Inspection on 28/10/05 for Home Park Nursing Home

This inspection was carried out on 28th October 2005.

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

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

Other inspections for this house

Home Park Nursing Home 21/11/07

Home Park Nursing Home 17/10/06

Home Park Nursing Home 07/04/05

Home Park Nursing Home 21/10/04

Home Park Nursing Home 17/06/04

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

CARE HOMES FOR OLDER PEOPLE Home Park Nursing Home Knowle Lane Horton Heath Southampton Hampshire SO50 7DZ Lead Inspector Marilyn Lewis Unannounced Inspection 28th October 2005 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Home Park Nursing Home Address Knowle Lane Horton Heath Southampton Hampshire SO50 7DZ 02380 692058 02380 613901 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) Kendalcourt Limited Anthony Jozef Pekarik Care Home 35 Category(ies) of Dementia (35), Dementia - over 65 years of age registration, with number (35) of places Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of persons for whom accommodation and nursing care is provided at any one time shall not exceed 35 All service users must be at least 50 years of age. Date of last inspection 7th April 2005 Brief Description of the Service: Home Park is a care home providing nursing care for thirty five residents who have dementia. The home is privately owned and is situated in a quiet rural location in the village of Horton Heath. Residents are accommodated in twenty three single rooms and six shared rooms. Five of the single bedrooms have ensuite facilities and there are three bathrooms with assisted baths and three separate toilets. There are also three communal lounges and a dining room. Accommodation is provided over two floors with a passenger lift allowing access to each level. A variety of aids and adaptations provided around the home enable residents to move more independently. Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 28th October 2005. The inspector toured the home and met with four residents, a visitor, two staff members and the registered manager. Five pre admission assessments and care plans were sampled and records were seen for medicines, staff recruitment, fire safety and fire drills. This is the second unannounced inspection for the year 2005/2006. Information on standards assessed in the first inspection can be found in the inspection report dated 7th April 2005. What the service does well: On the day of the inspection the home looked clean and welcoming and there was a relaxed atmosphere. A relative visiting the home said that ‘it was a lovely home’ and that ‘staff were very caring and friendly’. A full care needs assessment is undertaken for each prospective resident, before a place at the home is confirmed, to ensure that the home can meet their care needs. Residents have access to health care services as required. Residents are treated in a respectful, sensitive manner throughout their stay at the home. Residents are able to choose to participate in a variety of suitable leisure activities, can receive visits from relatives and friends as they wish and are provided with nourishing meals. Residents are protected by staff awareness of abuse issues and their willingness to report any concerns. Home Park provides a clean, safe home with pleasant communal rooms, personalised bedrooms, sufficient bathroom and toilet facilities and specialist equipment available as required. Residents’ needs are met by the sufficient number and skill mix of staff employed at the home and they are protected by the home’s robust recruitment procedures. Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 6 Residents benefit from the open approach to management operated at the home by the registered manager and the formal supervision of staff. What has improved since the last inspection? What they could do better: Unlabelled containers of creams and emollients were kept in some residents’ bedrooms, which could put residents at risk from infection. The registered provider has not provided the commission with the required Regulation 26 notices confirming monthly, unannounced visits to the home. This was a requirement of the last inspection dated 07/04/05. Staff were not monitoring and recording the temperature of hot water and when checked it was found to be above the required temperature of 43degrees Centigrade. Residents were moved in wheelchairs that did not have foot rests fitted, resulting in them dragging their feet or staff holding their legs while the wheelchairs were moved. Fire records seen indicated that not all staff had received fire safety training. This was a requirement of the last inspection report dated 07/04/05 Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 7 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. Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 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 Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 No one is admitted to the home without a full care needs assessment ensuring the home can meet their care needs. The home does not provide intermediate care. EVIDENCE: At the time of the last inspection on the 7th April 2005, a Service User Guide was not available for assessment. On this occasion a rough draft of the Service User Guide was available. The registered manager said that the document was being completed and would be ready to be circulated to residents in the near future. This document will be assessed at the next inspection. The registered manager is to forward a copy of the completed Service User Guide to the Commission. A full needs assessment is undertaken for each resident prior to their admission to the home. Completed assessments were seen for five residents. The assessments contained information on all aspects of care needs including personal care and communication. The assessments were discussed with the registered manager who was advised to expand on the information Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 10 documented to ensure a decision about admitting the person was based on as much information as possible. The home does not provide intermediate care and therefore standard 6 is not applicable. Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 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, 10 and 11 Improvements have been made to the documentation contained in care plans and these now provide staff with the information required to fully support the residents who are treated with respect and sensitivity throughout their stay at the home. Unlabelled containers of creams and emollients kept in residents’ rooms could put residents at health at risk. EVIDENCE: The full assessment forms the basis for the individual care plans. Care plans were seen for five residents. Since the last inspection the information contained in the care plans had improved and now provided staff with the information they required to support the residents. The care plans gave details of the care needs for personal, social, health and emotional needs. Risk assessments for moving and handling, behaviour and nutrition were included in the care plans. The registered manager said that staff had started using a falls risk assessment tool in the last week and the detailed assessment was seen in two of the care plans. The care plans seen indicated that relatives had been involved in the development and review of the plans. Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 12 Visits from GPs and other health professionals were documented in the care plans seen. One resident had received support from a community physiotherapist and all had been visited by their GP when required. GPs also visit the home on a weekly basis and a Psycho geriatrician attends monthly. The registered manager said that an optician visits annually and on request and a dentist visits as required. Advice has also been sought from a nutritionist as required. The home has clear procedures in place for dealing with medicines. Medication records seen were completed appropriately. A new system was in place for the disposal of unwanted medicines, with staff putting the medicines into containers when not required. The registered manager said that he would arrange for staff to record the medication disposed of in this way. At the time of the inspection no one at the home was prescribed a controlled medicine and no one was self administering their own medication. During the tour of the home it was noted that there were some containers of creams and emollients in bedrooms that were not labelled as belonging to the resident of the room. Creams and emollients must only be used for the resident assessed as requiring them and all containers must be labelled correctly. At the time of the inspection staff were observed talking to residents in a friendly respectful manner. Good interaction was seen between staff and residents, with staff spending time chatting to residents in their bedrooms and in the communal rooms. Specific requirements regarding care provided when dying and on death were recorded in some of the care plans seen. The registered manager said that every effort was made to keep the resident at the home if at all possible and relatives were encouraged to stay. Close contact was maintained with the resident’s GP and specialist equipment such as pressure relieving mattresses were available as required. Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 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 Residents are able to choose to participate in a variety of suitable activities, receive visits from relatives and friends as they wish and are provided with nourishing meals served in a quiet friendly manner. EVIDENCE: The home does not employ an activities co-ordinator. However two members of staff have attended training courses on providing activities in a residential setting and have additional allocated hours of work to provide the activities programme. An activities programme for the current week was on display in such as going for a walk in the local countryside, additional staff were on duty to provide the support required. Many of the activities provided are decided on a day to day basis and were dependent on the wishes of the residents at that time. Care plans seen indicated that residents had been involved in recent activities including making biscuits, sing a long, colouring, making greeting cards and nail and hand care. Residents had also joined in a garden party at the home and been entertained by a pianist. The care plans recorded the residents’ involvement and enjoyment in the social activities. The records indicated that staff showed awareness of the residents’ needs with comments of ‘tired today so exercised by rolling the ball across the table’ and ‘did not want to join in but enjoyed sitting and watching other residents making sweets’. Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 14 The registered manager he was discussing extra allocated hours for the two staff members organising the activities for residents so that the programme could be expanded. A local vicar visits the home once a month and holds an informal service of hymns and readings for residents. There are no restrictions on visiting the home other than the residents wishes for visitors. A relative visiting at the time of the inspection said that she is always made to feel very welcome by staff. The registered manger said that due to the level of dementia of some residents it was sometimes difficult to ascertain whether they could exercise choice and control over their lives through verbal communication. However their likes and dislikes were recorded by observing their behaviour pattern and adjusting the daily activities and method of providing care accordingly. One resident doesn’t like to come out of her room and staff spend time on a one to one basis with her. Her relatives have also been involved in choosing the décor for her room at the home. Menus seen indicated that residents were provided with nourishing meals. Lunch on the day of the inspection was breaded cod, chips and mixed vegetables with a white sauce or fish pie for those who required a softer texture. This was followed by custard sponge with strawberry filling. The menu for the evening meal was scrambled eggs or spaghetti and banana custard. Staff were seen to help residents who required assistance in a caring, quiet manner. Residents appeared to enjoy the meals provided. Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 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): 18 Residents are protected by staffs’ awareness of abuse and their willingness to act on any concerns. EVIDENCE: The home has procedures in place to be followed should abuse be suspected. Hampshire County Council’s Protecting People from Abuse procedures and leaflets are also available to staff, residents and visitors. Staff receive training in abuse awareness during NVQ courses and eleven staff members have attended specific training on abuse issues. Two staff members spoken to during the inspection were aware of the procedures to be followed and indicated that they would have no hesitation in reporting any concerns to the registered manager or person in charge of their shift. Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Home Park provides a clean, safe home with pleasant communal rooms, personalised bedrooms, sufficient bathroom and toilet facilities and specialised equipment as required. EVIDENCE: Home Park is situated in a quiet country lane in the village of Horton Heath. The home has large gardens to the rear of the property and many of the windows give pleasant views of the surrounding countryside. Residents are accommodated in two floors with a passenger lift and stairs allowing access to each floor. Ramps and grab rails are provided where required to give residents maximum independence. The laundry room is accessed using a key pad and is not accessible to residents. Visitors to the home are admitted by a staff member and are required to sign the visitor record book on entry and when leaving the property. Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 17 Since the last inspection new carpets have been laid in some of the bedrooms and arrangements have been made to provide new carpeting in some of the corridors. The registered manager said that he is in the process of purchasing new chairs for the lounges. Overhead ceiling hoists have been fitted to two bathrooms and to two bedrooms to provide more support when moving and handling residents with restricted mobility. Specialist equipment including hoists, stand aids and pressure relieving mattresses is available for residents assessed as requiring it. Boxes of continence pads stored in a room on the first floor were seen blocking a door marked ‘fire door’ making it impossible to close the door. This was brought to the attention of the registered manger who said that the boxes had just been delivered. He immediately moved the boxes and closed the fire door. On the day of the inspection the home looked clean and welcoming. Residents’ rooms looked cheerful and homely and contained many personal items such as photographs and ornaments. Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Residents’ needs are met by the sufficient number and skill mix of staff employed at the home. Residents are protected by the home’s robust recruitment procedures. EVIDENCE: The home employs a registered manager, deputy manager, five registered nurses, two enrolled nurses, seven senior carers/key workers and fourteen carers. Since the last inspection a part time administrator has been recruited and separate staff are employed for catering, laundry, domestic and maintenance duties. The registered manager said that since the last inspection the need to employ agency staff has decreased. Nine of the twenty one senior carers and carers hold NVQ level 2 or above and three carers are currently studying an NVQ in mental health. Records were seen for three staff members. The records contained all the information required in Schedule 2 of the Care Homes Regulations including two written references and proof of identity. Criminal Records Bureau checks had been completed for all three prior to their taking up their posts at the home. Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 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, 32, 33, 36, 37 and 38 Residents benefit from the open approach to management operated at the home by the registered manager and the formal supervision of staff. The provider does not provide the commission with reports on the quality of care provided at the home and residents could be at risk from the lack of staff training in fire safety and poor working practices operated at the home. EVIDENCE: The registered manager is a trained nurse with many years experience in providing nursing care for people with dementia. Mr Pekarik is currently studying for the Registered Managers Award, which he hopes to complete later this year. The registered manager operates an open approach to management. A visitor to the home said that she felt at ease going to discuss her relative’s care with the manager or deputy manager. Two staff members also spoke of the support Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 20 and encouragement they received from the registered manager and the deputy manager. The registered manager said that meetings were not held for residents but that staff spent time on a one to one basis with them to obtain where possible their views on the quality of care provided at the home. He also said that relatives were always welcome to talk to the registered manager at any time. A relative visiting at the time of the inspection said that there was good communication with staff. Since the last inspection care staff have started to receive formal supervision. The registered manager supervises the deputy manager and the trained nurses who in turn supervise the carers. Supervision covers the staff member’s strengths and weaknesses, training and performance development needs. Meetings are arranged at a time to suit both parties and minutes are taken at each meeting. Regulation 26 of the Care Homes Regulations states that the registered provider must make unannounced visits to the home on a monthly basis and must provide the commission with a report of the visit. These reports confirm that the quality of care provided at the home is being monitored by the registered provider. Regulation 26 Notices have not been received by the commission. This was a requirement of the last inspection report. While inspecting the bathrooms the inspector asked a staff member if a bath water thermometer was available to check the hot water temperature of the bath water. The staff member did not know if the home had a bath water thermometer and another staff member was also unsure. Another staff member did know where a thermometer was kept and when the bath water temperature was checked it was above the limit required of 43 degrees C, at 50 degrees C. There was no indication that the temperature of the water was being monitored and recorded. During the inspection visit, staff were seen pushing residents in wheelchairs that were not fitted with foot rests. At lunch seven wheelchairs without foot rests were seen in the dining room and five in the main lounge. This resulted in residents dragging their feet when the chairs were moved or in one incident a staff member was seen to pick up the feet of a resident while another staff member pushed the wheelchair. This is not a safe practice. A staff member said that one resident refused to use foot rests on his wheelchair. The registered manager is to ensure foot rests are fitted to wheelchairs and where a resident refuses to have them fitted this is to be clearly documented in their care plan. Advice should be sought from an occupational therapist. Fire records seen indicated that some staff had still not received fire safety training. The registered manager said that a fire safety training session was Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 21 due to take place on the 1st November 2005. It was a requirement of the last inspection report that all staff receive fire safety training and attend fire drills. The registered manager is to confirm with the commission that all staff have received fire safety training. At the time of the inspection the kitchen looked clean and in good order. Food was stored appropriately and the temperatures of the fridges and freezers were monitored and recorded. The temperature of cooked food was also monitored and recorded. Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x 3 2 2 Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13(4)(c) Requirement The registered person must ensure that containers or creams and emollients are labelled and only used for the named person. The registered provider must provide the commission with monthly written reports This is an outstanding requirement of the inspection dated 07/04/05 The registered person must ensure that hot water is controlled to maintain the required temperature of 43degrees C. The temperature of the hot water is to be monitored and recorded. The registered person must ensure that foot rests are provided for wheelchairs and used by residents when being moved around the home. The registered person must ensure all staff receive training in fire safety. This is an outstanding requirement of the inspection dated 07/04/05 DS0000011428.V253619.R01.S.doc Timescale for action 29/10/05 2 OP37 26 30/11/05 3 OP38.3 13(4)(c) 30/11/05 4 OP38.2 13(4)(b) 31/10/05 5 OP38.2 23(4)(d) 30/11/05 Home Park Nursing Home Version 5.0 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. Refer to Standard Good Practice Recommendations Home Park Nursing Home DS0000011428.V253619.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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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