whenever possible. There is already work underway to give additional attention to written plans relating to social and emotional needs. Medication is handled safely with supporting policy and procedures for staff to follow. EVIDENCE: The way the home manages medication was considered satisfactory at the last inspection. Two minor recommendations made at this time had been addressed. Guidance for administering medication prescribed ‘as required’ should be more specific e.g. some residents are able to decide for themselves when they need medication, others will show particular signs or symptoms that indicate a need for staff to administer medication. There may be other things Hampton Grange Nursing Home DS0000064819.V295519.R01.S.doc Version 5.2 Page 11 that have been found to be successful and could be tried before resorting to medication e.g. diversion. A sample of care plans showed clearly how the staff were dealing with physical care needs and monitoring so that any changes in the resident’s well being would be picked up quickly. For example, one plan advised staff to ‘encourage eating when sons’ visit’ because there was concern that the resident was not eating enough to keep her well. Another record detailed consultation with hospice and lymphoedema specialist nurses. There were various signed consent forms that showed how residents were being consulted and given the right to self determination as far as they are able e.g. right to refuse hospital admission, resuscitation, ‘flu vaccination. Where appropriate, relatives witnessed consents as an additional protection for less able residents. Personal preferences were clearly written into the plans e.g. preference for a male carer, favourite toiletries. This attention to detail helps staff to treat each resident as an individual. The home had started to write care plans to address the social and emotional needs of each resident. This work is in the early stages and will need to be developed so that there are specific action plans for staff to follow in responding to any social or emotional needs e.g. the tendency of a resident to become sad ‘coming up to an anniversary’, a resident’s reluctance to ask staff to help her write letters ‘because they are so busy’. Hampton Grange Nursing Home DS0000064819.V295519.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 The quality outcome in this area was good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged and supported to live in the way they wish. This is achieved by giving them the information they need to control their lives, taking note of their expressed wishes, and offering them opportunities and support to maintain links with their families and the wider community. EVIDENCE: A relative was very satisfied with the approach of staff in helping her mother enjoy her chosen lifestyle – ‘they communicate well with mother and the family’. The relative appreciated the opportunity to book a meal and eat with her mother. A resident had signed her care plan the previous evening. She agreed that her preference for female carers was being respected and staff were very sensitive when using the hoist. She found the hoist undignifying but could tolerate it because of this sensitive staff attitude. A care record contained written details of the resident’s specific instructions regarding funeral arrangements. This information was prominently displayed so that it would not be overlooked. There is a programme of group activities. When these involve trips out of the home the Care Manager carefully considers safety factors as part of the planning. Hampton Grange Nursing Home DS0000064819.V295519.R01.S.doc Version 5.2 Page 13 Minutes of two residents’ meetings illustrated good consultation with residents about life at the home e.g. the building extension, layout of furniture in the dining room. The minutes also referred to discussions about a proposed trip to the pub, and an annual fete. The cook had joined the group to discuss future menus and receive feedback on previous meals. A previous recommendation to provide more details of food provided had been addressed. A care plan recorded ongoing dietary assessment, care planning and monitoring work with the positive outcome of desirable weight gain. Hampton Grange Nursing Home DS0000064819.V295519.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The quality outcome in this area was good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and the home’s documentation reflect the rights of the individual. Residents have access to advocates to help them represent their views and staff are told how to respond effectively to concerns. EVIDENCE: The Statement of Purpose includes information to advise people how to raise concerns about the service. Feedback responses indicated that people were aware of this procedure and there were one or two examples of concerns that had been raised. In one instance the relative confirmed during the inspection that the concern had been satisfactorily dealt with. The Care Manager was aware of the issues raised in the second example and considered these were now resolved. New staff receive written information to guide them in dealing with complaints. An advocacy group had been invited into the home the week before the inspection to speak about their role in helping residents to represent themselves. This action suggests an open management approach that encourages effective communication between staff and residents. A complaint register included details of complaints received at the home and action taken to deal with them. No recent complaints had been received and the Commission has not received any. There is an Adult Protection at the home. New staff are advised how to ‘whistle blow’ should they have concerns about residents’ safety. Hampton Grange Nursing Home DS0000064819.V295519.R01.S.doc Version 5.2 Page 15 Staff had received training in abuse awareness during the previous year. Hampton Grange Nursing Home DS0000064819.V295519.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The quality outcome in this area was adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a well-maintained environment. The Provider has an ongoing programme of refurbishment to maintain the quality of accommodation. EVIDENCE: Standard 26 was met at the last inspection and this satisfactory situation continues. The building extension improves the overall quality of the accommodation e.g. removal of triple occupied bedrooms with the introduction of additional single en-suite bedrooms. The home was clean at the time of this visit although there was inevitably a little unavoidable disruption due to the building work. General cleanliness and hygiene measures were being maintained. Residents’ safety is addressed by regular premises audits that check for any necessary repairs or other attention. Hampton Grange Nursing Home DS0000064819.V295519.R01.S.doc Version 5.2 Page 17 Residents’ individual and communal accommodation was well furnished and fitted to give a homely feel. One or two bedrooms felt rather cool although the occupant in one of them said he was comfortable. Given that there are a few rooms that face the river and are known to be less warm, it is important that staff monitor the temperature because some residents may be unable or unwilling to complain that they feel cold. There are portable heaters provided if the need arises. Residents are able to bring in personal items to make their bedrooms feel more like home. One resident commented ‘I can lock my room when I wish’. The original building will need redecoration and some refurbishment once the extension work is completed. The Provider has a future maintenance programme that will address this. The building work has affected part of the gardens and these areas were due to be landscaped and brought back into use once the builders have left. A rather steep and unguarded slope to the rear of the new extension was discussed during the inspection visit. The Provider and Care Manager were confident that this area would not accessed by any vulnerable residents until fencing had been rebuilt, but a temporary barrier was erected by the Provider between the two inspection visits as a result of the discussion. Hampton Grange Nursing Home DS0000064819.V295519.