Inspection on 14/12/06 for Ivydene Care Home

This inspection was carried out on 14th December 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ivydene Care Home 11/11/08

Ivydene Care Home 30/11/05

Ivydene Care Home 31/08/05

Ivydene Care Home 02/02/05

Ivydene Care Home 27/07/04

Ivydene Care Home 17/03/04

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

CARE HOMES FOR OLDER PEOPLE Ivydene Care Home Ivydene Close Earl Shilton Leicester Leicestershire LE9 7NR Lead Inspector Susan Lewis Key Unannounced Inspection 14th December 2006 9:45 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 Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ivydene Care Home Address Ivydene Close Earl Shilton Leicester Leicestershire LE9 7NR 01455 843001 01455 843001 chrisquarmby@hotmail.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ivydene Care Home Ltd Mrs Susan Victoria Beardmore Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (23) Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. NO ADDITIONAL CONDITIONS OF REGISTRATION APPLY Date of last inspection 30th November 2005 Brief Description of the Service: The fees for 2006/07 are £369-£409. A copy of the most recent inspection report is available on request. Ivydene is registered to provide care for twenty-three older people with dementia and/or mental disorder. The home is situated in a quiet and secluded cul-de-sac, close to the centre of Earl Shilton. A range of facilities is located nearby. Residents’ bedrooms are situated on the ground and first floors. Access to the first floor is available via a passenger lift, although some of the bedrooms are only accessible via the stairs. There are eleven single and six double bedrooms. In addition to their rooms, residents have access to two lounges, a dining room and a large garden. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting residents and tracking the care they received through looking at their records and observing staff that provide their care. One and a half hours were spent observing the care given to a small group of people. All observations were followed up by discussions with staff and examination of records. As observation was used during this inspection residents were not spoken with on this occasion. The inspection was unannounced and took place over 71/2 hours one Thursday in November 2006, and was conducted by two inspectors as part of the annual inspection process. A partial tour of the building took place and a selection of residents’ bedrooms was inspected. Other information that was used to inform this report was the pre-inspection information provided by the registered manager, accident and incident reports received since the last inspection as well as the previous inspection report. What the service does well: What has improved since the last inspection? What they could do better: Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 6 The Registered Person must ensure that all residents are risk assessed for falls this is an outstanding requirement from the last inspection and must be met within the new time frame set. Although residents generally receive their medication appropriately some practice does need to be improved, where medications are shared this is considered to bad practice and must stop. Also not all Medication Administration sheets are signed after each medication is given to a resident, the Registered Person must ensure staff do this to maintain a clear audit trail of medication administered to residents. The care within the home is of a good standard, however the state of repair of the building particularly outside is poor and although the Registered Person informed the inspector that he was awaiting the resolution of legal issues around a planning application the building must be of sound construction and kept in a good state of repairs both internally and externally. The Registered Person must provide the Commission with some timescale of when he hopes to start the repairs. Overall staff are very well trained and are given good opportunities to attend a wide variety of training, however apart from the cook there were no care staff with Basic Food Hygiene Training. The Registered Person must ensure that any care staff involved in the preparation of food has Basic Food Hygiene Training. Records were generally well maintained, however accidents where residents have been involved are currently recorded in an A4 book, this doies not comply with current legislation and the Registered Person must ensure that records are maintained so as to ensure the confidentiality of residents details. 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. The summary of this inspection report can be made available in other formats on request. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. Residents do not move to the home without having their needs assessed and assured that they can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were viewed as part of this inspection and all contained a copy of the social services assessment and an in house assessment. Care plans had been created using these assessments. This ensures that residents needs are assessed prior to moving to home and that the staff in the home can meet the person’s needs. Intermediate care is not provided in this service. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. Residents’ health personal and social care needs are set out in an individual plan of care. Residents’ health care needs are mostly met. Residents are not fully protected by the home’s procedures for dealing with medication. Residents are treated with respect, and their right to privacy is upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Evidence was seen that care plans have sufficient detail to ensure staff could provide the care residents needed. Diary notes showed that residents were receiving the care to meet those needs and were liaising with doctors and District Nurses. Although reviews were carried out regularly plans were amended as required due to the style of the care plan they became muddled when a number of amendments were made. It is recommended that the Registered Person create new care plans where residents needs change significantly to minimise the risk of changes being over looked. