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Inspection on 23/05/06 for I Care Residential Homes Limited

Also see our care home review for I Care Residential Homes Limited for more information

This inspection was carried out on 23rd May 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has some long-term experienced staff who lead by example with good practices and attitudes. Younger staff are enthusiastic and encouraged to develop by management with training courses. The manager of the home encourages open, easy communication between residents, relatives and staff. All of the residents said that the staff were friendly and kind. Care plans for residents are clear for staff to understand how to best look after each individual, and personal routines are respected. The manager has made good plans to cater for the residents needs as much as possible during the refurbishment of the home, making constant checks on the health and safety issues of living there while building work and decoration is taking place. Also regular trips out have been organised to, as a staff member said, "give the residents a break from the work going on in the home". Meals are home-cooked, varied, with well-balanced choices.

What has improved since the last inspection?

The home is undergoing major refurbishment, and so the environment standards cannot be assessed fully, as they cannot be met during this period of time. The work will be completed by the next inspection, and this structural maintenance, along with the re-decoration and proposed new furnishings, should make marked improvements for the residents.

What the care home could do better:

The service needs to make sure resident`s privacy is fully respected, and the use of a bedroom for training staff from other sections of the company does not do this. More suitable staff training space needs to be arranged. The numbers of staff on duty and their roles needs to be reviewed. Staff carrying out the combined roles of carers, cleaners and cooks causes an impact on the time they are able to spend with residents. It also has implications on infection control. The manager confirmed that this situation is presently under review by the provider of the service.

