Inspection on 30/07/07 for Claridge Nursing Homes (Hampton Grange) Limited

This inspection was carried out on 30th July 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

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

Claridge Nursing Homes (Hampton... 23/05/06

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 30th July 2007 11:30 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.V338689.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.V338689.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 gareth@hamptongrange.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) ANEW 24 Ltd vacant Care Home with Nursing 42 Category(ies) of Old age, not falling within any other category registration, with number (42), Physical disability (1), Physical disability of places over 65 years of age (42), Terminally ill over 65 years of age (42) Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd May 2006 Brief Description of the Service: The Health Authority first registered Hampton Grange as a nursing home in 1992. The property comprises of a large Victorian house and purpose built extension and 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 on a main bus route to the city. The home provides 42 places for older people who have nursing and/or personal care needs arising from general ageing, physical disability or terminal illness. At the time of the last inspection the fees range from £475 to £595 per week. There is information literature that describes the service offered at Hampton Grange. A Statement of Purpose and Service User Guide are displayed in the main reception area of the home. All new residents receive a copy of the Service User Guide. It is possible to request the information in alternative formats i.e. Braille, large print and audiotape. Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been written with reference to information about the service and held by the Commission, and responses arising from a sample of questionnaires sent out prior to an unannounced inspection visit to the service. The Provider also submitted a substantial quality assurance questionnaire at the request of the Commission. What the service does well: What has improved since the last inspection? The management team has been strengthened with the appointment of a Director of Nursing, an Operations Manager who has experience in ‘customer care’, and a Training Facilitator. Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 6 Residents are pleased that they have more social opportunities to enjoy their days at the home. The way that menus are planned has been improved to better respond to the dietary needs and preferences of individual residents. The residents agree that the meals service has improved. 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. Hampton Grange Nursing Home DS0000064819.V338689.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.V338689.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is written information describing the service and this is presented in a way that ensures it is readily available to any interested person. Senior nurses at the home make sure they have the information they need to decide if the home will be able to meet prospective residents’ needs. EVIDENCE: All new residents receive a pack of information about the service. Residents confirmed that they had recently received a revised version of a Service User Guide. Laminated copies of the home’s Statement of Purpose and Service User Guide are prominently displayed in the main entrance to the home. Alternative formats are provided on request i.e. Braille, large print, audiotape. Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 9 A portable machine has been purchased that will enlarge written documents to help residents who have a sight disability. The machine is in one of the communal lounges and is readily available. There are plans to introduce a web site next year. An Operations Manager deals with initial enquiries. A relative commented on ‘a pleasant and friendly environment when I looked around.’ Prospective residents are visited in their own home by one of the senior nurses from the home. This is an opportunity to gather information that will help decide if the placement would be suitable. Other professionals are also consulted if this is relevant. Records of this work reflect good attention to the wishes of the prospective resident (or their relative) as well as the presenting care needs e.g. there are signed consent forms to cover things such as use of bed rails, resuscitation. Hampton Grange Nursing Home DS0000064819.V338689.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the care is arranged flexibly, and is clearly recorded in each resident’s plan of care. Relatives are consulted when this work is done and the results lead to considerable satisfaction. However, despite this thorough planning and positive feedback some residents and relatives remain unhappy with the standard of personal care. EVIDENCE: There is a commitment to include residents and/or their relatives fully in decisions about their care e.g. the home uses various consent forms to confirm the wishes of the resident regarding things such as the use of bed rails, resuscitation in event of emergency. The written care plans now include more information about the individual e.g. pen profiles have been introduced, and there are proposals to introduce a key worker system so that each resident will Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 11 have a named member of staff who will take a special interest in the individual’s comfort and wellbeing. Residents who are terminally ill have specially designed care plans to make sure they are kept as comfortable as possible. Two senior nurses had recently undertaken further training to strengthen their knowledge of caring for people at the end of their life. A resident’s care record detailed six interviews between the son and senior nurses during July. These frequent discussions dealt with requests from the son about the way his mother’s care was being provided e.g. request for particular hair washing routine to be followed. Despite this evidence of regular consultation the son had continuing concerns about the level of attention received by his mother. To illustrate this he described how he had arrived to visit her during the inspection visit and found two cold mugs of tea beside her bed. This suggested that staff had not offered her the help she needed to drink despite a daily care plan near to her bed that indicated she should be ‘assisted’ to have a drink and biscuit between 11.30am and 12noon. There were other comments made by residents and relatives that indicated some dissatisfaction with staff attention to personal care-‘found it frustrating trying to get updates about his treatment and progress’, ‘care basically seems to amount to putting food on the table and doing pressure checks’. Three residents expressed some concern regarding staff availaibility –‘don’t always answer the bell-need help to the toilet’, ‘not enough ‘little