Inspection on 13/06/06 for Hazel Bank Nursing Home

This inspection was carried out on 13th June 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hazel Bank Nursing Home 12/06/08

Hazel Bank Nursing Home 15/12/05

Hazel Bank Nursing Home 04/01/05

Hazel Bank Nursing Home 08/07/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hazel Bank Nursing Home Daisy Hill Lane Daisy Hill Bradford West Yorkshire BD9 6BN Lead Inspector Pamela Cunningham Unannounced Inspection 13th June 2006 10:00a 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 Hazel Bank Nursing Home DS0000045223.V295964.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. Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hazel Bank Nursing Home Address Daisy Hill Lane Daisy Hill Bradford West Yorkshire BD9 6BN 01274 547331 01274 482824 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) Park Homes UK Ltd Mrs Kathleen Bailey Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39), Physical disability (2), Physical disability of places over 65 years of age (39), Terminally ill over 65 years of age (4) Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The place for PD is specifically for the named service user The 2nd place for PD is specifically for the female service user named in the application for variation dated 1 August 2005 15th December 2005 Date of last inspection Brief Description of the Service: Hazel Bank is part of the Park Care Homes UK group and is managed by them. It is situated about half a mile from Bradford Royal Infirmary and is an impressive stone building that has been extended in keeping with the original house. There is ramped access to the front of the building and adequate parking is available. Care is provided over three floors in single and double rooms, the majority of which have en suite facilities. The home offers nursing and personal care for people over 65 and is registered to provide care to people with terminal illness. Currently the homes fees are between £434 and £578 per week. A variation to registration is to be applied for one placement. The communal rooms are very comfortable, being furnished and decorated to a high standard. The home is fairly well maintained and offers congenial accommodation where residents can sit and socialise. Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out by one inspector who was at the home for one day. The main purpose of this inspection was to make sure that the home provides a good standard of care for the residents and to assess progress on meeting any requirements or recommendations made at the last visit. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk. The inspection year runs from April 2006 to June 2007 during which time, depending on the quality rating of the home, all care homes will have a minimum of one key inspection. Hazel Bank was, at the last inspection of 15/12/05, assessed as performing adequately. A pre inspection questionnaire asking the manager to provide up to date information about the home has been forwarded to the home since the inspection visit . Comment cards with pre paid envelopes were left in the home inviting people to express their views about the service, six of which have been returned at the time of writing the report. This report is based on information received from the home since the last inspection in December 2005, observation and conversation with residents and staff and discussion with the manager. Review of 3 sets of care documentation (which included case tracking), and an inspection of the premises. This included an inspection of some bedrooms, all communal areas, and an overview of the grounds. In addition to the time spent in the home, time was spent preparing for this inspection. What the service does well: Each resident has a comprehensive care plan in place with their needs clearly identified along with the tasks needing to be done, in order for these needs to be met. Any allergies and specific instructions were clearly identifiable in the care plans. Regular staff meetings and supervision sessions are in place, and education of staff appears to be a high priority. Residents meetings are held on Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 6 a regular basis and ideas from these continue to be used to improve care at the home, one being changes to the menus. Residents spoken to said that they are able to go to bed and get up at times convenient to them. They are able to have visitors with no restrictions and can go out with family. All of the residents spoken to said that they feel respected by staff and that they are well looked after. Everyone said that they would have no problem speaking to the manager or staff if they had any concerns. Comments about the quantity and quality of food were varied. One resident commented that the food was sometimes “not to her liking, and that there was not much choice”. Another resident said that the food was “so so”, good sometimes and not so bad at others, but that she could have a choice of something she fancied that was not on the menu. However two other residents said “there was always something to tickle your taste buds, and that it was always presented nicely and was hot.” The activity organiser plans activities that are suited to the residents’ abilities and take account of their preferences. One lady resident said she preferred to spend time in her room, and that this was respected. Residents who smoke have been provided with an area specifically for their use, however as this is a public thoroughfare it is not an ideal place, as the smoke tends to filter through to other areas of the home. What has improved since the last inspection? What they could do better: Provide height adjustable beds for all residents receiving nursing care. Explore ways of providing hand-washing facilities in the two bathrooms identified within the main body of the report. Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 7 Ensure the clinical waste bin in the sluice on the 1st floor is provided with a close fitting lid, and the louvres in the doors of the linen stores and sluices are infilled as recommended by the West Yorkshire Fire and Rescue Service at their last inspection of 15/03/06. 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. Hazel Bank Nursing Home DS0000045223.V295964.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 Hazel Bank Nursing Home DS0000045223.V295964.