Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 03/01/08 for Havencroft Nursing Home

Also see our care home review for Havencroft Nursing Home for more information

This inspection was carried out on 3rd January 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

The home provides prospective residents with the appropriate information to assist them with their choice. All potential residents are assessed prior to admission to ensure that the home can fully meet their health and personal needs. The management of medication is well organised, and nurses adhere to their policies and procedures. Comments received from residents and relatives all confirmed that all the staff were very caring, and respected their dignity when providing care. The home takes all complaints seriously and follows their complaints procedure. Residents and relatives were aware of the homes complaints procedure and were confident that their complaint would be listened to. Some Residents have personalised their bedrooms and those asked stated that they were happy with their bedroom.

What has improved since the last inspection?

Care plans have further developed and now provide a clear description of the residents` care needs and why they were admitted into the home. All residents and/or a relative are included in the development of the care plan. The rooms decorated since the last inspection have enhanced their appearance. Mechanical sluicing facilities have been fitted on the first and second floor to assist with the homes infection control management. The management of medication has improved since the last inspection.

What the care home could do better:

Care plans and risk assessments should be reviewed and updated more frequently, especially weight monitoring, it is good practise that residents` weights are recorded and updated monthly, or more frequently if the nutritional risk is high. It was also recommended that the risk assessments are reviewed to a more updated model, and the advantages of being able to access websites to assist with this be discussed with the manager. A review of activities for the residents with more complex needs should be looked into. Two lots of relatives commented that the laundry service could be improved as items go missing and woollens are not washed correctly

