Inspection on 07/07/05 for Hill Top Manor Care Home

This inspection was carried out on 7th July 2005.

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

Hill Top Manor Care Home 10/02/10

Hill Top Manor Care Home 18/08/09

Hill Top Manor Care Home 18/05/07

Hill Top Manor Care Home 21/02/06

Hill Top Manor Care Home 08/02/05

Hill Top Manor Care Home 06/07/04

Hill Top Manor Care Home 29/01/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Hill Top Manor Care Centre High Lane Chell Stoke on Trent Staffordshire ST6 6JN Lead Inspector Yvonne Allen Announced 07 July 2005 09.30hrs 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 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. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hill Top Manor Care Centre Address High Lane Chell Stoke on Trent Staffordshire ST6 6JN 01782 828480 01782 828480 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) BetterCare Group Limited Kathleen Mary Barcroft Care Home with nursing 80 Category(ies) of 80 OP registration, with number 10 PD of places 1 DE 1 DE(E) Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 19 Beds for Intermediate Care aged 18 to 60 years 61 OP - long, short & respite stay 10 PD - long, short & respite stay minimum age 18 years Date of last inspection 08 February 2005 Brief Description of the Service: Hill Top Manor is a care home that can provide nursing care for male and female service users requiring long, short or respite care. The majority of service users are frail elderly people but the home can also accommodate people above the age of 18 who require intermediate care. The home has a separate dedicated intermediate care unit for up to 19 people that enjoys its own facilities.The home is a two storey purpose built building situated in Chell, a small residential suburb within the Potteries conurbation. It is situated on a main road and provides easy access to local shops and amenities. It is within walking distance of bus routes and the home provides ample parking space. There are well-tended gardens that are accessible to service users. The home provides care for up to 80 people on two floors. There is lift access between floors. The majority of rooms at the home are single but there are four companion rooms available. Many of the rooms have en-suite facilities. There are a number of communal rooms, three dining rooms, an activity room and adapted bathing facilities. There is a central kitchen and laundry. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was conducted by two inspectors over on day taking 6 hours to complete. Inspectors toured the home and chatted with staff, residents and visitors. Relevant documentation was examined in relation to the inspection. Both the registered manager and regional manager were present throughout the inspection and verbal feedback was given at the end. The home had changed hands since the last inspection to Four Seasons Health Care. This change over had had little or no effect on the residents and/or staff in the home. Management of the home had remained the same in relation to both the Registered and Regional Managers. What the service does well: This was a very positive inspection where almost all the standards inspected had been fully met and some were exceeded with a scoring of 4. Not all of the standards were assessed during this inspection. The home provides a very comfortable well-adapted environment for the residents who live there. The home was clean and well presented with systems in place to help the control of infection. The services provided at the home were very well received by the residents and all residents spoken to were complimentary about the home. Staff were observed to be attentive to the needs of residents and carried out care with dignity and respect. The home was very well managed and staff felt supported by the manager. Staff training was very good with training geared to meeting the needs of the residents. The intermediate care unit was offering a very good service to residents referred from the local hospital. The standard of care planning was high and plans were comprehensive and regularly evaluated. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 6 Individual health care needs were very well monitored and access to healthcare professionals was facilitated. The standard of nursing care provided was high with nurses observed as being efficient and professional in their approach. Residents were able to specify choices and preferences and exercise personal autonomy in relation to all services received. There was a varied and extensive activities programme, which was well managed. Residents considered the standard of meals provided to be good/excellent. 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. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 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 standard(s) 3, 4 and 6 Residents entering the home could be assured that their assessed needs would be met. EVIDENCE: Discussions with residents regarding admission to the home confirmed that, although many had not personally visited the home beforehand, on arrival they had found a copy of the service-users Handbook in their bedroom which provided a good outline of the services offered in the home including mealtimes, activities and so on. All residents have their needs assessed before being offered accommodation at the home. Pre-admission assessments were seen and these formed a basis for the individual care plan. There was a unit dedicated to admitting residents for intermediate care and the local hospital had recently contracted with the home again for this continued service. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 9 Discussions with staff and management and examination of individual plans identified that the assessed needs of residents were met on an on going basis by the home. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 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 standard(s) 7, 8 and 10 Residents were receiving a high standard of personal and nursing care in a dignified and caring environment. EVIDENCE: A random selection of care plans was examined from each unit throughout the home. These were all seen to contain the required information, risk assessments, regular evaluations and signatures from representatives. On the intermediate care unit short-term care plans and goals were in place. These had been developed by the hospital and were continued and overseen by the staff on the unit. Individual health care needs had been assessed and monitored with intervention, treatment and advice from other healthcare professionals as required. There was evidence of the monitoring of medical conditions such as diabetes and the monitoring of nutrition, pressure risk assessment and prevention of pressure sores, continence assessment, falls risk assessment and assessment of mobility. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 11 On the intermediate care unit inspectors observed physiotherapists and occupational therapists working with residents as part of their care plan. The Registered nurse explained that weekly meetings are held with members of the intermediate care team to discuss individual progress. Without exception, all residents spoken to were very complimentary about the care they received from staff. They said staff responded quickly to their personal care needs and were pleasant and helpful at all times. Residents accommodated on the intermediate care unit were full of praise for the staff and very happy with the care they had received. Some were preparing to go home following the period of convalescence. The occupational therapist was observed preparing for a home visit to assess what assistance the resident would require. None of the residents spoken to were aware of their care plan. It was not clear whether this was because the plan was perceived by them to be unimportant or whether it was because the plan had not been promoted and discussed by Key Workers with them. There was evidence of consultation with residents and/or representatives contained in care plans including signatures of agreement. Visitors spoken to were very satisfied with the services offered to their relatives. In relation to the promotion of privacy and dignity, nothing other than good practice was observed. Many residents chose to leave their bedroom doors open but staff were observed to still knock and wait for permission to enter. Staff were discreet and sensitive when carrying out personal care tasks for residents/clients. Instructions in relation to the maintenance of privacy and dignity were contained within care plans. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 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 standard(s) 12, 14 and 15 The home is conducted so as to maximise residents’ capacity to exercise personal autonomy and choice. Routines of daily living and activities are made flexible and varied. Residents receive a varied, appealing and nutritious diet, which is suited to individual requirements and preferences. EVIDENCE: Residents comments about meals varied from good to excellent. Hot and cold drinks were seen to be offered on a regular basis and residents said they were able to ask for additional drinks at any time. Biscuits were usually served with drinks. Residents said they could also ask for drinks for their visitors. There was documentation in care plans to confirm that dietary needs and preferences were upheld. Residents said they were able to choose when to rise and go to bed. They also said they were able to make choices in other aspects of the daily routine such as where they took their meals, whether to participate in activities or not and so on. There was documentation of individual choice contained in care plans. This record specified preferences in relation to daily routines and personal care services. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 13 There were two part-time Activity Coordinators working in the home. There was a weekly programme of planned activities available to all residents as well as some time set aside for individual residents who, for various reasons, were unable to join in group activities. Whilst some activities were of interest to both male and female residents, the majority of crafts tended to be those traditionally enjoyed by women. There were a small number of male residents and it was considered that further thought could be given to expanding a range of activities best suited to their interests. The home has access to a company mini-bus for two weeks at a time, on a six weekly basis. In the interim weeks, the home has a budget to be able to hire vehicles to take residents on outings. A small number of residents said they would like more walks and local trips, particularly without needing to plan this a day or more in advance. Activities undertaken and offered to residents were recorded in individual plans. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 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 standard(s) 16 and 18 Residents and their representatives could be assured that any complaints and concerns would be taken seriously and that the systems in place would help to protect them from harm. EVIDENCE: There is a clear and accessible complaints procedure in place at the home. All concerns are taken seriously and complaints are fully investigated by the manager with clear records maintained of investigations and outcomes. The complaints procedure contained within the Service User Guide will need to include the telephone number of the local CSCI office. The CSCI had not received any complaints directly since the last inspection. Ancillary staff were aware of the need to report any concerns about residents to care/nursing staff. Care staff had received training in the Protection of Vulnerable Adults. They said they were confident in raising any concerns and would not hesitate to do so. No concerns were raised or identified during the inspection in respect of the care or welfare of residents. Staff are carefully selected to work at the care home and undergo police CRB checks before being offered employment. Evidence of these checks were seen at the time. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 15 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 standard(s) 19, 20, 22, 23, 24, 25 and 26 Accommodation offered to residents is clean, comfortable and adapted to individual requirements. EVIDENCE: All but two bedrooms were for single occupancy. Whilst residents sharing a bedroom said their views had been sought initially and the arrangement agreed to by both parties, they had since changed their views and both were wishing to have their own room. Whilst there was no provision for this to be acted upon at the time of the inspection - due to full occupancy in the home it is recommended that consideration be given to providing single accommodation to residents in shared bedrooms, in accordance with their wishes. All the bedrooms visited were in good decorative order although some were in need of upgrading as the décor was a little dated. None of the bedrooms had a door lock. However, there was evidence the views of residents had been sought about this matter and none had chosen to have a lock fitted. A small Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 16 number of rooms were seen to have a damaged internal door, leading to the en-suite facility. This had been caused by the handle of one door hitting against the middle of another. Although repairs had been affected in some instances, the appearance was unsightly and at odds with the otherwise good standard of accommodation. There is a recommendation for minor repair work to be completed in bedrooms. The standard of cleanliness throughout was good and there was only one area, which had an unpleasant odour. The systems in place helped to control the spread of infection. Residents had brought in various small items of their own furniture and all bedrooms were personalised according to individual choice. In one bathroom there was an unlocked cupboard, which contained half-used gels, oils and creams. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30 Staffing levels and skill mix of staff were appropriate to the assessed needs of residents, the size, layout and purpose of the home. EVIDENCE: At the time of the inspection there were 77 residents accommodated in the home in total. On the second floor there were 47 residents accommodated receiving nursing care. There were 2 trained nurses on daily and 1 at night. There were 8 care assistants working from 7am-2.30pm. From 2.30pm8.30pm this number was reduced to 5. Through the night there were three care assistants working with the nurse. It is recommended that nightime staffing levels be reviewed on this unit with a view to another care assistant being provided. On the ground floor unit there were 14 residents accommodated 6 receiving nursing care and 8 personal care. There was a trained nurse working daily together with 2 care assistants. At night there was 1 nurse and 1 care assistant. On the intermediate care unit there were 16 residents accommodated. There were 2 trained nurses on daily from 8am-8pm plus 4 care assistants. The staffing for nightime was 1 Registered nurse and 2 care assistants. The home employed a housekeeper, domestic staff, cooks and kitchen staff, maintenance person, activities co-ordinator and assistant and administrator. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 18 Discussions were held with four staff members, representative of care, ancillary and support teams. All said they had received training appropriate to their various roles and responsibilities. One member of care staff spoke about having completed a relevant NVQ qualification whilst another was completing her Induction programme. The percentage of care staff trained to NVQ level 2 and above was running at 39.2 and this will need developing in order to achieve 50 minimum standard. Staff training records showed all kitchen staff had completed Health and Safety, Level 1. The majority of nursing/care staff have completed Infection Control and Health and Safety training and reminders have been sent to those outstanding. Felt there was a good commitment to training by staff themselves and they spoke about good support from management. The Manager produced the ‘conversion training pack’ for overseas nurses coming to work in the home. This was an accredited course, which was robustly applied in the home. Good practice was demonstrated in this area. Although there has been a recent change in ownership of the home, this did not seem to have impacted unduly on staff morale. There were plans for all internal support staff to revert to being under the direct management of the homes’ Manager; an external company currently manages them. Not surprisingly, ancillary staff remained a little anxious about the proposed change. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 37 and 38 Management of the home is open, positive and inclusive. The manager ensures, so far as is reasonably practice, the health safety and welfare of residents and staff. EVIDENCE: Staff meetings were said to take place regularly. Separate meetings were also said to be held on the Intermediate Unit every three to four months to discuss issues pertinent to the work they undertake. The Manager displayed clear leadership and a commitment to offering residents a quality service. She was seen to be readily accessible to both residents and staff. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 20 Staff commented that they felt supported by the manager and they could approach her with any concerns they might have. One of the registered nurses who had worked at the home for several years had recently been promoted to Deputy Manager. Discussions with him confirmed his skills, knowledge and suitability for this role. Records were maintained secure and in accordance with Data Protection. A newly appointed person spoke about having received training in ‘moving and handling’ prior to being allowed to undertake any personal care of residents. Records about training either completed or outstanding for individual staff were computerised. All staff had completed Fire Safety training as part of their Induction but some were overdue to attend refresher training in this respect. Action had already been taken by the Manager to remind staff of the need to attend the next planned session, which was due to take place a few weeks after the inspection visit. Good attention was being given to fire safety matters. Fire safety log – records showed regular testing of emergency lighting system, weekly alarm bell tests. Fire fighting equipment was checked every month. Records also demonstrated that action is taken quickly to respond to any faults or defects. There have been two planned fire drills and one, unplanned, full evacuation since the beginning of April ‘05. Records of staff involved in drills and evacuation were comprehensive. A fire and safety assessment is completed each month in the home. Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 x 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 4 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 4 4 x x x x 3 3 Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 22 no Are there any outstanding requirements from the last inspection? 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 38 Regulation 13(4) Requirement Timescale for action Immediate and on going 2. 3. 38 16 13(4) 22(7) The cupbard seen in the intermediate care unit containing various creams and lotions must be kept locked. COSHH products must not be left Immediate unattended on cleaning trolleys. and on going The complaints procedure By 20/8/05 contained in the Service User Guide must contain the telephone number of the local CSCI office. 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 12 Good Practice Recommendations There were a small number of male residents and it was considered that further thought could be given to expanding a range of activities best suited to their interests It is recommended that consideration be given to providing single accommodation to residents in shared bedrooms, in accordance with their wishes It is recommended that minor repair work should be completed in bedrooms. E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 23 2. 3. 23 24 and 19 Hill Top Manor Care Centre 4. 27 It is recommended that nightime staffing levels be reviewed on the second floor nursing unit with a view to another care assistant being provided. NVQ training will need to be stepped up in order to reach the level of 50 minimum standard It is recommended that the home has continued use of a minibus for outings. 5. 6. 28 12 Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Hill Top Manor Care Centre E51-E09 S26948 Hill Top Manor V232638 070705 Stage 4.doc Version 1.40 Page 25 - 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. 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