Inspection on 02/08/06 for Hollywood Rest Home

This inspection was carried out on 2nd August 2006.

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

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

Other inspections for this house

Hollywood Rest Home 18/11/08

Hollywood Rest Home 11/12/07

Hollywood Rest Home 12/01/06

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 Hollywood Rest Home 791 Chester Road Erdington Birmingham West Midlands B24 0BX Lead Inspector Kulwant Ghuman Announced Inspection 2nd August 2006 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hollywood Rest Home DS0000065660.V306548.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. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hollywood Rest Home Address 791 Chester Road Erdington Birmingham West Midlands B24 0BX 0121 350 6278 F/P 0121 350 6278 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) Hollywood Rest Home Ltd Mr William Edwards Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home can accommodate 25 service users who require care for reasons of old age plus 1 named service user who needs care for reasons of mental health problems (over 65 years), 25 in Hollywood main unit and 1 in Evelyn Court Unit for reasons of old age with a mental disorder. That the Evelyn Court unit is staffed separately by a minimum of 1 person when the service user is in the accommodation. 12th January 2006 2. Date of last inspection Brief Description of the Service: Hollywood rest home is situated on the corner of Chester Road and Orphanage Road in a mainly residential area of Erdington. It is close to local shops, public houses and other community facilities. The home is within easy access of public transport and on the main bus route for convenient access to Erdington. Formerly a family home with an attached coach house, the property has been converted and extended to provide accommodation for 26 elderly people. Bedrooms are provided over three floors consisting of seventeen single and four double bedrooms several of which have en-suite facilities. Communal facilities are all on the ground floor and comprise of two comfortable lounges, two dining rooms, one of these having another lounge area leading off it. Service users also have access to another room known as the library, which provides a quiet sitting area when needed with toilet off. Bathrooms and toilets are located throughout the home and there is a shaft lift to the first floor ensuring service users with mobility difficulties have easy access. The registration for the home also includes a one bedroom flat next door to the main home. The flat is self-contained comprising of a lounge, kitchen, one bedroom, toilet and bathroom. All the rooms are very large, well decorated and the furnishings and fittings are of a very high standard. The occupant of the flat spends the majority of the daytime during the week socialising and taking meals with the homes residents returning to the flat at nighttime. Separate staff are allocated to provide support to the flat when the service user returns. There is parking to the side of the home to accommodate up to six cars. Further parking facilities are available adjacent to the home offering a further nine spaces. At the rear is a large well-maintained garden with garden furniture, patio, barbecue and an aviary. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this key inspection over a day in August 2006. There were 26 residents in the home at the time of the inspection. During the inspection a partial tour of the building was carried out, 8 residents were spoken with, two resident files and three staff files along with several health and safety documents were sampled. What the service does well: What has improved since the last inspection? The home continues to decorate bedrooms as the need arises and some carpets have been replaced. In the kitchen a new cooker and extractor have been installed and a new fridge purchased. A sluice washing machine and a commode pot washer have been installed. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 6 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. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The admission process ensured that only suitable individuals were admitted to the home and that they were made aware of their rights and responsibilities. EVIDENCE: Two resident files were sampled, one for someone recently admitted and one for someone who had been at the home for several months. Both of the files evidenced that staff at the home had carried out an assessment and that the assessment covered a variety of areas indicating the needs of the residents. One of the files had a copy of a social workers care plan in place. It was recommended that the home should obtain the assessment carried out by the nurses or social workers to enhance the preadmission information gathered by the home. One of the residents spoken with confirmed that they had spent half a day at the home prior to admission and the other stated that a relative had visited the home prior to admission. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 9 One of the residents stated that they had visited several homes before coming to this one and although the food was good in all of them this was the only one that had showed them a bedroom. One of the files evidenced that a contract, providing all the required information, had been given on admission. The other was waiting for the contract to be returned as a relative had it. Residents were admitted to the home on a trial basis and there was a review after 28 days to ensure that the resident’s needs could be met. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected 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 the service. The care planning system in the home was good. Further development was needed in relation to detailing personal care needs to ensure staff knew how to meet all the needs of the residents. The resident’s health care needs were being met and the systems for medicine management were generally good ensuring resident’s received their medicines in a timely manner. EVIDENCE: The files sampled had care plans in place. One of the residents had been in the home for only a few days and the care plans were being developed. The other had care plans in place but there was not a care plan in place for all aspects of care. It was advised that the home could either ensure that there was a care plan in place for all areas identified in the pre-admission assessment or that the pre-admission assessment could be utilised as the main care plan document with links to specific care plans where additional details were required for example to manual handling care plans, tissue viability, medical or nutritional needs. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 11 There were risk assessments in place for tissue viability and moving and handling. These could be further improved by increasing the amount of detail of the actions to be taken. For example, on the moving and handling assessments it states mechanical aids to be used and assistance by one member of staff. This should be expanded to explain what aids are to be used and how the resident is to be assisted from bed to chair or into the bath. There were good details kept of the visits carried out by GP’s, district nurses, chiropodists etc. The GP records were being recorded in a communal book and it was advised that these are recorded on a separate sheet for each resident in order to comply with confidentiality and data protection or the residents. There were records of weights for the residents and the home was recording the body mass index (BMI) for residents in order to monitor their nutritional requirements and had taken advice from the relevant professionals for advice in this area. The home used a weekly monitored dosage system for the majority of medicines. There were good policies and procedures in place for managing the receipt and return of medicines. Medicines received into the home were checked against the prescriptions for accuracy. Auditing of the medicines in the home indicated that on some occasions staff were signing the medicine administration records (MAR) before the medicines had been given to the resident as evidenced by tablets being left in the cassettes but signed as given on the MAR charts and for one of the controlled medicines the balance having being reduced as though the tablet had been given in the controlled medicine register, but one extra tablet remaining in the box than indicated by the running total, and that the MAR chart indicated that the tablet had been refused. During the inspection it was noted that there were medicines stored on the shelves in the small room off the library. It was also confirmed that the deputy manager used the computer in that room. The home must evidence that the security of the medicines is maintained at all times. If the room continues to be used for administrative tasks the medicines must be stored in a locked cupboard. The privacy and dignity of residents’ was respected by the staff as evidenced by knocking on bedroom doors and the manner in which they were spoken to. There were lockable facilities in the bedrooms but there were no locks on the bedroom doors. The availability of suited locks on bedroom doors would enhance the choice for residents to lock their bedrooms and allow for access to the bedrooms in the event of an emergency. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected 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 the service. Residents were afforded a lifestyle that met their needs, maintained contact with family and friends and provided choices and nutritious food at mealtimes. EVIDENCE: Care plans identified the preferred activities for the residents. There was evidence that some activities took place every day. There were in-house activities facilitated by the staff, there were entertainers who came into the home and there were visits out of the home in small groups with staff ensuring that individual needs were met. There was one member of staff each morning that was allocated to facilitating the activities. On the day of the inspection it was noted that one resident was reading a newspaper, others were playing cards and doing word searches, another resident had a visitor, some residents were watching the television, some were lying on their beds and others were chatting amongst themselves. Some of the staff regularly brought their children into the home and the residents involved them in the games being carried out in the home. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 13 There was regular contact with friends and relatives and one resident stated that if the staff were told that they wanted to go out early in the day this would be arranged for that day. Some residents went out regularly with their relatives. There was regular contact with the residents and their relatives via the telephone as observed on the day of the inspection. Staff encouraged residents to make choices for themselves in areas such as choosing the clothes they wore, where to sit, whether to spend time in their rooms or sit in the communal areas. One resident stated that they were able to bring some items of furniture into the home if they wanted. All the residents spoken to stated that they enjoyed their meals. The inspector was able to take lunch with the residents and observed the meal consisted of soup, main meal and sweet. Condiments and drinks were left on the dining table for the residents to help themselves. There was special cutlery available for those residents needing it. The smaller dining room was used for residents who were required assistance and prompting to eat. Meal time was observed to be a comfortable and unhurried experience. The meals were well presented and appeared to be appealing. One resident stated that they had breakfast, lunch tea, drinks several times in the day and Horlicks at night. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be 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 the service. Residents were protected by the policies and procedures in the home. EVIDENCE: There had been no complaints lodged about the service with the CSCI and there had been no complaints lodged with the home directly. The complaints and adult protection procedures were not inspected at this inspection. Residents spoken with stated they had families to speak to if they were unhappy with anything and would not feel afraid to speak to the staff about any issues. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 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 the following standard(s): 19,20,21,24,25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The physical environment enabled the needs of the residents to be met in a comfortable and homely environment. EVIDENCE: The home was well furnished and maintained to a high standard with issues being addressed as a matter of priority. For example, it was noted during the tour of the building that a light in one of the en-suite facilities was not working. This was attended to straight away. The communal space available in the home consisted of two lounges, a library and two linked dining rooms. There was a good sized and well maintained garden that was accessible and safe for the residents. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 16 There were a number of communal toilets and bathrooms around the home with assisted facilities including raised toilet seats, support rails and bath chairs. Some of the bedrooms had en-suite facilities and there were some shared rooms available for couples or those wishing to share bedrooms. The bedrooms seen during this inspection were noted to be clean, comfortable and personalised to the liking of the resident. The bedroom furniture was of good quality and included a lockable item. Not all bedrooms contained additional bedside lighting. Where this item is not required due to health and safety reasons or at the request of the resident this needed to be recorded in the residents file. Bedroom doors did not have locks fitted. Having a suited lock fitted would promote choice for residents. The home was centrally heated with radiators that were either low surface temperatures or that had radiator guards fitted. There were fans and room coolers available during the hot weather. One resident stated that the fan had been a Godsend during the hot weather. During the tour of the building it was noted that there was a bar of soap and cotton towel, which did not promote infection control, in one of the bathrooms. These items were removed straight away. The use of protective clothing such as disposable aprons and gloves was evident during the inspection. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 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 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): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staffing levels and competencies were such that the needs of the residents could be safely met. The recruitment procedures needed to ensure that CRB checks were received prior to the employment of staff. EVIDENCE: Staffing levels in the home were maintained at 5 care staff during the morning and 3 during the afternoon. In addition at these times there was a manager, the owners, the cook and cleaner as well as a maintenance person when required. During the night there were two waking night staff on duty. The inspector was informed that over 82 of the staff had attained NVQ level 2 with some staff having achieved level 3 and 4. Staff had regular updates on mandatory training and there were plans in place for staff to receive additional training in specific areas such as dementia and Parkinson. Staff recruitment was generally good, however, there had been some oversights on the obtaining of CRB clearance. Two members of staff had been appointed before the CRB clearance had been received and no POVA first clearance had been sought. In addition, the CRB clearance received stated that a POVA List check had not been requested. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 18 For another member of staff no CRB clearance had been sought as it had been assumed that the CRB was portable from one employment to another. It was imperative that CRB clearance was applied for as soon as possible and POVA first clearance was sought for this individual. All three files sampled evidenced a completed application form, two references and a medical questionnaire. Staff files needed to evidence that checks on proof of identity and the eligibility to work had been checked. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 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 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): 31,33,35,37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The manager ensured the smooth running of the home in a competent manner. The health and safety of the residents and staff was well managed. EVIDENCE: The homeowner, who is also the registered manager, has many years of experience caring for and managing a home. On a day-to-day basis he has the assistance of the deputy manager who has achieved the NVQ level 4 in management. The deputy manager was able to assist the inspector for some of the inspection but left part way through due to taking some leave. The manager and a senior care assistant assisted the inspector for the remainder of the day. It was pleasing to note that a number of people were able to step in and find the documentation required indicating that it was easily accessible and the home was run in an open and inclusive manner. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 20 The deputy manager stated that he was still working on the quality assurance system however, during the course of the inspection it was evident that there were systems in place to monitor the service and gain the view of residents. Examination of the records for the management of monies held on behalf of residents indicated that the system needed to be simplified and a running balance kept that showed how much money was being held on behalf of the residents and where it was kept. Examination of the health and safety records showed that equipment within the home was being serviced as required. The only area of health and safety being breached in the home was the wedging open of doors. Where there is a need for doors to be kept open a system must be put in place whereby fire doors would automatically shut should the fire alarm be activated. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 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 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 2 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X X 2 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 2 X 3 2 Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(1) Requirement The registered person must ensure that the written care plan contains sufficient detail to enable the care staff to know what actions are to be taken to ensure the resident’s needs are met. The registered person must ensure that the moving and handling assessment indicates what ‘assistance’ is to be provided and what ‘mechanical aids’ are to be used. The registered person must ensure that records are not maintained in communal books. The registered person must ensure that staff follow the policies and procedures in place. The manager must ensure that the security of medicines is safeguarded at all times. Timescale for action 01/10/06 2. OP8 13(5) 01/10/06 3. 4. OP8 OP9 12(1)(a) 13(2) 01/09/06 01/09/06 Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 23 5. OP24 23(2)(e) Appropriate locks should be fitted to all bedroom doors that are suited to individual’s capabilities and accessible to staff in an emergency. N.B. This remains outstanding from previous inspections. 01/12/06 6. OP24 23(2)(p) 7. OP29 19(1) The registered person must ensure that lighting accessible from the bed is available to all residents requiring it. Where it is not required this must be recorded in the care plan. The registered person must ensure that either a new CRB or a clear POVA first check has been received before an employee begins work. A POVA list check must be requested for all CRB’s. 01/10/06 03/08/06 8. OP29 19(1) A CRB application must be made as soon as possible and POVA first clearance sought for the individual discussed. The home must complete the work commenced in respect of the homes quality assurance system. N.B. This remains outstanding from previous inspections. The registered person must ensure that a simplified system showing a running balance of the monies being held on behalf of the residents is in place. The registered person must ensure that where fire doors need to be kept open they are linked into a system that will enable the doors to close if the fire alarm is activated. 07/08/06 9. OP33 24(1)a,b (2)(3) 30/11/06 10. OP35 17(2) Sch 4(9) 01/09/06 11. OP38 23(4)(c) (i) 01/09/06 Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 24 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 OP3 Good Practice Recommendations It is recommended that the assessments carried out be nurses or social workers is obtained to enhance the preadmission information gathered by the home. Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Hollywood Rest Home DS0000065660.V306548.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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