CARE HOMES FOR OLDER PEOPLE Havencroft Nursing Home Lea End Lane Hopwood Birmingham West Midlands B48 7AS Lead Inspector Chris Potter Key Unannounced Inspection 3rd January 2008 11:00 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 Havencroft Nursing Home DS0000004115.V355256.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. Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Havencroft Nursing Home Address Lea End Lane Hopwood Birmingham West Midlands B48 7AS 0121 445 2154 0121 445 2159 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) Regal Care Limited Lesley Ann Owen Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32), Physical disability (4), Physical disability of places over 65 years of age (32) Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd February 2007 Brief Description of the Service: Havencroft is a large, Victorian, 3 storey residence which is located in the village of Hopwood, close to the boundary of the City of Birmingham. The home is registered to provide nursing care for up to 32 frail elderly people, who may have a physical disability, and for up to 4 service users, between the ages of 55 and 64 years, who have a physical disability. The maximum number of people who can be accommodated is 32. The registered providers are Regal Care Limited, and the Registered Manager for the home is Lesley Owen, who is a first level registered nurse with many years experience working in both the National Health Service and the private sector. Fees range from £470.00 - £520.00 per week this depends on the care needs and the room provided. These fees were correct at the time of the inspection for more up to date information please contact the home directly. Additional charges are made for chiropody, hairdressing and newspapers. Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes key unannounced inspection – this is where we look at a wide range of areas. The inspection was carried out over one day on the 3rd of January 2008.The inspector spent a total of 6 hours in the home. To help us plan for the inspection we looked at pre – inspection information requested earlier in the year, this included the Annual Quality Assurance Assessment (AQAA). A range of evidence was used to make judgements about this service. This includes: information from the provider, staff records kept in the home, medication records, discussion with people who use the service, discussions with the staff team, discussion with the manager, tour of the premises, previous inspection reports, quality assurance process, and observation of care experienced by people using the service. What the service does well: The home provides prospective residents with the appropriate information to assist them with their choice. All potential residents are assessed prior to admission to ensure that the home can fully meet their health and personal needs. The management of medication is well organised, and nurses adhere to their policies and procedures. Comments received from residents and relatives all confirmed that all the staff were very caring, and respected their dignity when providing care. The home takes all complaints seriously and follows their complaints procedure. Residents and relatives were aware of the homes complaints procedure and were confident that their complaint would be listened to. Some Residents have personalised their bedrooms and those asked stated that they were happy with their bedroom. Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. 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. Havencroft Nursing Home DS0000004115.V355256.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 Havencroft Nursing Home DS0000004115.V355256.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): Standards 1,2,3,4 standard 6 is not applicable to this home they do not provide intermediate care. Quality in this outcome area is good. Prospective residents and their representatives have the appropriate information to assist them with their choice. They have their needs assessed and a contract which tells them about the service they will receive This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home updates the Statement of Purpose and Service User’s Guide to reflect any changes. The home is in the process of applying for a change in registration categories and has updated their Statement of Purpose to reflect Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 9 this. Copies of the documents are available in the home. Residents and relatives spoken to during the inspection confirmed that they were provided with the appropriate information to assist them with their choice. The inspector was advised that relatives usually visit the home on behalf of the residents. Prior to admission potential residents are assessed by a registered nurse; which is normally the manager. This is to ensure that the home can fully meet their health and physical needs. This is determined by completing a pre – admission assessment, and this then forms the basis of the resident’s care plans. Three residents’ pre – admission assessments were reviewed. These showed that the assessments had been completed appropriately. One of the three assessments had not been dated at the time of the assessment; this was shared with the manager at the inspection. It was also reassuring to see that either the resident or relative on their behalf had signed and dated the assessment, this is considered good practise. Residents are provided with a statement of terms and conditions before admission to the home. It provides information on what the residents can expect to receive for the fee they pay and sets out terms and conditions of occupancy. A relative spoken with during the inspection stated that they were most pleased with the admission process, and how reassuring everyone had been in assisting her with such a difficult decision. Havencroft Nursing Home DS0000004115.V355256.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): Standards 7,8,9 and 10 Quality in this outcome area is adequate. The health and personal care that people receive is based on their individual needs but care plans do not always support this. The home has an efficient medication policy supported by procedures and practise. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents’ care records were reviewed during the inspection. From the care record it was clearly recorded why the resident had been admitted to the home and pre-admission assessment recorded the basic needs and potential risks for that resident. Some evaluations were not being updated monthly and Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 11 were not identifying the type of pressure relief equipment being used. It was also recommended that the nurses update their risk assessments for a more updated model. It is also recommended that the provider allow staff Internet access so that they can use websites for clinical triggers etc, and assist in keeping up to date with changes. Some entries in the daily record should be recorded with the evaluation of that resident’s assessed needs. All staff spoken with were able to give a good understanding of the residents’ care needs. Relatives spoken with during the inspection stated that they were “Very happy with the care” “All the staff are wonderful” Residents have access to health care services that meet their assessed needs both within the home and in the local community. Residents have access to dentists, opticians and other community services as and when required. One relative described some problems with his next-of-kin’s hearing aid, but this is no fault of the home who have referred to the appropriate authorities. A range of pressure relieving equipment and lifting equipment was observed in use. The lifting equipment was clearly documented, but the pressure relieving equipment was not clearly described in the resident’s care record. The home has a medication policy which is accessible to staff, medication records are up to date for each service user and medicines received, administered and disposed of are recorded. The home has regular audits from their supplying pharmacy, which, is good practise. It is recommended that the medication policy is reviewed given the policy has not been updated in the last 12 months. Staff were seen to be aware of the need to treat residents with respect and to consider dignity when delivering personal care. Comments received from residents about the care were complimentary and included: “they are all wonderful” Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 and 15 The outcome for this area is adequate A range of activities are available in the home these are limited for some of the residents with more complex needs. Residents are offered a choice of food, this is acceptable for the majority of residents, and specialist diets are catered for. People living in the home are able to maintain open contact with family and friends. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Relatives spoken with during the inspection confirmed that they were welcomed into the home at any time. This had been a main part of their decision for choosing Havencroft, and they liked the homely environment. Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 13 On the day of the inspection some of the residents were participating in a movement to music session, which they appeared to enjoy. The manager confirmed that this is held every week. The home employs an activities organiser for 8 hours per week. The activities organiser is also attending a course to assist with more suitable activities for residents with dementia. The manager confirmed that this would be reviewed as the occupancy levels increase. One resident recently admitted had “Sky” fitted so they could continue to enjoy the sporting channels. Residents, relatives and staff all confirmed that the home provided a good choice and quality of food. On day of the inspection the meal being served appeared appetising and residents who needed assistance were being helped appropriately. The home provides a choice of two main meals, however if residents request an alternative this can be accommodated, one resident requests beans on toast regularly and this is provided. The home had received a visit earlier in the year from the environmental health department. They were given a number of requirements in updating policies and procedures and minor repairs to the kitchen. The manager confirmed that this had been actioned. The improvement included new fridges, new tiles for the floor. The kitchen is covered seven days from 07:30am, by a cook and kitchen assistant and a person works 3 hours a day to do the teas. Havencroft Nursing Home DS0000004115.V355256.