Inspection on 14/07/06 for Hillswood Lodge

This inspection was carried out on 14th July 2006.

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

Hillswood Lodge 26/01/09

Hillswood Lodge 16/11/05

Hillswood Lodge 24/05/05

Hillswood Lodge 18/01/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Hillswood Lodge 9 The Close Endon Stoke On Trent Staffordshire ST9 9JH Lead Inspector Rachel Davis Key Unannounced Inspection 14 July 2006 10:30 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 Hillswood Lodge DS0000059811.V302586.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. Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillswood Lodge Address 9 The Close Endon Stoke On Trent Staffordshire ST9 9JH 01782 504637 01782 504777 sandraseabridge@hotmail.com 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) Hillswood Care Ltd Helen Josephine Sharif Care Home 16 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (16) of places Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Manager must complete the Registered Manager’s Award Date of last inspection 16th November 2005 Brief Description of the Service: Hillswood Lodge is a residential care home offering 16 places for older people; four of these may be for service users with dementia over the age of 65. There were no vacancies at the time of this inspection. The home can accommodate 4 people with dementia, the staff are trained in this area and the inspection process confirmed the home is able to meet individual needs. The pre inspection questionnaire document informed the Commission for Social Care Inspection on 26/06/06 that Hillswood Lodge charges its residents £354 per week for a single room, £334 for a double room and £395 for respite care. The home is a large detached property located in the centre of Endon situated at the top of a private drive. Local amenities are within a short walking distance and the local towns are accessible by car or public transport. Both the exterior and interior of the property are very well maintained; the home is exceptionally clean and the décor is set to a high standard. The residents are offered easy access to all areas of the home by the use of grab rails and a lift. All bedrooms meet the required sizes set out by the national minimum standards and are equipped with suitable fixtures and fittings. The bathrooms and toilets are well located and offer appropriate equipment and facilities. Communal areas are spacious and comfortable; one of the lounge areas has French doors opening onto a large patio area, overlooking a mature and wellkept garden. Adequate parking is available. The responsible individual for Hillswood Lodge is Mr John Howard, the registered manager Sandra Seabridge has recently resigned and this position is in the process of being filled. An application is being submitted to the Commission for Social Care Inspection. Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over 6 hours by one inspector who used the National Minimum Standards for Older People as the basis for the inspection. This visit was a key inspection and therefore covered all of the core standards. The inspection included an examination of records, scrutiny of pre-inspection information completed by the manager before she resigned, indirect observation, and discussions with residents, senior staff, care staff and visitors. Feedback from questionnaires is also recorded within this report. Eight comment cards were received back from relatives, no concerns were raised. One reported: “I have found the care and understanding my relative requires has been excellent, it is a wonderful residential home.” The lead inspector has not made any additional visits to the home since the last inspection held in November 2005. The Commission has made one visit to the home following a complaint letter; this complaint was partly upheld but fully resolved. One allegation under the vulnerable adults procedure has been investigated, the home dealt with this situation appropriately. Five requirements and 2 recommendations were made as a result of this visit. Requirements made at the last inspection have been met. This was considered to be a positive inspection. What the service does well: All the staff within the home contribute to the high standard of service provided. Their commitment to the provision of a quality service for the residents is commendable. Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 6 The home work in partnership with other professional bodies to ensure the best outcome for the residents. The proprietor and staff are transparent and open and always welcome discussions around continually taking their service forward. The home operates a service user centred approach and demonstrates a very good understanding of the residents care needs. Care planning is of a high standard The home takes pride in supporting staff and ensuring staffs individual needs are identified and met accordingly. The care staff on duty felt well supported. Communication and information exchange with all relevant parties is excellent. The home ensures staff are not employed without full employment checks therefore confirming they are suitable people to work with older people. All newly appointed staff undergo an excellent induction programme to promote good practice, confidence and understanding in the service delivery, and the homes policies and procedures. There is a commitment to National Vocational Qualification training for staff. The home is kept exceptionally clean and is a credit to all the staff. What has improved since the last inspection? The home has met all of the requirements made at the last inspection. The inspector can confirm that the following have been implemented. The proprietor has ensured all wardrobes are affixed and has provided non-slip flooring where required. The home has also had new flooring downstairs on the laundry / medical room corridor. The proprietor has also ensured that fridge and freezer temperatures are suitably recorded, accurate and up to date. Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 7 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. Hillswood Lodge DS0000059811.V302586.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 Hillswood Lodge DS0000059811.V302586.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): 3, standard 6 is not applicable to this home. Quality in this outcome area is “adequate”. This judgement has been made using available evidence, including a visit to this service. Hillswood Lodge delivers a professional, flexible, reliable and focussed service. Information offered ensures that residents and prospective service users can make an informed choice about the home. The home must ensure they complete more robust and therefore fully effective pre assessments for potential residents. All residents who move into the home receive written confirmation from the home to say they can meet these needs. EVIDENCE: Records showed that pre-admission assessments were carried out prior to admission by the home and residents received written confirmation that their needs could be met. The pre assessment document is well designed but is not as comprehensive as it needs to be. It must include all the physical, psychological and social needs asked for under standard 3.3. Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 10 It was confirmed that the senior staff or the new manager Libby Williams (start date 03/07/06) would complete the initial assessment on those referred. This home does offer short-term respite care. A recently admitted resident explained that a meeting had taken place with their family and a social worker and felt they were made fully aware of things and were well informed. A visitor also confirmed that the care received was “Brilliant” and that the home had “offered stability and kept the family well informed.” Hillswood Lodge DS0000059811.V302586.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, 9 and 10. Quality in this outcome area is “good”. This judgement has been made using available evidence, including a visit to this service. The assessed health and personal care needs of residents are suitably documented and were being met, good standards of care continue. Residents were treated with respect, privacy and dignity. The risk assessment and decision-making systems are transparent but some require further development. Medication is well managed and the systems in place safeguard the resident. EVIDENCE: All residents had care plans and two care plans were studied in depth. Each individual plan contained a photograph of the resident and the care plans were detailed and thorough and covered all the assessed needs. This included admission details, aspects of care, daily report, professional’s visits and risk assessments. The Commission advised the senior on duty to revisit some of the risk assessments to ensure that a management plan was in place, risk assessments relating to medical conditions were also absent in some areas. Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 12 Care plans were reviewed monthly and the standard of recording was very good and meaningful. From inspection of records and discussion with the staff it was revealed that residents received a range of health care services according to their need. Documentation revealed health professionals such as the GP, physiotherapist, chiropodist, dentist etc were regularly accessed to meet the needs of the residents. Inspection of the Medicine Administration Records, the Controlled Drugs Register and drug stock levels evidenced that procedures were in place for the receipt, storage, administration and disposal of medicines. Records were correct and stock levels balanced, the storage area for medicines was clean and tidy. All staff have completed or are undertaking suitable training in medication storage, administration etc. Hillswood Lodge DS0000059811.V302586.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): 12, 13, 14 and 15. Quality in this outcome area is “excellent”. This judgement has been made using available evidence, including a visit to this service. There is a planned approach to supporting residents with social and recreational activities. There was evidence to confirm that good attention was taken with the standard of catering and the promotion of choice. EVIDENCE: It was evident that individuals’ needs would be well researched; considerations were dealt with as the need arose, staff understood the needs of the resident group well. Residents gave their opinions and expressed what activities they enjoyed with the inspector and confirmed they received “choice.” Discussions confirmed residents had contact with clergy or church representatives and good pastoral support was offered. Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 14 Residents referred to a recent trip to Morrisons which they had thoroughly enjoyed, they stated they liked the fact they had “shopped for themselves” rather than having to ask the care staff or family members to purchase cards, presents etc. The residents confirmed they enjoyed the activities offered at Hillswood Lodge and there were written records to confirm what was offered. Discussions on how to further develop the scope of recreational activities was discussed with the senior on duty at the time of inspection. Catering standards were good and all the documentation regarding and fridge freezer temperatures were seen to be up-to-date and correct. A choice of menus was available and when the inspector asked what residents they liked about living at Hillswood Lodge they all said “the food.” One service user said, “Cook 1(name omitted) is a very good cook, she’s a darling, Cook2 (name omitted) is very nice too she is equally as good.” Food storage areas were tidy and suitably stocked; crockery and cutlery were of a good standard. A requirement to label and date opened jars, cold meats etc was made, a recommendation for the cook to be offered further information pertinent to the dietary needs of older people should be considered. Hillswood Lodge DS0000059811.V302586.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 visit to this service. The home had a suitable complaints procedure and residents confirmed that their views were listened to and acted upon. Good recording systems are in place, thus ensuring incidents, occurrences, complaints and other information is well documented. Service users were protected from abuse by the home’s Adult Protection procedure and the on-going training programme. EVIDENCE: The home has a detailed complaints procedure whish was checked and is in line with the requirements; the appropriate complaints log is also in place. There was sufficient information on how to make a complaint including contact details of the Commission. The inspector was shown the complaints log book and it was clear that all instances were followed through with a recorded outcome. Residents verified that they felt comfortable in complaining and said, “ we could and can talk to Mr Howard, and he will listen and deal with things.” Staff also revealed “ Mr Howard is available 24 hours a day if we need him, I would have no hesitation in ringing if necessary.” Confirmation was received that no money or other valuables are held for the residents. The individual resident or their family pays for payments for expenses such as hairdressing. Nobody from the home acts as an appointee or Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 16 bank account representative for residents, information on advocacy is available on the notice board Staff have received training on the protection on vulnerable adults are aware of the local procedures to follow within Staffordshire. All new members of staff receive various types of training as part of their induction and this included training on how to protect residents from abuse. Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 22 and 26 Quality in this outcome area is “good”. This judgement has been made using available evidence, including a visit to this service. Indoor and outdoor communal facilities were accessible, maintained to a high standard and clean, bright and comfortable. Adequate lavatory and washing facilities were in place to meet the needs of the residents. Specialist equipment was used to support residents to promote their independence. EVIDENCE: The home offers two lounges with a dining room off one lounge; these communal areas were clean, bright and homely. It was also noted that environmental adaptations and equipment had been provided to meet the assessed need of the service users. These included personal equipment such as pressure cushions and zimmer frames; grab handles in the toilets a hoist, and assisted bathrooms for the benefit of the residents. Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 18 The laundry was inspected and found to be well organised, all washing was undertaken at the correct temperatures including soiled linen, a recommendation to purchase the appropriate red bags for easy identification and improved infection control standards was made. Overall the home meets infection control standards, they have a policy and procedure, use soap dispensers, paper towels, protective clothing, uniforms, foot-operated bins, and have a weekly clinical waste collection. The home needs to implement and record a number of risk assessments, it was clear that the risk assessments in place were not always as informative as necessary but were reviewed or revisited as and when required. A number of assessments were missing, examples of these include: the use of hoists, window openings and glazing, contractors, cross infection, wheelchairs, Legionella, stress, this list is not exhaustive. Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is “excellent”. This judgement has been made using available evidence, including a visit to this service. Staffing numbers and skill mix are appropriate to the needs of the residents. Mandatory and specialist training is always delivered when required. There is on-going commitment to staff training and the National Vocational Qualification achievements were a credit to the management team and the staff in the home. EVIDENCE: Staff files have copies of their induction programme, training profile and copies of certificates, proof of identification and a recent appraisal. The staffs’ criminal record bureau disclosures (CRB) have been obtained through Staffordshire association of registered care providers (SARCP) and a Pova First is received before a staff member can commence work All staff have been offered a statement of particulars, handbook, contract and the General Care Council Code of Conduct. Staff are provided with a raft of meaningful training, this ensures an ameliorating service is continually offered to the residents. Since the last visit all staff have undergone the refresher moving and handling course, fire training and evacuation procedures, recognition of abuse, basic Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 20 food hygiene have been completed as required. All staff have commenced medication training which has been re introduced to remind and update the staff. From information received from the home 8 of the 14 care staff have an National Vocational Qualification in care, either level 2 or 3. This means that the target of having 50 of care staff trained has been achieved. All 3 senior care staff are currently undertaking the NVQ level 4 management. All staff bar one have a first aid certificate, there is a designated fire marshall and a trained moving and handling trainer at the home. Mandatory training is undertaken and staff are encouraged to undertake specialist training in areas such as dementia care, diabetes and other disciplines significant to older people. Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is “adequate”. This judgement has been made using available evidence, including a visit to this service. The proprietor has recently appointed a manager and a formal application will be submitted to the Commission for Social Care Inspection. The importance of improving this quality rating to “good” or “excellent” is highly dependant on the manager but allowing her the time to do so. Health and safety risk assessments need to be added to and strengthened, ensuring that the residents and staff are as safe as is reasonably practicable. EVIDENCE: Residents and relatives were very satisfied with the home comments made included: “My mother finds the home very pleasing ” Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 22 “ The staff always ring me if they have concerns about my relative” “I am very happy” “ We can speak about things in confidence.” The registered manager Sandra Seabridge has left recently, a new manager has been appointed and an application to register will be submitted to the Commission. The home needs to implement and record a number of risk assessments, it was clear that the risk assessments in place were reviewed or revisited as and when required. However a number of assessments were missing or did not contain enough detail examples of these include: The use of hoists, window openings and glazing, contractors, cross infection, wheelchairs, Legionella, stress, gas and electricity, this list is not exhaustive. Fire risk assessments were in need of completion, the fire marshall is also aware that she must complete a written contingency plan in the event of a fire or bomb threat regarding safe placement of residents. At this visit all the certificates and records were satisfactory including those covering in house fire safety checks, contractors maintenance visits, safety of gas and electrical systems, and appliances and other equipment such as the hoists and the on call system. There has been a recent visit by the fire safety inspector, requirements made by him have been actioned. Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 4 X X 3 X X X 2 STAFFING Standard No Score 27 3 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14(1) Requirement Timescale for action 14/08/06 2. OP7 3. OP26 4. OP38 5. OP38 6. OP38 The registered person must ensure that pre assessment documentation meets with the regulations. 13(4)(c) The registered person must 13(5) ensure that risk assessments relating to residents are in place and contain management plans where necessary. 13(3) The registered person must ensure that opened jars, cold meats etc are labelled and dated. 13(4)(a) The registered person must ensure that all risk assessments required are in place for the building 24(4)(c)(ii A thorough and robust risk i) assessment must be in place for each service user referring to the evacuation process, individual need etc. The responsible individual must also complete a contingency plan in the event of a fire or bomb threat regarding safe placement of service users. 13(4)(a) The registered person must ensure that data sheets are available for all of Control of DS0000059811.V302586.R01.S.doc 14/08/06 21/07/06 14/09/06 14/09/06 01/08/06 Hillswood Lodge Version 5.2 Page 25 Substances Hazardous to Health (COSHH) products. 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. Refer to Standard OP9 OP15 Good Practice Recommendations The registered person should consider purchasing acetate bags to further improve infection control The registered person should consider offering further information or training to the cooks that is specific to the dietary needs of older people. Hillswood Lodge DS0000059811.V302586.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Stafford Office 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. 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