Inspection on 23/11/05 for Hazelmere House Care Home

This inspection was carried out on 23rd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hazelmere House Care Home 10/11/08

Hazelmere House Care Home 12/12/06

Hazelmere House Care Home 30/01/06

Hazelmere House Care Home 30/03/05

Hazelmere House Care Home 13/10/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

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 Hazelmere House Care Home 2-4 Welholme Avenue Grimsby North East Lincs DN32 0HP Lead Inspector Stephen Robertshaw Unannounced Inspection 23rd November 2005 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 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. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hazelmere House Care Home Address 2-4 Welholme Avenue Grimsby North East Lincs DN32 0HP 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) 01472 240399 Homearch Limited Position Vacant Care Home 30 Category(ies) of Dementia (6), Old age, not falling within any registration, with number other category (24) of places Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th March 2005 Brief Description of the Service: Hazelmere House is situated in a residential area of Grimsby. It is within walking distance of shops. It is also on a public transport route. The home is able to support and care for up to thirty people over the age of sixty-five, six of whom can have the category of Dementia. The home is over two floors accessed by a passenger lift. An extension was completed several years ago as part of an overall refurbishment programme that has brought the standard of accommodation up to high specifications. There are twenty-eight single rooms and one shared room, and all have the benefit of en-suite facilities. There are two assisted bathrooms and a large shower room downstairs and a further assisted bathroom upstairs. The home has two lounges and a large dining room with an extra seating area at one end. There are mature gardens to the rear of the building with a patio area and lawn. There are facilities for car parking at the front and side of the building. The new manager of the home has made an application to the Commission for Social Care inspection to be recognised as the registered manager. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out on 23rd November 2005 and was unannounced. The inspection was over a period of seven and a half hours. The information for this report was gathered by the inspector through reading documentation held in the home, interviews with the management and staff, and through discussions with service users and visitors to the home. What the service does well: What has improved since the last inspection? All service users are now provided with statements of terms and conditions of their residency by the home. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 6 The homes care plans now cover the full range of needs identified at service users assessments including all aspects of health, personal and social care needs. The controlled drugs at the home are now stored appropriately in a double locked cabinet. The adult protection policy and procedure has been updated and related to the multi agency guidelines in relation to alerting, referral and investigation of suspected abuse. An appropriate whistle blowing policy was open to inspection. Staff records indicted that they are now receiving the minimum requirements for formal recorded supervision periods and annual appraisals. 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. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 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 Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4 and 5 The service users are provided with the opportunity to choose whether or not to move in to the home and how their room is individually decorated and furnished. This is all taken in to consideration in relation to their assessed needs. The home does not provide intermediate care. EVIDENCE: The inspector observed the case file records for three of the service users living at the home. All of these files included comprehensive assessments of the service users needs. These assessments were a combination of the homes pre-admission assessments and those provided through the appropriate care management team. The assessments covered all aspects of the individual service users health, personal and social care needs. This included nutritional needs assessments and mobility and handling assessments. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 9 Two of the case files observed by the inspector showed that their placement is funded through the local authority and the third was self-funding. Each service user also had terms and conditions of their residency provided through the home. This included the room of the home that they were to occupy and the fees that were payable and who was responsible for the payment. Discussions with service users confirmed that the home has the capacity to meet their individual needs. The homes quality assurance programme established in the home sends our regular questionnaires to service users, family of service users and outside professionals involved in the support of the service users. The returned questionnaires also support that the home does meet the needs of the service users. Intermediate and nursing care is not provided at the home. Potential new service users are invited to visit the home before they make a firmer commitment to live at the home on a more permanent basis. Preadmission visits to the home are recorded on the homes enquiry and referral forms. Service users spoken to by the inspector confirmed that they had been given the opportunity to visit the home before they moved to live there. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11 The service users health and personal care needs are all met well at the home and with support from specialist workers that are based in the community EVIDENCE: All of the case files observed by the inspector included care plans that had been developed by the home in relation to the assessed needs of individual service users. The observed care plans had all been evaluated on a minimum of a monthly basis. Service users or their representatives had signed the care plans in agreement to them. Where appropriate care pans were also supported by risk assessments. The home does not provide nursing care however the records evidenced that when service users have health care needs these are met by healthcare specialist that are based in the community including GP’s, district nurses and hospital specialists. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 11 The home has appropriate moving and handling equipment and the records for the maintenance of this equipment were observed and were up to date and accurate. Service users stated to the inspector that when healthcare workers see them they always do this in private. The inspector observed the administration of medication and the staffs working practices were appropriate to legislation and good working practices in the administration practices of the medication. The Medication Record Sheets were all up to date and were accurately recorded. The cabinet for the storage of controlled drugs and been amended to meet the required standards. Controlled drugs are now stored at the home in a locked cupboard within a locked cupboard. The staff that administer prescribed medication at the home have all received accredited medication training. The training is provided through a local college. The service users diary records showed that any changes in service users conditions are monitored and appropriate professional are consulted to support the service user and the home. Direct observations by the inspector and discussions with service user supported the evidence that the service users privacy, dignity and respect is upheld at all times in the home. Care plans identified the preferred term of reference for individual service users and they confirmed that staff use these when communication with them. Records in the home clearly indicate service users that have their financial affairs dealt with by family or solicitors and the actions that are taken. All of the care files observed by the inspector included their last wishes in the event of their deaths. The case file of a recently deceased service users showed that the home had provided the appropriate support and had maintained constant communication with the service users family and other professionals involved in their care. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 The service users are provided with choice and activities throughout their daily lives at the home. EVIDENCE: Individual service users case files identified the daily activities that are provided in the home and if the service user became involved in the activities or declined them. Service users stated to the inspector that they decided for themselves what activities they wanted to become involved in and that if they wanted different activities they suggested them to the staff and these were then acted upon. The service users also stated that they have choice in the meals that they eat, if they do not like what is on the menu then an alternative is provided for them and their routines of daily living are up to them. There are no different religions held by the service users in the home. They are all Christian or non-believing. A member of the local clergy regularly provides a Christian service in the home. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 13 The service users original assessments identifies their interests and hobbies before they were admitted to the home and the home endeavours to support these activities following the service users admission. The home does not use volunteers in the home. During the Christmas period the home is entertained by a local school that comes to sing carols to the service users. The home has a library and the books are provided through the local authorities library service. These are changed on a regular basis. The books are available in large print. Several service users stated to the inspector that they enjoyed reading. Visitors to the home stated that they are always made to feel welcome and can see the service users privately in their individual rooms and they also had the opportunity to access the communal areas of the home. The homes quality assurance questionnaires showed that the service users are happy with the level of opportunity to choose things for themselves at the home. All of the personal records in the home were stored in accordance with the Data Protection Act 1998. The inspector ate lunch with a group of service users. The meal was unrushed and appropriate levels of support were observed being given to individual service users that required assistance to eat their meals. The service users stated that they were always happy with the quality and size of the meals that are provided to them. The inspector also observed the homes kitchen. This was found to be very clean and there were plentiful supplies of food in the home. The temperature of the fridges and freezers were recorded on a daily basis, and the temperatures of meat arriving at the home and cooked meals were also recorded. Staff were aware of what individual service users were eating at meal times and if there were any concerns if a service users not eating for whatever reason then this is recorded on their care file. Individual service users case files evidenced that they all receive an assessment of their nutritional needs when they are admitted in to the home. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 and 18 The service users are protected from potential abuse at the home and there is a clear and easy to access complaints procedure. EVIDENCE: The home has an effective protection of Vulnerable Adults policy and procedure. This had recently been updated and gave clear indications of how appropriate referrals should be made and be recorded. A POVA investigation earlier this year resulted in a former member of staff being included on the POVA register for using abusive language towards service users. The staff member’s personnel records evidenced that her behaviours were being well monitored in the home and an appropriate referral was made to the local authority Protection of Vulnerable Adults team. The member of staff was dismissed from working at the home. The home has an appropriate whistle blowing policy and procedure that clearly indicates that the whistle blower cannot be harassed for making people aware of any concerns that they have at the home. The manager was able to provide the inspector with evidence that the service users are included on the electoral register and if it their choice to vote in Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 15 national and local elections they are provided with any necessary support that they require. There was also information to support that local councillors visit the home at the time of elections to meet with the service users. The service users spoken to by the inspector also confirmed that they have the opportunity to vote at election times. Service users that do not have the capacity to deal with their finances have this identified in their care plans and information relating to the person who is responsible for their finances is provided. This included service users that were subject to the Power of Attorney. Records of service user meetings also supported that service users are given an arena to raise any concerns that they may have to the staff and management of the home. Prospective staff wanting to work at the home have a minimum of a POVA first safety check before they begin work at the home. This is then always followed up by an enhanced Criminal Reference Bureau clearance. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 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): 19,20,21,25 and 26 The home provides a safe and comfortable environment for the service users EVIDENCE: The environment is well maintained and the service users stated that they are very happy with the condition of the home and their individual rooms. The outside of the home requires some attention. This was discussed with the management and there are some initial plans to double-glaze the windows of the home next year. There is a clear maintenance and refurbishment plan for the home. The grounds of the home are tidy and well maintained. The inspector toured the premises and was invited to see several individual service users rooms. These had all been personalised to service users Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 17 individual tastes and preferences. This included individual items of furniture, pictures and ornaments. The service users stated that when their bedrooms were redecorated they were given a choice in how they wanted their room decorating and in what colour. The lighting and furniture in the communal areas of the home are domestic in character. The toilet and bathrooms are well spaced around the home and are in close proximity to the individual rooms and communal areas. Observation of the toilets and bathrooms confirmed that the staff work well to maintain hygiene at the home and have systems in place to control the spread of infection. The home does not have sluicing facilities but the washing machines are programmable to disinfection and sluicing standards. The temperature of the hot water at the outlets are regularly monitored and recorded and are maintained at the appropriate levels to ensure the health and safety of the service users. The central heating is adjustable in individual service users bedrooms and the radiators are protected with low temperature surfaces. The emergency lighting at the home is regularly serviced and tested. The records for this were open to inspection. The inspector’s tour of the premises confirmed that it was very clean, hygienic and was free of any offensive smells. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 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 The staff working at the home have the necessary skills and knowledge to meet the needs of the service users. EVIDENCE: The manager of the home confirmed to the inspector that the staffing levels at the home are determined through using the residential forum guidelines. Service users spoken to by the inspector stated that there are always enough staff working at the home to meet their individual needs. They also sated that the staff are also very busy and do not spend their time talking to each other but are constantly involving themselves with the service users. No staff under 18 are ever responsible for the personal needs of service users and no member of staff under 21 is ever left with responsibility for the home. All new staff commencing work at the home undertake induction and foundation that is accredited by TOPP’s. The staff and management of the home are committed to the homes requirements for NVQ training and are working towards the deadline of 31st of December 2005 for a minimum of 50 of the care staff to have achieved NVQ 2 or equivalent. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 19 The staff personnel records observed by the inspector and interviews with staff confirmed that the home operates a thorough recruitment procedure that is based on equal opportunities and ensures the protection of the service users. The staff files included two written references and appropriate personal identification documents and CRB clearances. Individual staff members are provided with a copy of the General Social Care Councils code of conduct and practice. The staff training records showed that the staff working at the home receive in excess to the minimum requirement of three days paid training per year and they are provided with all of the statutory training, and specialist training in relation to the needs of the individual service users. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37 and 38 The management systems used by the home ensure that the health and safety of the service users are met and that their needs are all addressed in the home. EVIDENCE: The manager of the home has made an application to the Commission to be recognised as the registered manager for the home. She has recently completed Registered Managers Award and has undertaken several units on the NVQ 4 in care. The manager has a clear understanding of the needs of older people that are living in care and there are clear lines of accountability and responsibility in the home. This was confirmed through the inspector’s interviews with the management and staff. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 21 Interviews with staff working at the home and discussions with service users supported that he management of the home is open, positive and provides an inclusive atmosphere. This evidence was also supported through records of service users and staff meetings held at the home. Staff also stated that if they have any innovative ideas these are listened to by the management and are acted upon. The home has an effective quality assurance and quality monitoring system. The system makes plans to issue different questionnaires at regular intervals during a twelve-month period. The questionnaires are sent out to different groups of individuals including service users, families of service users, the homes staff and outside professionals. Returned questionnaires are evaluated and an action plan is created to ensure that any changes required to the services that are provided are implemented. The action plans are published and are discussed at the following service user meetings. The home did not have a business and financial plan that was open for inspection that supported that the home was financially viable and to ensure that there is an effective and efficient management of the service. The inspector observed the pocket money accounts of three service users and they were all up to date and were accurately recorded and accounted for. Individual care plans identified when service users were not responsible for their personal finances and where other people including solicitors deal with their finances for them. Receipts were available for all of the individual transactions involving the service users finances. The staff supervision records in the home and interviews with staff confirmed that the home is now meeting the minimum requirements for the supervision of the staff. The home does not use voluntary workers. The records required by regulation for the protection of service users and to ensure the effective and efficient running of the business are well recorded and maintained. All of the records in the home are stored in accordance with the Data Protection Act 1998 and other statutory requirements. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 22 The service and maintenance records were observed by the inspector and were all up to date. This included safety certificates for the gas and electrical systems in the home and all of the lifting and moving equipment. The fire system was well maintained and the fire fighting equipment was serviced at the regular interval. The home employs systems to prevent and control the spread of infection and communicable disease. One bathroom in the home had been restricted for the use of one service user that had recently been discharged from hospital MRSA positive. Food hygiene and the correct storage and preparation of food to avoid food poisoning was identified as being in position in the home. The extractor in the kitchen is on a three monthly plan to clean. All electrical appliances in the home are PATT tested on an annual basis. The nurse call system in the home is well maintained and serviced. The hot water temperatures at the outlets are recorded on a regular basis. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 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 X 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 X X 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 1 3 3 3 3 Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 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 Standard OP34 Regulation 25 Requirement The registered person must ensure that the home has an up to date business and financial plan that is open to inspection and supports the financial viability of the home over a twelve-month period. Timescale for action 01/01/06 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 2 3 Refer to Standard OP28 OP31 OP31 Good Practice Recommendations The registered person must ensure that a minimum of 50 of the care staff achieve NVQ 2 or equivalent by 31st December 2005. The registered person must ensure that the manager of the home has completed the Registered Managers Award and achieved NVQ 4 in care by 31st December 2005. The registered person must ensure that the manager of the home successfully completes an interview with the Commission to be recognised as the registered manager of the home. Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Hazelmere House Care Home DS0000002849.V267670.R01.S.doc Version 5.0 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!