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Inspection on 11/10/06 for Hartshead Manor Nursing Home

Also see our care home review for Hartshead Manor Nursing Home for more information

This inspection was carried out on 11th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This is a well-managed service which is run in the best interests of the service users. Service users are treated with respect and dignity. The atmosphere in the home is warm and friendly with cheerful and relaxed staff who are focussed on meeting the needs of the service users. Service users are fully assessed prior to admission to Hartshead Manor and confirmation given that the home can meet their needs. Care plans are clearly set out and detail the care to be delivered. Daily records give a good account of how service users have spent their day and what care and support have been given. Meals are of a good standard and were spokenabout favourably by service users. Activities are provided to meet the needs of the service users. Staffing levels are provided to meet the needs of the service users. There is an open, inclusive atmosphere where complaints are dealt with appropriately and treated as a learning opportunity. Medication policies and procedures protect the service users living at the home. Comments received in the questionnaires included "our experience of the service provided is 100% all the way round"; "the home also make sure my mum is fed as she is 81 and visits my dad nearly every day"; "my mother is well cared for and well looked after, the nursing home is clean and the staff are wonderful"; "as a visitor I find Hartshead Manor warm and welcoming with friendly helpful staff". The manager and staff should be commended on this.

What has improved since the last inspection?

The corridors of the home have been decorated and work is underway to replace carpets and decorate the entrance area of the home. All staff now receive supervision two monthly.

What the care home could do better:

All staff must have training updates in Adult Protection issues. All staff must have refresher training in moving and handling and fire safety. Fire doors must not be propped open. The type of hoist sling to be used should be included in the moving and handling care plan. Detail regarding managing challenging behaviour should be included in the care plan. Stained and worn carpets should be replaced as planned. Consideration should also be given to replacing the carpet in the downstairs lounge. The programme of redecoration should be continued. The laundry floor should be made impervious.