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is adequate. The service has a complaints procedure, which is accessible and now used according to the procedures in the home. Thus, service users are assured that their concerns will be appropriately dealt with. Training is planned so that service users are protected from abuse and have their legal rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaints register was reviewed during the inspection the home had received two complaints since the last inspection. One of those complaints came via the CSCI. From examining the complaints records the service have followed their complaints procedure and resolved them satisfactory. In contrast, the home, have many compliments and thank you’s which were shared with the inspector at the time of the visit. Residents and relatives confirmed that they were aware of how to make a complaint and spoke highly of the manager and her approach to complaints. Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 15 The home is in the process of arranging update training in safeguarding adults for all staff working at the home. Staff spoken with during the inspection advised the inspector that they would have no problem in reporting any concerns or poor practise. Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 Quality in this outcome area is adequate. Plans are in hand to extend the home and this will include an upgrade and refurbishment for the remaining home. This will improve the environment and facilities for the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home currently has capacity to accommodate 32 residents in seven double and 18 single bedrooms. Plans to extend and upgrade the existing home are due to commence in March 2008. Since the last inspection the home has provided a mechanical sluices on two floors. The home’s maintenance person has redecorated some areas of the home; these areas highlight the need for Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 17 redecoration and refurbishment in other areas. Bedroom 20 was observed to be in a poor decorative state with the wall covering badly damaged. All areas of the home were observed to be clean and tidy, no odours were evident in any part of the home. Many of the residents’ bedrooms have been personalised which gives a more homely appearance. Residents and relatives spoken with during the inspection stated that they liked the homely atmosphere of the home, and confirmed that it was always clean and tidy. One relative commented “Always clean, warm and peaceful” From the homes own quality audit a comment was noted that items of clothing was not washed properly. During the inspection relatives spoken with informed the inspector that items of clothing go missing and items have been washed incorrectly resulting in shrinkage. These comments were shared with the manager at the time of the inspection to investigate. Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 and 30 Quality in this outcome area is good. Staff in the home are in sufficient numbers to meet the changing needs of residents. Staff are suitably competent in meeting the changing health and physical needs of the residents. The service follows their recruitment policy to further safeguard the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the inspection the home was accommodating 22 residents, and had 10 vacancies. Staffing levels are proportionate for the number and dependency of the residents. The manager is aware that the staffing levels will need to increase as the occupancy levels increase. Since the last inspection the home has had a little movement with staff, and only recruited two staff. This Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 19 has given the home more stability, and staff understand the care needs of the residents. In addition to the nursing and care hours the home provides staff for the catering, laundry, maintenance, administration and activities. Training courses are being arranged for 2008/09 to ensure staff are suitably trained in meeting the needs of the residents. Abuse training was in need of update, and a course is being looked into. The need to ensure that the nurses are attending clinical updates and maintain their professional accountability to the Nurses and Midwives Council. It would be advantageous for the nurses and staff if the home had Internet access this would assist them in reviewing the latest guidance and the CSCI web site for up to date information. All staff have completed or are in the process of completing a dementia awareness course. The home has met the standard of providing 50 of staff with an NVQ level 2 qualification. Three staff files were reviewed during the inspection and these showed that the home had followed their recruitment procedure, and completed all the appropriate safety checks. Staff spoken to were aware of the care needs of the residents and their relatives. All residents and relatives spoken with felt staff were appropriately trained to meet their needs. Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35,36,37 and 38 Quality in this outcome area is good. The manager is supported to provide an open approachable atmosphere. All equipment is serviced and maintained to ensure safety and welfare of the residents and staff. This judgement has been made using available evidence including a visit to this service. Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager is a first level registered nurse who has many years experience and has completed the Registered Manager’s Award. The deputy is a senior carer and is in the process of completing the Registered Manager’s Award. Both demonstrate a good understanding of the residents care needs. Staff, residents and relatives spoke well of the manager and felt that she was approachable. The responsible individual for the organisation provides regulation 26 reports to the CSCI, this is a monthly monitoring audit of the home and any changes in the home. All records and registers requested were available at the home. Many of the homes policies are in need of review and update policies should be reviewed annually to ensure best practise and guidance is maintained. The home had completed their annual quality survey earlier in the year and the results from this were shared with the inspector at the visit. The only negative comment was about the laundry service, which the manager feels shall be resolved with the extension and the laundry being within the home. Accident forms were reviewed during the inspection, these were being appropriately completed, and a monthly audit by the manager was being completed. The managers have developed a well-organised system for staff supervision and the records were reviewed during the inspection. The home does not manage the finances for the residents; they send a receipt to their relatives. A small amount of money is kept for a couple of residents for newspapers, and receipts are maintained for this. All appropriate servicing and maintenance of the systems and equipment was being completed, and the home employs a maintenance operative to assist with this process. The fire records were available and up to date at the time of the inspection. The home has used an external company to complete their fire risk assessment, and a fire risk assessment has been completed for all residents. All staff are up to date with fire training. The requirement for the protective film for the low surface glazing is in hand when the building work commences. Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 2 3 Havencroft Nursing Home DS0000004115.V355256.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 OP7 Regulation 15 (1) (2) (b) Requirement To ensure that the residents’ care needs can be fully met; the Care plans need to provide a detailed plan of care for every assessed need. This should be reviewed and updated to reflect any changes or at least monthly i.e. weight monitoring. To further protect the residents from accidental injury, safety protective glazing film must be applied to all areas of low-level glazing. Remains outstanding from the last inspection but work is in hand. Timescale for action 04/04/08 2 OP24 13 (4) 04/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations To assist residents with more complex needs the home DS0000004115.V355256.R01.S.doc Version 5.2 Page 24 Havencroft Nursing Home 2 OP38 3 4 5 OP8 OP37 OP30 should review more suitable activities / therapies. It is recommended that the provider installs internet access for the staff to allow them to review latest information in keeping up to date, and also for the nurses to monitor clinical triggers. To further ensure the health and safety of the residents the risk assessments should be reviewed and more up to date documentation developed. It is recommended that the service review and update their policies and procedures annually to include the latest guidance and good practise. It is recommended that nurses maintain their professional accountability by attending clinical training sessions, Havencroft Nursing Home DS0000004115.V355256.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection 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 Havencroft Nursing Home DS0000004115.V355256.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!