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5 and 6 Quality in these outcomes is good. This judgement has been made through using available evidence including a site visit to this service. Current and potential residents and their relatives have access to comprehensive information, so that they can make informed decisions on whether the home is able to meet their specific care needs. Each resident has a written individual service contract or equivalent for the provision of care with the home, whether publicly or privately funded. The care needs of residents and their personal and family carers, when appropriate, are individually assessed before they are offered a permanent place in the home. Prospective residents and their relatives or representatives have an opportunity to visit and assess the quality, facilites and suitability of the home. Intermediate managed care is not provided. EVIDENCE: Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 10 All the information in the service user guide is written in plain English. Case tracking identified pre admission assessments had been carried out, and one of the care staff said the manager had taken her along to witness the assessment process, and to meet the resident. Some residents spoken to said they remembered the manager visiting them before they had decided to come and live at the home, whilst one resident said she had been so ill she could not remember, and that she had not visited the home before she was admitted. She said she had relied on her family to make that choice for her, and that she was pleased they had chosen Hazel Bank, and that she was “happy here” Two permanent staff were spoken to and were able to describe the admission process, and one said she thought it was important that new residents were made to feel welcome. Pre admission documentation was good, and in some cases the documentation included a copy of the care management assessment. All care documentation inspected contained a copy of the terms and conditions of residency, and many were signed by either the resident or their near relative. Hazel Bank Nursing Home DS0000045223.V295964.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the home. The residents’ health and social care needs are set out in an individual plan of care. Residents’ health care needs are fully met. Residents’ feel they are treated with respect and their right to dignity is upheld. EVIDENCE: Three sets of care documentation were chosen for review and case tracking. One was of a resident who was receiving palliative care. One was of a resident who had been admitted under the Care Programme approach, and one was of a resident who had lived at the home for some time. Pre admission assessment documentation was informative and drew a picture of the person assessed as needing care to be provided. All care plans were linked to risk assessments where a risk to the resident had been identified, and any problems identified in the daily statement of care were carried over into the care plans as a short term care plan. There was also evidence of monthly reviews of the documentation. However care plans, and information written in the daily statement of care, written by Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 12 one of the qualified staff was extremely difficult to read. This nurse was identified to the manager at the time of the visit. Abbreviations were also noted in the daily care record, and gaps of one line were seen between days. It is important that gaps are not left in recording, to make sure information cannot be added retrospectively. All residents seen at the time of the visit were nicely dressed in appropriate clothing for the weather, with attention paid to hair and nails. Residents spoken to said they were treated with respect and that staff always knocked on their bedroom doors before entering, which was seen by the inspector during the inspection. Hazel Bank Nursing Home DS0000045223.V295964.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the home. On the whole residents appeared pleased with the food provided at the home. Menus were varied and appeared nutritionally balanced. Residents are helped to have a choice and take control over their lives by being invited to take part in meetings, however due to the increasing frailty, these meetings are not very well attended. EVIDENCE: One resident commented that the food was sometimes “not to her liking, and that there was not much choice”. Another resident said that the food was “so so”, good sometimes and not so bad at others, but that she could have a choice of something she fancied that was not on the menu. However two other residents said “there was always something “to tickle your taste buds, and that it was always presented nicely and was hot.” The dining area continues to be a pleasant place to eat and socialise, and there was sufficient crockery and cutlery for all residents. Tables were nicely set with condiments for residents to use, and where appropriate, certain tables were Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 14 laid with a teapot and water jug. Tables were also set with glasses should residents prefer a cold drink with their meal. One resident commented that she always looked forward to mealtimes so that she could have a talk to other residents. Hazel Bank Nursing Home DS0000045223.V295964.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 inspected at least once during a 12 month period. 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 site visit to the home. The home has an adequate complaints procedure that contains the timescales for the completion of the process. Residents feel safe and that their concerns are listened to and acted on. Recent documentation forwarded to the Commission both by Adult Protection, and the nursing director for the group confirmed appropriate action had been taken when allegations had been made. EVIDENCE: Three residents in the smoking area said the staff were very approachable, and they always felt they were taking on board what they said, although they said they had never had any cause to complain. One relative said, “the manager is delightful”, and always stops to say hello. She said she had no complaints, only minor concerns about missing laundry, but these had been dealt with. She said she was aware of the complaint procedure but felt that communication was so good that her concerns never developed into complaints. Staff spoken to confirmed they had received POVA training, and described the complaints procedure. Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 22, 23 and 24 Quality in this outcome area is poor. This judgement has been made using available evidence including a site visit to the home. Although residents in general were happy with their rooms, and the communal areas which have been recently redecorated, there is lack of maintenance throughout some of the areas of the home previously mentioned. Not all residents assessed as requiring nursing care have been provided with a height adjustable bed. EVIDENCE: A tour of the home was undertaken, and a spot check was made of certain bedrooms. The building has a homely atmosphere. Individuals spoken to said they were happy with their rooms. The domestic who has changed roles within the past twelve months from cook to housekeeper told me she was happy in her new role, and felt she could do Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 17 more to ensure the home, and not just the kitchen was kept clean. She also demonstrated awareness of COSHH (Control of Substances Hazardous to Health) regulations. She also said she enjoyed being able to spend more time with the residents as she did her work. Many rooms were clean and delightfully personalised with objects brought in by the residents. All rooms inspected with the exception of Room eleven which had an unpleasant odour, were clean and fresh smelling. Room eleven