indians’’, ‘staff always rushing’. One of these residents described how staff didn’t have enough time to help her enjoy her meals. Staff agreed that the resident was a very slow eater and needed constant encouragement to eat. However, arrangements had already been made for a volunteer to sit with the resident during mealtimes to provide additional encouragement and this practice was happening during the inspection visit. Other relatives obviously had much more confidence in the service-‘Hampton Grange is first class’, ‘very sincere gratitude of my father and myself to you and all the staff for your efforts’. This conflicting evidence was discussed with senior staff during the inspection. The care planning processes at the home are thorough, and there are many examples of good attention to individual needs and wishes. Arrangements for medication management are satisfactory and these are being regularly reviewed to be sure they remain safe e.g. the Commission’s Pharmacy Inspector was consulted in early 2007 for advice regarding self medication procedures. Staff had conducted a risk assessment for a resident who was self medicating at the time of the inspection, and this was being checked regularly in case circumstances changed. Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 12 . Hampton Grange Nursing Home DS0000064819.V338689.R01.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 good. This judgement has been made using available evidence including a visit to this service. The staff help residents get the best out of their days and relatives are encouraged to participate in everyday life at the home as a part of this work. The meals are planned and served to make sure individual nutritional needs are being met and residents enjoy their food. EVIDENCE: There has been considerable attention over the past year to improving the opportunities for residents to enjoy their daily lives in a way that suits them. Residents acknowledge this effort and so do visiting families e.g. a resident commented ‘it’s very true that social activities have improved’. A relative said ‘I liked the fact that they made my children welcome’, ‘they made my father’s guest feel very welcome’. Family members and the Director of Nursing had agreed that a music system would be installed in a resident’s bedroom so that he could pursue his leisure interest. Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 14 Polish staff were helping a Polish resident by giving him the opportunity to communicate in his first language. His family were happy with the way the home was meeting his needs. There were plans to provide the family with a themed Polish meal at the home before the son’s return to his home abroad. Written care records contain examples of the staff efforts to help each resident get the best out of their days – a resident with a sight disability was being supported through a care plan that advised staff to ‘spend time listening and talking with (the resident) to ensure she is happy’. This is good, but may be more effective if staff were given more specific guidance in the plan about the timetabling of this support e.g. defining which staff should provide the support and when. This would also help management staff assess the required level of staff to respond to residents’ overall needs. Detailed records are kept of all group and one to one activities being provided. There were a lot of visitors coming in and out of the home when the inspection visit took place and staff were frequently observed greeting visitors and chatting to them. Residents were involved in various activities with their visitors e.g. walking in the garden, playing a board game. The Director of Nursing was looking for an advocate to support a resident who had no other independent representation and needed extra help to protect her rights. Residents enjoy their meals and feel the service has improved – ‘food is much better’. The cook was observed collecting residents meal choices for the following day. It was nice to see that the cook was happy to collect some home made chutney from a bedroom and serve it to the resident at her request. The staff use a special assessment tool to assess if any resident is at risk of malnutrition. The results of these assessments were seen in care records and a care plan had been appropriately amended to respond to increased vulnerability. Residents have their meals served in various areas of the home-communal rooms or in the privacy of bedrooms, depending on their preference. A variety of meals were seen to be served, some having been softened or cut up, as required e.g. scampi, salad and boiled potatoes, minced liver, carrots, broccoli and potatoes. Hampton Grange Nursing Home DS0000064819.V338689.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is well-advertised guidance to help residents raise complaints and concerns. The Providers have a strong commitment to strengthening ‘customer care’. Residents are protected from abuse by staff who know how to deal with any allegations and concerns. The management team are also committed to an open approach in order to make sure residents are safe. EVIDENCE: A customer care service has been introduced to strengthen the way the service responds to complaints and concerns about the service. There is a written complaints procedure that is advertised at the home. All new residents receive a copy of this. The management team describe their approach as based on openness and respect. Five complaints have been received at the home since the last inspection. There are records kept of each complaint and the action taken to investigate it. Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 16 The Commission received four contacts between August and December 2006 but there hadn’t been any subsequent contacts with, or complaints made to the Commission since this time. A staff member spoke about training she had received this year regarding the protection of vulnerable adults. There is written guidance at the home to advise staff how to deal with concerns regarding the safety of residents, and how to report any concerns. The service hasn’t generated any allegations of abuse since the last inspection. When residents don’t have any relatives or friends to support them the home will look for an independent advocate to help them with any problems arising. The Director of Nursing was dealing with such a situation at the time of this inspection. Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 17 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. Residents live in a well-maintained environment. The quality of the accommodation has improved with the completion of an extension and this includes facilities available to residents who live in the original building. Staff know how to maintain a clean and hygienic environment and there are regular checks to make sure standards do not slip. EVIDENCE: Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 18 All areas seen during the inspection visit were clean, tidy and odour free. expanded cleaning rota has been introduced since the last inspection. An The Operations Manager regularly meets with housekeeping staff and keeps auditing records so that she can monitor the quality of the environment. The accommodation is being maintained to a good standard through a regular programme of maintenance and ongoing investment e.g. there are plans to replace corridor flooring next year and to complete a review of bathroom and galley kitchen facility on the first floor. Residents are benefiting from the introduction of an additional lounge and a separate room for hairdressing. There is also a kitchenette for visitors to make refreshments. Gardens at the rear of the building have been attractively landscaped since the completion of the extension, and a patio area can be easily accessed by wheelchair users. Staff have received accredited infection control training and infection control is also subject to routine audit. Prior to this inspection the Commission was notified of action taken following an infection outbreak at the home. This indicated a robust approach e.g. consultation with public health, control procedures introduced at the home, additional training organised for staff. Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are maintained in line with recognised ‘care models’. The managers and staff recognise that there is more to be done in better organising the work on a day-to-day basis and there have already been a number of things introduced to address this. There is considerable satisfaction with improvements in the staffing attention to activities and meals. The staff receive the training they need to do their job well and new staff are only accepted for work at the home once they have been thoroughly checked to be sure they will be suitable to work with vulnerable adults. EVIDENCE: The Provider met with a representative of the Commission to discuss the required staffing levels once the number of residents increased with the opening of the extension. Agreement was reached that ‘the busiest time of day as 7.30 to 2.30 and, when 42 residents were in the home, 1 Registered nurse and 7 carers or 2 Registered nurses and 6 carers would be on the morning shift. Depending on dependency and individual need outside of this core time flexibility be employed by adding resources during early morning and Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 20 twilight to assist with getting up and putting to bed and reducing in the afternoons particularly when organised activities took place’. The Provider confirmed that the adequacy of staffing was monitored through regular meeting with the Nurse Manager who organises the rotas. There has been further attention to ensuring staffing levels are adequate and helping staff organise their work effectively e.g. regular staff meetings, appraisals of individual performance, change of shift systems. A relative felt that some staff were working more effectively now. A staff member thought that problems getting through the work were more to do with the way staff organised their work than the actual number of staff at work. This view is shared by management staff and this is why they have been doing extra work with staff. The staff member felt that a new system of grouping residents would make it easier to plan the day’s work. Over half the care staff have obtained a national vocational qualification in care or are working towards one. A training facilitator has been employed and there is a regular programme of health and safety training for all staff. A staff member described how she was thoroughly checked before being offered work at the home e.g. criminal records bureau check, references. She had received instruction on the home’s fire procedure as soon as she started work and had been asked to show her certificates of training completed before coming to Hampton Grange e.g. health and safety. Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 21 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. The residents benefit from a strong management team that combines various skills and knowledge relevant to the responsibilities of running a care home. The management are committed to an open approach so that residents, relatives and staff will be able to contribute to future planning. The formal procedures implemented at the home are designed to address the best interests of the residents. EVIDENCE: Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 22 The home is run by a team of management staff, each concentrating on various aspects of the service e.g. an Operations Manager is developing ‘customer care’ and a Director of Nursing manages the professional care practices with the assistance of a nurse manager who works out ‘on the floor’. There isn’t a registered Care Manager at present but the Director of Nursing submitted an application for registration with the Commission during the timescale of this inspection. The managers consider they enjoy a good relationship with external multiprofessionals. This has been strengthened with the arrival of the Director of Nursing who has been able to use her existing contacts with local specialists e.g. an experienced ‘clinical lead’ professional has been employed on a short term contract to introduce electronic recording systems at the home. A staff member felt that the managers were responsive and residents were particularly pleased with improvements they had noted since the new management team had been put in place e.g. activities, meals. There is a regular consultation exercise so that the management can obtain feedback on their performance. The reports of the most recent exercise were seen at the home and had been well analysed and presented. The residents’ accommodation is subject to routine maintenance and risk assessment e.g. an electrical installation inspection had recently been arranged, a fire safety consultant had revised the fire risk assessment to be sure it complied with current regulations. There is a programme of health and safety training for all staff so that they know how to work safely with the residents. Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 23 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 4 x 3 x x x 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 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations When planning social care it may be more effective if the care plans were more specific about who, when and how the care should be provided as part of the everyday care programmes. The quality monitoring procedures should include further assessment of the reasons why a few residents and relatives feel dissatisfied with staffing levels and attention to everyday care. 2 OP33 Hampton Grange Nursing Home DS0000064819.V338689.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worcester Local Office The Coach House, John Comyn Drive Perdiswell Park Droitwich Road WORCESTER WR3 7NW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hampton Grange Nursing Home DS0000064819.V338689.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. 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