CARE HOMES FOR OLDER PEOPLE Hartshead Manor Nursing Home 817 Halifax Road Hartshead Moor Cleckheaton West Yorkshire BD19 6LP Lead Inspector Helen Battle Key Unannounced Inspection 11th October 2006 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 Hartshead Manor Nursing Home DS0000001085.V308914.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. Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hartshead Manor Nursing Home Address 817 Halifax Road Hartshead Moor Cleckheaton West Yorkshire BD19 6LP 01274 869807 01274 852426 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) Roche Healthcare Limited Mrs Susan Hoodless Care Home 55 Category(ies) of Old age, not falling within any other category registration, with number (55), Physical disability (5), Terminally ill (5) of places Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Can provide accommodation and care for two named service users under 65 years From time to time the home is able to admit service users between the ages of 60 and 65 years, to a maximum of five in the home at any one time. 1st November 2005 Date of last inspection Brief Description of the Service: Hartshead Manor provides care and nursing for up to 55 elderly people of either gender. It was converted into a nursing home in 1989. It has many of the original features and it was formerly the manor house to Hartshead Moor, the original building dating back to Georgian times. There are gardens with open lawns that provide a level area of some 3 acres, easily accessible by foot or by wheelchair. The orchard and walled area have been preserved to provide shade in the summer from the sun and a sitting area when weather permits. The home is near to the major cities and towns of Leeds, Bradford, Halifax and Huddersfield, however it is set in a rural village offering all essential amenities. There are adequate parking facilities within the grounds and public transport is accessible, with bus stops located within five minutes’ walking distance from the home. The Provider informed the Commission for Social Care Inspection on 11 October 2006 that the fees range from £344.71 to £493.84 per week. There are additional charges for hairdressing, newspapers, magazines, chiropody and aromatherapy. Information about the home and the services provided are available from the home in the Statement of Purpose and Service User Guide. Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced visit carried out by one inspector. The inspector arrived at the home at 9.00am and left at 2.30pm. During this visit the inspector spoke to some of the service users, some of the staff and the home’s management. The inspector read care records, audited a sample of medications, reviewed staff recruitment and training records, and carried out a tour of the building. Prior to the inspection ten service user questionnaires were sent to Hartshead Manor to obtain the views of service users living at the home. Six completed questionnaires were returned. Surveys were sent to ten relatives and friends of service users, GPs and social workers. At the time of writing this report the inspector had received six responses from relatives and two from GPs. There was one response from a social worker. Other information used as part of the inspection process included notifications from the home to the Commission for Social Care Inspection about deaths, illnesses, accidents and incidents at the home, copies of the monthly management visit reports produced by the provider, and a pre inspection questionnaire completed by the manager. The inspector would like to thank everyone for their assistance during the inspection process. What the service does well: This is a well-managed service which is run in the best interests of the service users. Service users are treated with respect and dignity. The atmosphere in the home is warm and friendly with cheerful and relaxed staff who are focussed on meeting the needs of the service users. Service users are fully assessed prior to admission to Hartshead Manor and confirmation given that the home can meet their needs. Care plans are clearly set out and detail the care to be delivered. Daily records give a good account of how service users have spent their day and what care and support have been given. Meals are of a good standard and were spoken Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 6 about favourably by service users. Activities are provided to meet the needs of the service users. Staffing levels are provided to meet the needs of the service users. There is an open, inclusive atmosphere where complaints are dealt with appropriately and treated as a learning opportunity. Medication policies and procedures protect the service users living at the home. Comments received in the questionnaires included “our experience of the service provided is 100 all the way round”; “the home also make sure my mum is fed as she is 81 and visits my dad nearly every day”; “my mother is well cared for and well looked after, the nursing home is clean and the staff are wonderful”; “as a visitor I find Hartshead Manor warm and welcoming with friendly helpful staff”. The manager and staff should be commended on this. What has improved since the last inspection? What they could do better: All staff must have training updates in Adult Protection issues. All staff must have refresher training in moving and handling and fire safety. Fire doors must not be propped open. The type of hoist sling to be used should be included in the moving and handling care plan. Detail regarding managing challenging behaviour should be included in the care plan. Stained and worn carpets should be replaced as planned. Consideration should also be given to replacing the carpet in the downstairs lounge. The programme of redecoration should be continued. The laundry floor should be made impervious. Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 7 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. Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home does not provide intermediate care. Prospective service users have the information they need. Service users have their needs assessed prior to admission into the care home. Confirmation is given to service users and their representatives that the home can meet their needs. Prospective service users and their families can visit the home prior to admission. EVIDENCE: Service users are provided with a copy of the Statement of Purpose and Service User Guide. Responses to the home’s quality audit regarding admission were positive and all respondents indicated that they had the right information to enable them to make an informed choice about whether to live at Hartshead Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 10 Manor. Evidence was seen, in all four care records examined, of detailed pre admission assessments and copies of Community Care Assessments. One service user who has recently moved into the home confirmed that family members had been to look round the home on their behalf prior to making the decision to live there. Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users’ health, personal and social care needs are set out in the individual plan of care. Risk assessments are carried out. The service users are protected by the home’s medication policy and procedure. Service users are treated with dignity, respect and privacy. EVIDENCE: The care records of four service users were examined. All were of a good standard and clearly set out the needs of the service users based on assessments carried out in relation to falls, tissue viability, moving and handling, continence, oral health, nutrition, social needs and maintaining rights and independence. All these assessments and related care plans were reviewed monthly. Specific detail was also included regarding preferred times for bathing, specific instructions for testing blood sugar where required and excellent detail regarding wound care. Daily records give a good account of what care and support is delivered on a daily basis. Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 12 A recommendation is made to improve standards further in that the type of hoist sling to be used should be included in the moving and handling care plan. Also that detail regarding managing challenging behaviour should be included in the care plan. The medication of four service users was checked at random and all medication was found to tally with the records held. Eye drops were labelled with the date of opening and controlled drugs were stored correctly. A sample of these were checked and were also found to tally with the records. Clear detail is recorded regarding the healthcare support from other agencies. These include audiologist, optician, continence nurse, dentist, Continuing Care Team and speech and language therapy. Service users spoken to during this visit were very clear about how good they find the staff. They all stated that staff are pleasant, patient and friendly and always treat them with respect. Service users also said that their privacy and dignity are maintained. One service user said that staff are always there to have a laugh with or to have a moan at. Staff were observed to treat service users with respect and maintain their privacy and dignity throughout this visit. Hartshead Manor Nursing Home DS0000001085.V308914.