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28, 29 and 30 The quality outcome in this area was adequate. This judgement has been made using available evidence including a visit to this service. There are enough staff to meet the residents’ needs and the Provider and Care Manager monitor dependency levels/required staffing levels from week to week. Residents’ safety is addressed through careful selection of suitable new staff and ongoing training and support for existing staff. The current level of care staff with a relevant qualification should be increased. EVIDENCE: Sample duty rotas were supplied to the Commission prior to this inspection. This information, together with observations of the situation on the day of the inspection visit, reflected a satisfactory level of staff. A few comments from residents and relatives suggested that there were times when staff were under pressure to get their tasks completed. This is understandable because there are times of each day e.g. meal times, when demands on staff time will be greater. The Provider and Care Manager have clarified a minimum level of staff and have a system of assessing and responding to increased need as resident dependencies fluctuate. A sample of recruitment records was inspected. This identified a satisfactory situation following a requirement arising from the last inspection. The records were very well organised and contained all the information required e.g. Hampton Grange Nursing Home DS0000064819.V295519.R01.S.doc Version 5.2 Page 19 application forms, references, Criminal Records Bureau and Protection of Vulnerable Adults register disclosures. New staff are being inducted through a programme that is in line with the national Skills for Care recognised programme. A progress log of this work for one individual was seen. A care assistant described a programme of in-house work assessment of care tasks and an appraisal programme. She felt well supported in her work and was appreciative of the management recognition of her personal commitments. A pre-inspection questionnaire listed 14.8 of care staff with an NVQ level 2 or above. It would be preferable to increase this percentage although care staff are always supported by qualified nurses during their duties. An interviewed care assistant was working towards her NVQ level 2 award at the time of this inspection so the Provider is supporting this development. Standard 30 was met at the last inspection. Hampton Grange Nursing Home DS0000064819.V295519.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,37 and 38 The quality outcome in this area was good. This judgement has been made using available evidence including a visit to this service. The home is efficiently managed in the best interests of the residents with good attention to their comfort and safety. The Provider has identified, but not yet implemented, a system for quality assurance. EVIDENCE: Standards 35 and 38 were met at the last inspection. Standard 33 was mostly met. The registered manager is fully qualified to carry out her responsibilities. She has considerable experience in various nursing settings and ten years Hampton Grange Nursing Home DS0000064819.V295519.R01.S.doc Version 5.2 Page 21 experience as a Matron. She has also obtained the Registered Manager’s Award. An annual development plan for quality assurance is due to be fully implemented in June 2006 and the outcomes will be reviewed at a later date. A review of policies and procedures is part of this process. Other records at the home are well organised and the Commission is kept informed of incidents that are required to be notified e.g. accidents, events that impact on the overall service provision. All residents have their own personal allowances and can manage them as they wish. Some are supported through Power of Attorney arrangements. Others continue to manage their own affairs. There were examples of ongoing attention to health and safety aspects of the service. There is a rolling programme of health and safety training to ensure staff are kept up to date. A Provider had very recently attended a two day course on fire safety management. Potential risks relating to the premises or personal activities are subject to formal assessment and review. There were examples of action taken to improve the comfort and safety of residents e.g. dorguard devices have been fitted to some bedroom doors so that residents can choose to have the door left open without compromising the fire integrity of the building. The use of free standing room heaters is now subject to risk assessment; exposed hot water pipes had been covered since the last inspection. Automatic water temperature controls are backed up by thermometer checks by staff before each resident is bathed. The records of these were seen. Hampton Grange Nursing Home DS0000064819.V295519.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 2 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 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 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 x 3 3 Hampton Grange Nursing Home DS0000064819.V295519.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 OP2 Regulation 5(b) Requirement Timescale for action 30/06/06 2 OP7 15(1) 3 OP33 24(2) The Statement of Terms and Conditions of Residence must identify the bedroom being purchased. Information gathered from the 31/08/06 work already underway to assess individual residents’ social and emotional needs must be used in extending the scope of the current care planning focus. The implementation of the 30/11/06 quality assurance programme must include the production of a report of any review that will be supplied to the Commission and made available to residents. Hampton Grange Nursing Home DS0000064819.V295519.R01.S.doc Version 5.2 Page 24 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 OP9 Good Practice Recommendations Care plans relating to medication prescribed ‘as required’ should be more specific. This would help staff identify the specific triggers pertinent to the individual when deciding whether the medication needs to be administered. Staff should be particularly careful to monitor the temperature of those bedrooms known to be cooler than the rest. Residents may not be able, or feel able, to say when they do not feel warm enough. The percentage of care staff holding an NVQ qualification should be increased. 2 OP25 3 OP28 Hampton Grange Nursing Home DS0000064819.V295519.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worcester Office The Coach House John Comyn Drive, Perdiswell Park Droitwich Road Worcester WR3 7NW National Enquiry Line: 0845 015 0120 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 Hampton Grange Nursing Home DS0000064819.V295519.R01.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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