however, has a damaged door to the en-suite facility, needs redecorating. Two of the bathrooms, which the manager said were unused, have no hand washing facility installed. One bathroom near room 12 needs upgrading. It was quite drab looking, and the wall over the radiator was dirt stained by the constant heat from the radiator. The two bath chairs for use with the Ambulift hoist facility were dirty and need cleaning. The clinical waste bin in the sluice on the 1st floor was without a close fitting lid, and the louvres in the doors of the linen stores and sluices had not been infilled as recommended by the West Yorkshire Fire and Rescue Service at their last inspection of 15/03/06. It was also noted that the carpet on the back staircase to the middle floor was badly stained, and was looking very shabby. The staff room on the ground floor was very dirty with worn chairs and a badly stained and dirty carpet. The exterior of the home is well maintained and the garden areas were very tidy. The dining area continues to be a very pleasant area for people to meet and chat whilst having a meal. There are currently five height adjustable beds, the remainder being divan beds. Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 29 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the home. The employment of a senior nurse in the role of clinical nurse manager has had a big impact on the provision of care in the home. Both residents and staff indicated she was very approachable, experienced and knowledgeable. Training appears to be a high priority in the home with many care staff undertaking training at various levels. EVIDENCE: The home has recently employed a first level registered nurse as clinical nurse manager to work full time opposite the manager. This appointment has benefited the home in that the manager now has time to fulfil her management and supervisory role effectively. She has given over the management of the medication system to the clinical services manager, and is now not the only registered nurse prescribing care. The senior nurse told me that she had received 6 weeks induction period, followed by a probationary period, during which time she was monitored by the home manager. She said has completed a course in tissue viability, and Phlebotomy, and is to complete a course on male catheterisation. She also told me she is waiting to represent the home at a monthly tissue viability update and is the homes tissue viability link nurse. Care staff spoken to at the time of the inspection confirmed they were undertaking NVQ training at various levels up to level 4, which is Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 19 commendable. They also said they had received induction and foundation training. This was confirmed by entries in their personal files. One of the care staff said she had received specific training, and undertook continence assessments and completed social assessments for the residents receiving personal care. She also said she was “thirsty for knowledge” and was undertaking NVQ level 4. Comments from care staff and residents about the new senior member of staff were very complimentary. Comments such as “she always has time for you”, and “she is very quick and very efficient”, were passed. Feedback from residents who have completed survey forms were very positive, and said that staff were very good and always had time for them. Information given at the time of the inspection from the manager regarding the status of NVQ training was good. Currently there are seven care staff that have completed NVQ level 2. Four staff are in the process of completing level 2. Three care staff are to commence level 2 training the Friday following the inspection, and three are to enrol to do level three at the end of July in the current year. Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the home. The Public Liability Insurance certificate displayed in the hallway was up to date. There was no concern about Health and Safety within the home. Care staff spoken to said they had received induction and foundation training, and were up to date with all mandatory training. EVIDENCE: During a tour of the premises, it was noted the Public Liability Insurance certificate displayed in the hallway was up to date. All areas of the home were free from clutter, as were all fire exits and stairwells. Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 21 Residents spoken to said they were kept up to date about any changes made in the home, and knew who all the senior members of staff were, including the nursing director who regularly came to the home. They also said they knew there was a new senior nurse employed. Care staff spoken to confirmed they had received induction and foundation training, and were up to date with all mandatory training. One member of staff who has worked at the home for approximately seven months said she had a full induction, and did not provide any care until she had received manual handling training. She also said she had been supernumerary during this time, and worked closely with one of the other senior care assistants. Hazel Bank Nursing Home DS0000045223.V295964.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 4 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 2 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 3 3 3 2 X X STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X 3 X X X 2 Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? yes 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 OP8 OP24 Regulation 14 16 Requirement The Registered Provider must ensure that all residents assessed as receiving nursing care are provided with a height adjustable bed. (still within timescale of 30/06/06) Thought must be given to how and when these beds are to be provided. The registered provider must ensure that all areas of the home are decorated and maintained to a good standard, and that all worn and stained carpets are replaced. The registered provider must ensure the clinical waste bin in the sluice room on the first floor is provided with a close fitting lid The registered providers must actively seek ways to install hand-washing facilities in the two bathrooms, which are at present, unused. The registered provider must ensure louvers in the doors of the linen stores and sluices are infilled and all other work identified as necessary, is DS0000045223.V295964.R01.S.doc Timescale for action 01/01/07 2. OP19 23(2)(b) 01/01/07 3. OP26 13 (3) 16(2)(j) 13 (3) 16(2)(j) 31/07/06 4. OP26 31/10/07 5. OP38 23 01/01/07 Hazel Bank Nursing Home Version 5.2 Page 24 completed as recommended by the West Yorkshire Fire and Rescue Service at their last inspection of 15/03/06. 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 OP27 Good Practice Recommendations The Registered Provider must continue to explore ways of increasing the numbers of permanently qualified staff employed on day duty. Hazel Bank Nursing Home DS0000045223.V295964.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hazel Bank Nursing Home DS0000045223.V295964.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. 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