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 10 A requirement was set at the last inspection regarding falls and ensuring residents were risk assessed. No evidence was found on the three care plans viewed regarding falls risk assessments. Accident records show that there are not high numbers of falls in the home. This requirement is extended but must be met by the date indicated. Diary notes and care plans showed that staff were aware of the importance of monitoring residents diet and fluid intake to ensure they maintained their nutrition levels. Where residents were at risk of pressure ulcers evidence was seen in care plans and diary notes that residents received equipment and care from the district nurse, ensuring health care needs were adequately met. Medication records were looked at and evidence was seen that all seniors and evening staff have received training to administer medication, ensuring that competent staff are available at all times to meet the medication needs of residents. Medication records showed that residents were sharing some medications, this is not acceptable practice and the Registered Person must ensure that systems are put in place to prevent this happening. Medication records were handwritten in some cases, where this is necessary the Registered Person should ensure staff sign and countersign to minimise the risk of error. There were some gaps in recording and the Registered Person must ensure that medication records are kept in order and up to date to minimise risk to residents of maladministration. During the observational period of the inspection three residents were observed in the small lounge dining room from 11.45 am to 1.15pm. During this time residents had their midday meal. The three residents were observed mostly in a positive mood and interacted well not only with staff but with other residents in the room. Staff spoke to residents politely supporting their dignity and when they asked a question they waited for an answer not just rushing ahead of the resident or assuming a reply. All staff observed during this period were seen to treat the residents with respect, choices were given and affection was seen between staff and residents. A visitor spoken with commented that staff were lovely and ‘Very Kind to all the residents’. Residents were well groomed and care plans showed that staff supported them to dress where necessary. A relative commented that on occasions other peoples clothes were amongst their loved ones belongings, even though they were labelled as belonging to someone else. It is recommended that the Registered Person review the process of sorting residents’ clothes after being laundered. Comments were made throughout the day by staff and management that the home strived to be like a big family and relatives are encouraged to visit at any time and were offered to share the midday meal. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. Residents find the lifestyle experienced in the home matches their expectations. Residents are bale to maintain contact with their family and friends and the local community. Residents are helped to exercise choice and control over their lives. Residents receive wholesome meals in pleasing surroundings at times convenient to them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff spoken with said that breakfast was flexible and residents got up when they wanted to. Evidence was seen of a variety of different activities through the day, on arrival at the home the inspectors observed a member of staff sat with a resident going through the daily paper. Other residents were observed with a paper or talking to staff. From the pre-inspection information provided staff support residents to go into the village as well as a mix of activities to meet the individual residents needs. Care plans provided information on residents preferences and their past hobbies enabling staff to find things that would be stimulating and interesting to residents. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 12 Visitors were seen throughout the day and were able to meet with their loved ones either in the lounge or their bedroom. Information was available on advocacy services; this supports residents who need someone to act on their interests. In discussion with the manager she discussed that through staff NVQ training there are revising the way they review their care plans and are encouraging key workers to sit with residents to go through plans to ensure they reflect the residents needs. This ensures that residents have access to their personal records. The mealtime was observed and evidence was seen that choice was given and meals appeared appetising and nutritious. Residents were heard to complain that the meal was cold. The Registered Person should review how the meals are served to minimise this issue. Currently they are plated up in the kitchen and brought through to the dining room. The problem arises if staff get called away to deal with a residents care needs. Overall residents were heard to make positive comments regarding the meal. ‘I enjoyed that’. Staff offered residents more food and drinks were available throughout the meal. However the meal was delayed on this occasion and residents were sat at the table for at least thirty minutes without a drink. They were commenting on how thirsty they were. The Registered Person should provide something whilst they are waiting for their meal to be served. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Relatives and residents feel able and supported to complain and that these complaints will be listened to and acted upon. Residents are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Commission has received no complaints regarding this home since the last inspection. The home’s complaints book was viewed and the last complaint recorded was over twelve months ago. This was investigated appropriately with records of the complaint and action taken by the management. This ensures that any complaint is dealt with and the issue resolved. There is a copy of the complaints policy on the notice board in the reception and visitors spoken with said they knew who to speak to if they needed to complain. Staff spoken with were aware of what to do in the event of a resident complaining and were positive that they would ensure residents concerns and complaints would be dealt with. In discussion with staff although they understood what adult abuse was and knew about the whistle blowing policy they were less sure about what to do if an issue of abuse was not handled correctly within the home Staff have received some training regarding adult protection as part of their NVQ level 2 however, it is recommended that the Registered Person arrange for more formal adult protection training to ensure that staff are fully aware of procedures within Leicestershire. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. Residents live in an environment that is well maintained internally but externally is in poor repair. The home is clean pleasant and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Internally the home is homely and clean. It is maintained and ensures residents are not placed at risk by trip hazards and faulty equipment. Externally the garden is well maintained and enables residents to access fresh air in better weather. Evidence was seen that maintenance is carried out, it is recommended that when requests are written in the maintenance book that these are dated and signed by the person making the request and dated and signed when they are completed to provide a clear audit trail of what work is carried out on the home. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 15 The building externally is in a poor state of repair. Windows are rotten in places and the glass in some windows is cracked. As the building deteriorates this may impact on the health and safety of residents particularly where windows are rotten and in some cases cannot be fully closed. The proprietor is aware of these shortcomings but is currently awaiting the resolution of legal issues around a planning application. This has been going on for some time and the proprietor must provide the Commission with a timescale for when he proposes to start the work or take remedial action to minimise any potential risk to residents. Staff were observed throughout the day using appropriate gloves and aprons to minimise the risk of cross infection and at all times were seen to practice good hygiene when providing care. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. Residents’ needs are met by the numbers and skill mix of staff. Residents’ are supported and protected by the homes’ recruitment policy and procedure. Staff are mostly trained and competent to do their jobs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff are employed in sufficient numbers to meet the needs of residents. Staff were observed assisting residents with a variety of tasks from supporting residents to the toilet, to sitting and reading a newspaper. Sufficient domestic staff were also employed to ensure that the cleanliness of the home was maintained. Evidence was seen that staff are supported to attend NVQ training and that over 50 of staff had NVQ level 2 or above. Ensuring that staff are competent in their role as carer. Staff records were seen and the most recently recruited staff had Criminal Records Bureau checks and two references obtained before starting work. Staff were also given copies of the General Social Care Council code of conduct this enables them to understand what standard of behaviour is expected as a carer. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 17 Records showed that staff had good access to all types of training including Dementia Care and Stroke Awareness. However not all staff who are involved in food preparation and handling have their Food Hygiene certificates. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. The home is run by a person who is fit to be in charge. The home is run in the best interests of the residents. Residents’ financial interests are safe guarded. The health, safety and welfare of residents and staff are promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is very experienced in running a care home and is aware of her responsibilities to keep up to date with her training and is familiar with the conditions associated with old age. She has completed her NVQ level 4 and her Assessors Award providing further evidence as to her fitness to manage a care home. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 19 The home operates a very detailed quality system and staff and visitors confirmed that they had received questionnaires about the service. The system runs for twelve months and covers different areas of the service each month. This information is then used to inform the action plan for the home. This is good practice and ensures residents are getting the best possible care. Residents’ money is stored appropriately and the manager does not act as appointee for any resident ensuring no conflict of interest is created. Records are maintained to show that fire drills are carried out regularly and that there is a suitable fire risk assessment document in place. This ensures residents are safe at all times. A requirement was set at the last inspection to ensure that the home informs the Commission of all incidents deaths and accidents within the home. Evidence provided during the year and records seen during the inspection this requirement is now met. A requirement was set at the last inspection regarding storage of personal items such hairbrushes and toothbrushes in communal boxes. There was no evidence seen that this practice continues and so the requirement is met. Accidents are currently recorded in an A4 book and this does not comply with The Data Protection Act 1998. The Registered Person must ensure that all accidents are recorded according to current legislation. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 20 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 2 9 2 10 3 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 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 13(4) (b)(c) Requirement Timescale for action 01/02/07 2 OP9 13(2) 2 OP9 13(2) 4 OP19 23(2)(b) It is required that formal risk assessments are carried out for all residents for whom there is an identified risk of falling, with an aim to preventing falls. (Outstanding requirement 13/12/05) The registered person shall make 31/01/07 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. Residents must not share medication. The registered person shall make 31/01/07 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. Staff must sign medication administration sheets at all times. The Registered Person must 01/02/07 ensure the premises to be used as the care home are of sound construction and kept in a good state of repair externally and internally. The Registered Person must inform the Commission of a timescale for when work is likely to start on repairs to the home. DS0000032007.V322507.R01.S.doc Version 5.2 Ivydene Care Home Page 22 5 OP30 18(1) (c)(i) The Registered Person must ensure that the persons employed by the registered person to work at the care home receive training appropriate to the work they are to perform. Staff who are involved in food prep have their basic food hygiene certificate The Registered Person should ensure that accident records comply with current legislation. 01/02/07 6 OP38 17(1) 01/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 6 7 Refer to Standard OP7 OP9 OP10 OP15 OP15 OP18 OP19 Good Practice Recommendations The Registered Person should create a fresh care plan where residents’ needs change significantly. The Registered Person should ensure that handwritten Medication Administration sheets are signed an countersigned. The Registered Person should review the process of distributing laundry to residents to ensure that clothes go to the correct person. The Registered Person should review the way meals are served to residents to ensure that they are served hot. The Registered Person should provide drinks whilst residents are waiting for their meals. The Registered Person should arrange formal adult protection training for staff to ensure they are fully aware of local procedures. The Registered Person should ensure that the maintenance book is signed and dated for each maintenance request and signed and dated on completion. Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Ivydene Care Home DS0000032007.V322507.R01.S.doc Version 5.2 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. 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