Inspection on 19/10/05 for Honeysuckle House Nursing Home

This inspection was carried out on 19th October 2005.

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

Honeysuckle House Nursing Home 02/08/07

Honeysuckle House Nursing Home 23/02/07

Honeysuckle House Nursing Home 11/03/06

Honeysuckle House Nursing Home 05/04/05

Honeysuckle House Nursing Home 08/02/05

Honeysuckle House Nursing Home 21/10/04

Honeysuckle House Nursing Home 23/02/04

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

CARE HOMES FOR OLDER PEOPLE Honeysuckle House Nursing Home 1a Oakthorpe Road Palmers Green London N13 5HY Lead Inspector Caroline Mitchell Unannounced Inspection 19th October 2005 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 Honeysuckle House Nursing Home DS0000027810.V252900.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. Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Honeysuckle House Nursing Home Address 1a Oakthorpe Road Palmers Green London N13 5HY 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) 020 8886 8086 020 8886 0964 admin.honeysucklehouse@careuk.com Care UK Community Partnerships Limited Ms Sheila Patten Care Home 32 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (32) of places Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 18 nursing beds for service users aged over 65 years and upwards and 14 beds for personal care are available. 5th & 7th April 2005 Date of last inspection Brief Description of the Service: Honeysuckle House Nursing Home is a registered care home with nursing providing care to thirty-two older people with a diagnosis of mental disorder. Care UK Community Partnerships Limited manages the home and employs the staff. The home is owned by the London Borough of Enfield who retain contractual responsibility for funding the majority of the maintenance at the home as well as for purchase of furniture and equipment. The London Borough of Enfield block purchases the thirty-two places at the home.The home is a purpose built, two story premises that was opened in the1990’s, originally to accommodate service users following the planned closure of a long stay hospital. The home provides both residential care and nursing care in two separate units. The ground floor contains a fourteen place residential unit that has twelve single bedrooms, one double bedroom and a range of communal facilities including its own lounge and dining room. The manager’s office, main kitchen and a large activity room are also situated on the ground floor. The first floor contains an eighteen place nursing unit that has sixteen single rooms, one double room, and a range of communal facilities including lounge and dining room. A passenger lift as well as stairs connects the two floors and both have an appropriate range of accessible bathrooms and toilets. Facilities throughout the home are fully accessible to wheelchair users. The home is situated in a quiet residential area close to the shops and amenities of Palmers Green as well as good public transport links. Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over the course of one day. During this time the inspector spoke to one volunteer visitor and one relative, who were visiting at the time. The deputy manager aided the inspector throughout the inspection. A senior staff member showed the inspector around the home and a number of written records were also examined. Due to the nature of the disability of the service users it is difficult to elicit their opinions. However, the inspector was able to speak to several service users and spend some time with them, in the activities room. They appeared relaxed and well cared for. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 6 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 Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 7 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): 0 No standards regarding choice of home were inspected on this occasion. EVIDENCE: Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 8 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 11 The health and personal care needs of service users are generally well met and there is a clear and consistent care planning system in place that is satisfactory overall. However, some service users’ records are not detailed enough with regard to pressure relief, which potentially places service users at risk. Service users can be confident that at the time of death, service users and their relatives are treated with sensitivity. EVIDENCE: The written records of three service users were inspected and included service user plans that clearly described their needs. The records examined reflected that all residents had received health checks at appropriate intervals and ongoing appointments for specialist treatment were kept with the outcomes recorded. Each service user’s record included risk assessments that identified specific risks to each individual in relation to their needs. These covered areas such as tissue viability, mobility and falls, moving and handling, mental health, challenging behaviour and nutrition and fluid intake. Service users’ weight is also monitored. The deputy manager explained that the home has established positive links with the tissue viability nurse in the area, and the inspector saw the nursing Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 9 treatment plans for three service users who have issues regarding their tissue viability and noted that these included instruction regarding seeking advice from the tissue viability nurse where necessary. At the time of the inspection two people had sacral ulcers and one had a leg ulcer. The plans had been improved since the last inspection, providing more information to staff regarding the particular pressure relief methods and the equipment that were being used. However, where service users did have a pressure ulcer, the daily notes are not as clear as they could be regarding treatment and progress. Staff often referred to pressure areas instead of pressure ulcers, and do not include observation of the state and progress of the wound as often as necessary. A requirement is made in respect of this. Having said this there was sufficient information to see that progress was being made in the ulcers healing. Due to mental health issues, one service user presents the home with particular challenges in relation to personal and health care support and can lash out at staff when they approach to provide care. The inspector noted that this person’s plan had been reviewed to better reflect personal care needs and set out the recommended interventions for staff when faced with any challenging behaviour. This was a requirement at the previous inspection and has been satisfactorily addressed. At the previous inspection the registered persons were required to ensure that the policy regarding cot sides is reviewed in consultation with an occupational therapist. The deputy manager explained that this has not yet been achieved and this requirement is restated as part of this report. Included in the previous report was a summary of an additional visit undertaken in March 2005, in response to an anonymous complaint. As a result of the visit five requirements were made regarding the storage, records and administration of medication in the home, with particular reference to controlled drugs. The inspector was able to confirm that these requirements had been satisfactorily addressed. The third file examined was for a lady who had recently died. Careful and sensitive notes had been kept up to and after her death regarding the care that she received, the contact that the home had with her family and the arrangements that were made regarding her funeral indicating that staff treated the service user and her family with sensitivity and respect. Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 10 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, 14 & 15 Service users benefit from the energy put into the areas of social and recreational activities by staff, who have a good understanding of the service users’ needs and preferences. Staff support service users in a way that provides opportunities for choice. However, some work remains necessary to ensure that the menu meets all dietary needs, and there is room for improvement in communicating with service users who’s first language is not English. EVIDENCE: There are a number of Greek and Turkish speaking service users and the deputy manager explained that one Turkish speaking staff member has recently been recruited. There is still room for improvement in this area and a recommendation is made that the registered persons continue to seek staff who can communicate with service users in their first language. The inspector met and spoke to as visitor who is from the Greek community who visits to talk to one service user on a regular basis. Her feedback about the home was very positive. The deputy manager also explained that staff do learn key words and phrases in order to communicate with service users whose first language is not English. One area in which the home maintains a very high standard is in the level of and variety of activities that are on offer for service users. The activities coHoneysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 11 ordinator and care staff are good at engaging the service users and they are encouraged to take part in a variety of creative and social activities. There is a notice board for service users and the plan of the week’s activities is displayed, so that service users know what activities are on offer. At the previous inspection the registered persons were required to ensure that the menu is reviewed in consultation with a dietician. The deputy manager explained that this has not yet been achieved and this requirement is restated as part of this report. The deputy manager explained that the bathroom doors are is being locked when not in use. He went on to explain why this approach has been adopted to protect the safety of service users. As this is a restriction of people’s personal freedom, the service users, their families or representative, and the placing authority should be consulted, a clear written policy is necessary, and it is necessary for the practice to be reviewed on a regular basis and be reflected in service users’ individual plans and contracts. It is also recommended that the home seek support from a psychologist in seeking alternative, less restrictive methods of intervention to address the issue. Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 12 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 & 18 Service users benefit from a complaints procedure and an adult protection protocol that ensure that their views are heard and that they are protected from abuse. EVIDENCE: There is clear written guidance for service users and their representatives about how to complain and this is displayed around the home so that service users and visitors have easy access to it. The inspector saw the record of complaints that is kept in the home and no complaints had been recorded since the last inspection. The inspector spoke to a relative who was visiting at the time of the inspection and they were clear about who to bring their concerns to and commented that they thought that the atmosphere had improved recently, since the previous manager had left the home. At the previous inspection the registered persons were required to obtain an up to date version of the local authority adult protection procedure for the home and the inspector was able to confirm that this had been done. Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 13 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 & 26 Honeysuckle House provides an environment that service users can regard as their home and their bedrooms are personalised to reflect this. Service users benefit from a home that provides plenty of communal space and toilets and bathrooms. This is a safe, clean and reasonably pleasant environment for service users to live in. However, there are a number of areas that need redecorating and the floor coverings need to be replaced. EVIDENCE: The home is situated on a quiet residential street with easy access to shops, public transport and all other community amenities. There is a large activity room where people socialise and take part in group activities and a number of lounges. Some service users chose to sit and chat in communal corridors. There was evidence that staff have helped service users to personalise their bedrooms. Service users who were consulted said that they are happy with their rooms. At the previous inspection the registered persons were required to ensure that a number of repairs and redecoration tasks were completed in order to Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 14 improve the environment. The deputy manager explained that this has not yet been achieved and these requirements are restated as part of this report. The deputy manager explained that a maintenance person has been recruited and as a result, the garden has improved. During the tour of the building the inspector noted that the floor coverings throughout the home have deteriorated and need to be replaced. This issue has been identified by the management team and notified to the local authority, who are responsible for housing management for the home. A requirement is made in respect of this. During the tour of the building the inspector noted that, whereas the home was generally clean and there were no other unpleasant odours, the carpet in the bedroom of one service user did smell of urine and a requirement is made in respect of this. Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 15 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 & 30 The needs of the service users in the home were seen to be met by the numbers, competence and skills of the staff employed. Staff, and therefore service users benefit from the home’s approach to providing training to staff. Service users are generally protected by the homes recruitment practices. EVIDENCE: The copy of the staffing rota provided to the inspector for October 2005 reflected that there tend to be six staff in the nursing unit each morning and five in the afternoon/evening, and five staff in the residential unit each morning and afternoon/evening. Both units have two staff awake on duty at night. There is a registered nurse on duty at all times in the Nursing Unit and a senior carer in the Residential Unit. Staffing levels are satisfactory to meet the needs of the service users. In addition, there is a full time activities coordinator, administrative staff, and a number of ancillary staff. In terms of recruitment practices, the inspector saw the records for the two staff who were recruited since the last inspection. The appropriate references had been received. Both staff had started work after applications for CRB checks had been made, and the results of POVA first checks had been received, but prior to the results of CRB checks had been received. At the inspection that took place in February 2005 it was recommended that the registered persons obtain references from an employee’s last employer, and also ensure that any professional referees state the where they worked with the employee, to help the registered persons check authenticity of the Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 16 reference. In addition, at the last inspection it was recommended that enhanced CRB disclosures are obtained for all staff. The deputy manager stated that both of these issues have been addressed with the personnel department by manager in the organisation and will be reflected in future recruitment practice. The organisation has a good system in place to support staff training and the inspector saw evidence that staff has attended a number of courses since the previous inspection. Among these were included COSHH (care of substances hazardous to health), health and safety, fire evacuation, pressure care, medication, infection control and MRSA. The deputy manager told the inspector that twelve staff are currently undertaking training at NVQ level 2 and that a tutor comes to the home on a fortnightly basis to facilitate this. During the tour of the building the inspector came across one staff member who was doing some study for his NVQ portfolio. There is a notice board for staff and the training that was advertised as scheduled for the month included protection of vulnerable adults, manual handling and customer care. Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 17 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, 37 & 38 The current arrangements for the management of the home is satisfactory in the short term. However it is necessary for a permanent manager to be recruited. Service users’ interests are looked after through effective record keeping systems. Service users can be confident that the home protects their physical safety and security through a proactive approach to health and safety. EVIDENCE: Since the last inspection, the registered manager has left and the deputy manager is running the home on a day-to-day basis. He explained that he is being supported by two of the regional support managers, each being based in the home two days per week. He provided the inspector with a copy of the action plan that he is working to, which identifies areas for improvement in the home. Whilst this arrangement is adequate in the short-term, it is necessary for a full-time, permanent manager to be recruited and apply to be registered by the Commission. A requirement is made in respect of this. Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 18 The inspector saw the record of accidents that is kept in the home and a very full record had been kept, including statements from staff and other witnesses where appropriate. There was evidence that these were reviewed to help reduce future risks and that service users’ risk assessments were updated appropriately in the light of each incident, particularly in the instance where service users have had a fall. The inspector saw the fire risk assessment that was in place in the home. This features a phased horizontal evacuation to ensure that service users are moved away from the point of danger. Records reflect that a fire drill took place in early September. A recommendation is made that future fire drills feature a mock fire that can be placed in a different area of the building for each drill, to strengthen the staff’s understanding of the phased evacuation process. Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 19 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 2 X X 3 2 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X X 3 2 Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 20 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP8 Regulation 13 (4) The registered persons must ensure that the policy regarding the use of cot sides is reviewed in consultation with an occupational therapist. (The previous timescale of 30/06/05 was not met.) 2 OP15 16 (2) (i) The registered manager must ensure that the menu is reviewed in consultation with a dietician, to ensure that it is nutritionally balanced. (The previous timescale of 30/06/05 was not met.) 3 OP19 23 (2) (b) The registered persons must ensure that the music lounge is redecorated. (The previous timescale of 30/06/05 was not met.) 4 OP19 23 (2) (b) The registered persons must ensure that the quiet room, next to room 25 is redecorated and the carpet is replaced. (The previous timescale of 30/06/05 was not met.) Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 21 Requirement Timescale for action 30/01/06 30/01/06 28/02/06 28/02/06 5 OP21 23 (2) (b) The registered persons must ensure that the assisted bathroom next to the hair dressing room is redecorated. (The previous timescale of 30/06/05 was not met.) 28/02/06 6 OP21 23 (2) (b) The registered persons must ensure that the ground floor toilet, next to the TV lounge is redecorated. (The previous timescale of 30/06/05 was not met.) 28/02/06 7 OP8 17 Sch. 3 (3) (n) 05/12/05 The registered persons must ensure that the records of treatment of pressure ulcers is clear and properly reflects the progress of the wound. 30/12/05 The registered persons must ensure that the policy of restricting access to the bathrooms is discussed with the service users, their famillies or other representatives, and the placing authorities, a clear written policy is in place, that the practice is reviewed on a regular basis and is reflected in service users’ individual plans and contracts. 8 OP14 13 (7) 9 OP25 23 (2) (b) The registered persons must ensure that the floor coverings are replaced throughout the home. 30/03/06 10 OP26 16 (2) (k) The registered persons must ensure that the carpet in the bedroom of one service user is cleaned regularly in order to prevent the smell of urine. 07/12/05 Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 22 11 OP31 8, 9 The registered persons must ensure that a full time, permanent manager is recruited and applies to be registered by the Commission. 30/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations It is recommended that the registered persons continue to seek staff who can communicate with service users in their first language. 2 OP14 It is recommended that the registered persons seek guidance from a qualified psychologist in reviewing the practice of restricting access to the bathrooms and seek less restrictive interventions. 3 OP38 A recommendation is made that future fire drills feature a mock fire that can be placed in a different area of the building for each drill, to strengthen the staff’s understanding of the phased evacuation process. Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Honeysuckle House Nursing Home DS0000027810.V252900.R01.S.doc Version 5.0 Page 24 - 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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