CARE HOMES FOR OLDER PEOPLE Wharfedale Rest Home 14-18 Beach Road Cleveleys Lancashire FY5 1EQ Lead Inspector Ms Jenny Hughes Unannounced Inspection 10:00 23rd May 2006 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 Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 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. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wharfedale Rest Home Address 14-18 Beach Road Cleveleys Lancashire FY5 1EQ 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) 01253 852414 01253 829140 Finest Services Limited Mrs Helen Carson Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home can accommodate up to 15 service users in the following category Up to 15 service users in the category OP (older people who do not fall into any other category) 6th December 2005 Date of last inspection Brief Description of the Service: Wharfedale has been adapted from three adjoining two-storey residential properties, into a care home, which suits the needs of older people. It is close to the centre of Cleveleys, with easy access to transport links. It is equipped to suit the needs of its residents, for example there is a stair lift, grab rails and ramps. Single and double rooms are sited on both floors, with toilets and bathrooms being conveniently situated. There is sufficient communal space, with two lounges and a dining room. A small smoking area is provided. Outside seating is available in the pleasant front garden. Information about the service the home provides is available in the form of a standard brochure, and also a clearly written guide which tries to cover everything a resident needs to know about daily life in the home. CSCI reports are readily available from the manager to anyone who asks to see them. As at 17th April 2006, the fee scale ranges up to £350 per week, with additional charges for chiropody and hairdresser visits, and extra toiletries requested. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit to the home, in that the owners were not aware that it was to take place. The length of the visit was for 5 hours. Before the visit took place, the manager was asked to complete a preinspection questionnaire, and surveys were received from residents and their relatives, and visiting professionals. During the inspection visit, staff records and resident care records were viewed, alongside the policies and procedures of the home. The manager, residents and care staff were spoken to, and their responses are reflected in the body of this report. A tour of the home was made, viewing lounges, dining room, bedrooms and bathrooms. Everyone was friendly and cooperative during the visit. What the service does well: The home has some long-term experienced staff who lead by example with good practices and attitudes. Younger staff are enthusiastic and encouraged to develop by management with training courses. The manager of the home encourages open, easy communication between residents, relatives and staff. All of the residents said that the staff were friendly and kind. Care plans for residents are clear for staff to understand how to best look after each individual, and personal routines are respected. The manager has made good plans to cater for the residents needs as much as possible during the refurbishment of the home, making constant checks on the health and safety issues of living there while building work and decoration is taking place. Also regular trips out have been organised to, as a staff member said, “give the residents a break from the work going on in the home”. Meals are home-cooked, varied, with well-balanced choices. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 Page 6 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. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 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 Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 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): 3 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The information the home gives to people about the services available, and the way it gathers information about people who want to live there, means that proper choices can be made about the suitability of the home. EVIDENCE: Individual records are kept for each of the residents, and there is a set procedure for admitting someone to the home, with a pre-admission assessment form being seen on two selected files. These are used by management to check that staff can give suitable care to each person, before the manager agrees that the home is the right place for them to live. The information in this assessment was informative and appropriate. One resident, admitted in an emergency, had only basic information of their care needs, and the manager was waiting for the formal social services Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 Page 9 assessment to arrive, while their own assessment was ongoing. There were records of consultation with the resident’s relatives. “I think I came and had a look around before I moved in”, commented another resident. GP’s responses to a survey said that the home always communicates clearly and works in partnership with them, and make the right decisions if they cannot manage the resident’s care needs. Staff spoken to were aware of the needs of the residents they were looking after. “We’re always given full information by the manager about new residents”, said a staff member, “and the care plans are kept up to date. It’s only a small home and you just know what everyone needs”. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 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 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and personal care needs for everyone living at Wharfedale is well organised, meaning people benefit from individualised care and support. Some practices fail to promote and protect resident’s privacy. EVIDENCE: Individual care plans are available, identifying the areas of need for each person, and with clear instructions for staff for what they must do to meet that need. The manager regularly reviews the way things are recorded, and tries to improve the information and instructions to staff to make improvements to the lives of the residents. Differing needs are catered for by staff, for example, some residents like to watch certain television programmes, others prefer to be quiet, while others like to chat and try to help. “Everyone’s different after all. We try our best”, commented a staff member. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 Page 11 “They come and talk and take us out. I like living here, it’s nice”, “It’s a friendly place to be. The manager’s very good and will always try to help you” and “Oh yes, the doctor always comes if you’re not so well”, are examples of residents’ comments. It was noted that the bedroom of one resident, once that person was helped to get up and sat in the lounge, was used as a training room for hoist training, as the resident used a hospital bed which was required for the training. The training was for staff working for the company’s domiciliary agency, and was the standard training practice. This practice does not respect the privacy of the resident, and is very unsatisfactory. The company must make more appropriate training arrangements for its staff. Residents choose to sit in either of the lounges, with anyone who smokes making occasional visits to the smoking area when they wish. Visitors call in through the day, and sit in the lounges or go to the resident’s own room to chat. Medication records were available for all residents, and were seen to be clear and up to date, with photographs of residents identifying these records further. Only trained staff administer medication. Patient information leaflets are kept for staff information on each individual’s medication. It was evidenced with signatures that new medication arriving at the home is always checked on receipt, and any which needed returning to the pharmacist were listed and signed for. Medicines are stored in a secure, dedicated cupboard. Residents are required to sign a ‘declaration of wishes’, which outlines the involvement staff have in handling resident’s medication. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 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 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents daily lives and social activities are well catered for, and all people benefit from living in a home that works hard to ensure that people are provided with opportunities to live lives that are fulfilled. EVIDENCE: The individual care plans include information on each person’s life history, their religious needs, and which hobbies and activities they prefer. Records show that visits are made by a T’ai Chi instructor, who encourages gentle armchair exercises, some residents enjoy a hand massage, games of bingo are regular, with some residents visiting the local bingo hall. The residents chatted about the mystery tour they went on, ending with fish and chips, and a few had visited the local Chinese restaurant with staff. Sing-a-longs are also enjoyed. Most of the residents said they were happy with the activities, and liked them, while a couple said that they weren’t really bothered with them. Some residents like to sit in their room, “I like sitting here in the quiet”, said one resident. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 Page 13 Visitors are welcome throughout the day, all recorded in the visitors book by the front door, with some residents saying that they enjoyed trips out with family and friends. Seats in the front garden are for residents to sit in the better weather and enjoy the flowers, and chat to the neighbours as they pass by. During the refurbishment the manager has tried to ensure residents are still able to sit outside if they wish, checking for any risks to residents safety from the building work. A sample meal was taken of corned beef hash, with rice pudding to follow. Drinks of tea were readily available, and staff made sure everyone had had their fill. There was a clear choice and a varied menu. “One resident likes to come shopping with me”, said the manager, “and helps choose food that they like best”. One resident suggested tripe for tea, and another toad in the hole, both of which were provided for a change. During the visit a resident asked for a biscuit, so a carer provided some chocolate for everybody, which they all enjoyed. “I like the meals. Sometimes if I don’t like it they try to get me something different”, said a resident. During the refurbishment, which includes the dining room, a temporary dining room has been set up in a second lounge area. Some residents have chosen to eat their meals in the main lounge during this time. “I don’t mind having my meal in the lounge – I like it – I can watch the telly. It will be nice to have a good dining room though. A staff member commented “It’s quite hard work with the refurb going on – trying to make sure everyone is alright and safe, but we try to make sure the residents know exactly what’s happening. We’ve been taking them out a lot for a break from it”. Staff address any diverse and individual needs in order to make sure each person is cared for equally, and feel as much at home as possible. A male resident explained, “I don’t want to be doing things. I’m happy pleasing myself”. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 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 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are confident their concerns will be listened to and acted upon. Staff have an understanding of Adult Protection issues, which protect residents from abuse. EVIDENCE: There is a complaints procedure in place, with a complaints book to record any complaints, which may come to the manager’s attention. The home’s complaints book has no records of complaints. Residents spoken to said they would “tell any of the staff” if they were not happy with something. Staff spoken to knew about the Adult Protection procedure, and what to do if they had any concerns. They said they would always act if they thought a resident was at risk. Also if it was a member of staff causing concern they would inform the manager. All staff attend abuse awareness training. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 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 and 26 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Recent investment is in the process of improving the appearance of this home, creating a more comfortable and safe environment for those living there and visiting. EVIDENCE: The small front garden of the home is kept tidy and attractive, with small flowerbeds and seating for residents to use in the good weather. The major refurbishment programme of the home is ongoing, following a structural survey showing the need for new flooring and roofing, and the need to renew the worn and tired décor and furnishings. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 Page 16 At the visit building work was under way with the dining room floor being laid, and the roof being finished off. Some bedrooms have been decorated, and some were being re-plastered. New carpets are to be laid throughout the home on completion of the work, and new furnishings provided. The rooms that had been decorated were bright and clean and welcoming Residency levels are low to allow for movement around the home so that each room can be done in turn. “We’ve got used to the builders – it’s got to be done hasn’t it?” said a resident.” “We helped choose the wallpaper and colours, you know” confirmed another. “I’ve no problems with the building work. I’m happy to make do because it’s only temporary”, said a resident. The disruption has also led to more trips out for meals, which are enjoyed. “I try to make sure all of the resident’s are comfortable before the builders start every day”, explained the manager. The lounges were warm and comfortable for the residents, but also in need of refreshing. During the refurbishment, the home cannot meet the living standard required as a whole, even though the manager is trying to keep the disruption to the residents as minimal as possible. A Programme of Works for the refurbishment has been provided to the CSCI, and most of the project is up to date. By the next inspection this work should be completed. The laundry is situated away from food storage and preparation. Staff spoken to were aware of the correct way to work to prevent and control infection. The home was generally clean, with care staff covering domestic and cook duties also. These staffing levels may need to be addressed when the home is fully occupied. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 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 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is sufficiently staffed with trained carers. EVIDENCE: Two staff files showed that the necessary recruitment checks had been carried out, with one having verbal references only. The manager confirmed that written references had also been requested, and that no staff start working at the home before they receive a disclosure from the Criminal Records Bureau. Records of staff checks were seen. All new staff have induction training, and are given guidance and information on their terms and conditions, and working practices in the home. Most of the staff are long term and experienced, so able to guide new younger staff and lead by example. “I’ve been put on training courses”, commented a younger staff member, “and the other staff will always show me what to do. I really enjoy the work”. Detailed training records are held for each staff member, with basic training in moving and handling, health and safety and food hygiene being priorities, alongside further National Vocational Qualifications (NVQ), levels 2 and 3, in care. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 Page 18 The rota showed which shifts care staff were working each day. Care staff also carry out cleaning and cooking duties, which takes them away from providing for the care needs of residents. The staffing levels and roles need to be addressed as the home becomes fully occupied. “The girls are always very busy. They have a lot to do you know. I don’t like to stop them working”, commented a resident. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 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 and 38 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is an experienced manager and senior staff who work to improve services and provide an increased quality of life for residents. Staff rotas do not take into account times of high and low activity, meaning that there are times when there are no staff immediately available to meet the needs of the residents. EVIDENCE: The manager has several years experience in a supervisory role in care homes, and holds the Registered Managers Award. The manager has updated a survey which is sent to residents and relatives to monitor the quality of the service being provided. The outcome of this will be viewed at the next inspection. Staff also complete a satisfaction survey. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 Page 20 The manager and staff said that they constantly get feedback from the residents, and occasionally meetings are held, although there have been constant talks and discussions with the few residents in the home while the refurbishment has been going on. The quality of the service is also measured by the local authority, who have, after a comprehensive assessment, given the home four out of the five stars they use to measure the standards of care by, five stars being excellent. The number of double rooms in the home caused the loss of the fifth star. The manager is not responsible for handling any residents’ finances, and they either manage them themselves, or family help in this area. Clear records are kept of any personal allowances. Records show that all maintenance and servicing checks of equipment, including fire alarms and nurse alarms, were up to date and correct. A recent visit by a fire officer noted minor requirements, and these had been dealt with. Health and safety issues have been specifically addressed by the manager while the builders are present in and around the home, to ensure the safety of the residents and staff. The manager ensures all staff have one to one supervision, and senior staff are being trained to carry this out as well. These are targeted to each staff member’s individual needs, and identify training needs and confirm correct working practices. Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 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 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 Page 22 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 OP19 Regulation 23 Requirement The premises must be kept in a good state of repair externally and internally. All parts of the home must be kept clean and reasonably decorated. Suitable arrangements must be made to ensure the privacy and dignity of residents is respected at all times. The training of care staff must not impact on the resident’s personal space. Staffing numbers and roles should be addressed to ensure that the health and welfare of the residents is not compromised. Timescale for action 30/06/06 2. OP10 12 30/06/06 3. OP27 18 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 Page 23 Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Wharfedale Rest Home DS0000009683.V286109.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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