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, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users’ cultural, religious, social and recreational needs are being met, and they are supported to maintain contact with their family and friends. The service users are able to exercise choice and control over their lives. The home provides the service users with a varied and nutritious diet. EVIDENCE: An activities co-ordinator is employed at the home and has held this post for some time. She evidently knows the service users well and what their likes, dislikes and abilities are regarding how they like to spend their time. A record of previous hobbies and interests are documented after speaking with families and friends. Activities provided for service users have included bingo, games, quizzes, outside entertainers, movement to music, videos on a large screen television and manicures. Trips out have also been arranged and some service users have visited places including Morley market, ice-cream parlour, Bradford Industrial Museum, various garden centres, Piece Hall in Halifax and the White Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 14 Rose shopping Centre in Leeds. Plans are already underway for the Christmas period with a party, bell ringers, local junior school and a theatre group arranged to entertain the service users. Lunch was seen being served during this visit and service users appeared to be enjoying a meal of pork steaks in sage gravy or Cornish pasty served with boiled potatoes, carrots and cauliflower, followed by apple sponge and custard or ground rice, or ice-cream. This was nicely presented and service users were being assisted to eat their meal, where required, in an appropriate manner. The atmosphere was relaxed and unhurried. Service users spoken to said that the meals are always nice and that staff go round the service users and ask them what they would like from the menu for the following day. Contact is maintained with families and friends. Relatives were seen to visit the home during this visit and were seen to be made welcome by the staff. Service users are encouraged to exercise control in their day-to-day lives where possible. Service user/relative meetings are held six monthly. The last meeting was held in July 2006. Hartshead Manor Nursing Home DS0000001085.V308914.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, 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users, their relatives and friends are confident in raising any concerns and complaints. The service users are protected from abuse. EVIDENCE: The complaints procedure is displayed in the entrance area to the home. Feedback from service users spoken to indicated that service users and relatives know who to speak to if they have any concerns. A complaints log is kept and an audit of complaints is carried out monthly by the manager of the home. The log was examined and complaints received were seen to be appropriately investigated and responded to within the required timescales. Staff are due for a refresher in adult protection training. This training must be completed by December 2007. Staff spoken to on the day of the inspection showed a good awareness of adult protection issues and procedures. Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 16 On the day of this visit a thank you card was received from someone whose relative had been cared for at the home. Hartshead Manor Nursing Home DS0000001085.V308914.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, 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service users live in a safe and, overall, well-maintained environment that is generally clean and hygienic. EVIDENCE: The environment of the home is generally maintained to a good standard. When a room becomes vacant it is redecorated. All the communal areas are light and easily accessible for service users to walk in. Furniture is of a good standard. The home was clean and free from unpleasant odours during this visit. On the day of this visit four bedrooms were having new carpets fitted. This was reported by the manager to continue until all the carpets requiring replacing have been completed. The entrance area to the home was also being decorated. The downstairs lounge carpet appeared to be heavily stained and needs replacing. The “Kirton” chair also needs reupholstering. Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 18 There are plans to replace a bathroom with a shower room and also plans to extend the laundry. When this work is completed, the laundry floor will be addressed at the same time. Hartshead Manor Nursing Home DS0000001085.V308914.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): 27, 28, 29, 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are employed in sufficient numbers and receive induction and ongoing training. The recruitment process ensures that service users are sufficiently protected by the home’s recruitment policy. EVIDENCE: Staffing levels provided at the home are sufficient to meet the needs of the service users. Generally in the morning there are two nurses and 8 care assistants; in the afternoon there are 2 nurses and 7 care assistants; and at night there is 1 nurse and 4 care assistants. These levels must be maintained due to the dependency levels of the service users living at the home and due to the layout of the building. The recruitment records for four members of staff were examined. All were found to have the required checks and references in place prior to the member of staff commencing work in the home. Induction training is comprehensive. Mandatory training provided includes movement and handling, health and safety and fire training. Other training Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 20 staff have attended, or are due to attend, includes infection control, basic food hygiene and death and dying. Fifty eight per cent of care staff working at the home have achieved the NVQ level 2 award in care. Some staff are still to have their fire safety update, moving and handling and adult protection. All staff must receive these updates within the specified timescales. Staff meetings are held on the last Friday of every month. Hartshead Manor Nursing Home DS0000001085.V308914.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, 36, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run and managed by a manager who is fit to be in charge. The home is run in the best interests of the service users. The financial interests of the service users are safeguarded. The required records kept by the home are up to date and accurate. Generally the health and welfare of service users and the staff is promoted and protected. Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager of the home is an experienced nurse who is able to discharge her duties fully and effectively manages the home. The service users benefit from the management approach at the home, where their best interests are kept in mind with any decisions that are made. Staff and service users gave positive feedback about the manager, saying that she is always approachable and always sorts things out. The personal monies held in the home for three service users were checked as part of this visit. All were found to tally with the clear records held. Receipts for purchases are also kept. Staff generally receive supervision every two months and those spoken to stated that they have felt that this has been beneficial. Tests of the fire alarm and emergency lighting system are recorded as being carried out weekly. There have been two fire drills carried out since the last inspection. Hot water temperatures are checked and recorded as required; any remedial action taken is also recorded. It was noted that a number of bedroom doors were propped open during this visit. This was during the day where there was a high presence of staff in these areas, and these doors are closed at night. Other bedrooms doors were fitted with appropriate automatic closures. It was reported that further door closures for the remainder of the rooms have been ordered. There are robust quality monitoring systems in place for each area of the home. Surveys are sent out to relatives periodically and the results published. The most recent publication is dated February 2006. The results from this were generally positive. Monthly management visit reports are completed every month as required. Hartshead Manor Nursing Home DS0000001085.V308914.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 3 X 3 3 3 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 1 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 1 Hartshead Manor Nursing Home DS0000001085.V308914.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. 1. 2. 3. Standard OP18 OP30 OP38 Regulation 13(6) 18(1)(c) (i) 23(4)(d) 23(4)(a) Requirement All staff must have training updates in Adult Protection issues. All staff must have refresher training in moving and handling and fire safety. Fire doors must not be propped open. Timescale for action 31/12/06 31/12/06 11/10/06 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 The type of hoist sling to be used should be included in the moving and handling care plan. Detail regarding managing challenging behaviour should be included in the care plan. Stained and worn carpets should be replaced as planned. Consideration should also be given to replacing the carpet in the downstairs lounge. The programme of redecoration should be continued. The laundry floor should be made impervious. 2. OP19 3. OP26 Hartshead Manor Nursing Home DS0000001085.V308914.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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. 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