Inspection on 16/07/06 for Kirkby Manor Care Home

This inspection was carried out on 16th July 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.

Other inspections for this house

Kirkby Manor Care Home 26/07/07

Kirkby Manor Care Home 04/10/05

Kirkby Manor Care Home 18/08/05

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

CARE HOMES FOR OLDER PEOPLE Kirkby Manor Care Home Beech Avenue Kirkby In Ashfield Nottinghamshire NG17 8BP Lead Inspector Steve Keeling Unannounced Inspection 09:00 13th July 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 Kirkby Manor Care Home DS0000063843.V296913.R03.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. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kirkby Manor Care Home Address Beech Avenue Kirkby In Ashfield Nottinghamshire NG17 8BP 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) 01623 723724 01623 723724 Hallmark Healthcare (Kirby in Ashfield) Ltd Ms Pauline Waddups Care Home 40 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (40) of places Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users shall be within category DE/E Date of last inspection 4th October 2005 Brief Description of the Service: Kirkby Manor is a modern, purpose-built 40 bedded care home offering specialist care for older people with mental illness. Qualified nursing care is provided at all times. The home is located in a cul-de-sac in a residential area of Kirkby in Ashfield. The town centre is approximately half a mile away. The accommodation is on two floors with a passenger lift to assist independent access. All of the bedrooms of all single occupancy. There is a safe enclosed garden which is easily accessible by residents. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over a 5 hour period and involved one inspector. The main method of inspection was case note tracking, this is a method of selecting residents within the home and discussing with them their expectations and experiences of living within the home environment. The case tracking method also analyses the records of the residents to ascertain if the residents identified needs are being addressed appropriately within the care home setting and that their safety and well being is being maintained. On this occasion two residents notes were case tracked. Also as part of the case tracking process, a staff member within the home was informally interviewed to further evidence the quality of care afforded to the residents. It was evident that the registered manager and the care staff on duty at the time of the inspection are very committed to providing a high standard of care for the residents. The manager and staff within the unit were very helpful and cooperative thus ensuring that the inspection process progressed in a professional and efficient manner. Two relatives were interviewed at this inspection to glean further information as to the quality of care afforded to the residents. The relatives stated that they felt confident that the care provision at the home was of a high standard and the staff were dedicated and caring. The fees currently charged at the home range from £319 to £343 plus nursing determination payments. Additional services such as hairdressing, daily newspapers and Podiatry interventions are not included in the homes fees. What the service does well: It is evident that Kirkby Manor continues to be well managed and residents can enjoy a comfortable and homely environment that is both stimulating and safe. The residents and staff interviewed on the day of the inspection praised the management at the home stating that the manager is approachable, professional and genuinely caring towards the residents at the home. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 6 The case tracked care plans examined on the day of the inspected were of good quality, being person-centred and addressed the holistic needs of the residents. The residents care plans are reviewed on a monthly basis to ensure that any changes in the residents needs are addressed efficiently. All care plans are stored effectively to ensure that the resident’s confidentiality is maintained. The inspection process allowed for a partially examination of the building and it was evident that the resent refurbishment has resulted in a comfortable, homely environment which is maintained to a high standard throughout. The residents can also benefit from a very pleasant garden area which has been equipped with a variety of garden furniture for the residents enjoyment. Residents and relatives alike praised the meals provided at the home stating that the food is plentiful and well cooked. What has improved since the last inspection? What they could do better: The registered person will ensure that all staff within the home receive the required mandatory training The registered person should ensure that the flooring in some communal toilets, which is stained, is replaced. The registered person should ensure that residents at the home receive an effective consultation process. The registered person should ensure that residents at the home are afforded a choice of meals at lunchtime, which will be displayed on a menu within the dining area. The registered person should ensure that all areas within are odour free. The registered person should ensure that all staff within the home receives appropriate structured supervision. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. The assessment documentation provided by Hallmark Healthcare had been utilised effectively so as to identify the holistic needs of the residents. Kirkby Manor does not provide intermediate care services. EVIDENCE: The pre-admittance assessments within the two case tracked notes were detailed in identifying the specific needs of the residents to maintain optimum independence within the home. The assessment documentation is clear, concise, signed and dated by a suitably qualified assessor. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Care plans were effective in addressing the identified needs of the residents. The policies and procedure at the home in relation to the receipt, administration and disposal of medicines are effective. Residents at the home are treated with respect and dignity and their privacy is maintained effectively. EVIDENCE: Two resident’s files were examined on the day of the inspection. It was evident that the care-planning format is designed to be individualistic in meeting the needs of the residents. The care planning documentation is very well organised and it was evident that residents or their relatives’ participation is encouraged so as to obtain informed consent in relation to the content of the care plan. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 11 The resident’s needs are evaluated monthly to ensure the any changes are identified and addressed effectively and all personal documentation is stored securely to ensure the resident’s confidentiality is maintained. At the time of the inspection no service users were responsible for the selfadministration of medicines. It was established that should a resident wish to be independent in the administration of medicines and has been assessed as being safe, self-medication could be facilitated at the home. The inspection process allowed for a brief examination of the medication room. The medication room was well organised and medication was stored appropriately within a refrigerated environment. The home had recently undergone a pharmacy inspection on 6th March 2006 and the minor concerns identified at that time have been addressed effectively. Residents and relatives alike stated that the staff always respected their privacy and dignity and that all the staff within the home are understanding and considerate. It was established that staff always knocked on the bedroom doors of residents before entering thus promoting the principles of privacy and dignity. All residents were very presentable at the time of the inspection, it was established that the laundry facilities within the home are very good. Residents spoken with stated that their clothes were always returned promptly and in a clean well ironed condition. The inspection process established that staff within Kirkby Manor converse with the residents in a pleasant and respectful manner and it was evident that the residents were very comfortable and contented within the homes environment. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents at the home are able to participate in stimulating social activities if they choose. Residents are encouraged to maintain contact with their family and friends within the home and within the broader community. Residents are encouraged to exercise choice and control over their lives although the consultation process is somewhat lacking. Residents are provided with a wholesome, appealing and balanced diet. EVIDENCE: A social activities coordinator is employed at the home and residents are encouraged to participate in a varied and stimulating social activities programme both in the home and within the local community. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 13 The social activities coordinator provides activities such as board games, cards, dominoes, indoor basket ball, arts and crafts and beauty treatments which the residents particularly enjoy. A mini bus is available and residents can access areas of local interest such as parks and garden centres. Holy communion is performed on a weekly basis, which residents can choose to attend if they wish. A case tracked resident confirmed that she often shopped at the local shopping centre whilst be accompanied by a member of staff from the home or a relative. Through conversations with a senior member of the nursing staff and a case tracked resident it was established that residents are not afforded the opportunity to express opinions and concerns within an open forum such as a residents meeting. Residents meetings are intended to identify issues relating to the care provided to residents at the home so that any issues of concern can be discussed and addressed effectively. Residents meetings could also provide a forum to discuss preferred social activities and any plans for the development of the home, so as to include residents and their relatives in this process. The senior nurse on duty at the time of the inspection confirmed that the consultation process is somewhat lacking although it was established that the manager at the home operates an “open door” policy in which residents and relatives can discuss any issues of concern with her directly. A senior member of staff stated that no restrictions are in place in relation to visiting times at the home. At the time of the inspection two relatives were visiting the home and they confirmed the open access policy at the home and also stated that all the staff at the home were very approachable and attentive to the residents needs. The resident’s dining room has been redecorated to a high standard and now provides a dining area that is both safe and aesthetically pleasing. The kitchen area was examined and it was evident that food is being stored effectively in the fridge and that food temperature monitoring is taking place appropriately. The inspection process allowed for an examination of the daily menus and it was evident that only one choice of a main meal was displayed on the menu board. A discussion with the chef confirmed that this is usual practice at the home but went on to state that the residents can have an alternative to the displayed menu if they wish. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 14 The registered provider will be required to display two meal options on the menu board so as to afford all the residents at the home with a choice in relation to the lunch time menu. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents feel confidant that any concerns or complaints will be listened to, taken seriously and acted upon by the manager and staff at the home. Residents are not fully protected from abuse as staff have not received appropriate mandatory training in relation to Adult Protection. EVIDENCE: Kirkby Manor benefits from clear policies and protocols provided by Hallmark Healthcare in relation to the reporting of concerns and complaints. The complaints procedure is available in the homes foyer for residents and their representative’s perusal. At the time of the inspection no complaints were being investigated at the home and no complaints have been received at the Commission for Social Care Inspection. The case tracked resident spoken with stated that she felt safe within the home, and also stated that if she had any concerns or complaints she would feel confidant that the manager of the home would take any concerns seriously and address them effectively. The relatives of a resident interviewed on the day of the inspection also confirmed that the manager was very approachable and although they were very satisfied with the care provision at the home they would also feel Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 16 confident that the manager would listen to any concerns or complaints they might have. A staff member was spoken with at the time of the inspection and it was evident that she had and appropriate knowledge of Hallmark Healthcare complaints procedure. The member of staff was fully aware of adult protection procedures and confirmed that issues relating to the protection of the vulnerable adult were addressed on her induction. She stated that if she suspected that abuse was happening in the home she would inform the manager who would contact Social Services, the Commission for Social Care Inspection, the Adult Protection team or the Police if necessary. An examination of the staff-training matrix evidenced that the majority of staff at the home have not attended training events in relation to Abuse Awareness and as such the registered person should ensure that all staff attend training in relation to Abuse Awareness. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 17 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, 26. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents live in a safe well-maintained environment. The majority of the home is clean, pleasant and hygienic throughout although some malodour is present within the bedrooms of some residents. EVIDENCE: Kirkby Manor has benefited from a resent refurbishment and on the whole the home has a high standard of cleanliness throughout. All communal areas, which included the dining room, television lounges are now well-decorated and fit for purpose with no obvious hazards evident. Both case tracked residents gave the inspector consent to examine their bedrooms. Both bedrooms were found to be personalised, homely and safe. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 18 One case tracked room is malodorous due to the resident’s urinary incontinence. A senior member of the nursing staff confirmed that the carpet in the room had only been in place for a short period of time and had been cleaned on a regular basis in an attempt to control the malodour, the staff member also confirmed that the current measure to control the odour have been ineffective. It is recommended that the registered provider initiate measures to irradiate the malodour from the room at the earliest opportunity. The home benefits from a very pleasant garden area, which is tidy and well maintained. The garden area is also easily accessible to residents in wheelchairs via the conservatory. The garden area is secure and resident can be monitored effectively in the area to ensure their safety is maintained. It was evident that some improvements are required in the resident’s communal toilets as the flooring is stained. The senior member of staff stated that the flooring within the toilets will be replaced as a result of the ongoing refurbishment plan and will be upgraded in the near future. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 19 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. Quality in this outcome group is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Staffing levels at the home are appropriate in meeting the needs of the residents. The home utilises an appropriate recruitment policy, which is adhered to thus ensuring residents are supported and protected. Staff have not received the appropriate training to do their jobs effectively and residents safety could be compromised. EVIDENCE: The staff rota evidenced that an appropriate number of staff were on duty throughout the 24-hour period. The recruitment documentation of the last two members of staff to be employed at the home was checked and found to be satisfactory. Both staff members had undergone appropriate Criminal Record Bureau (CRB) checks and had provided two written satisfactory references. The documentation appertaining to staff recruitment is well organised and clear. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 20 All staff receive an induction programme, which commences on the first day of employment, in addition qualified nurses have two days of supernumerary employment so as to familiarise themselves with the home policies and procedures. An examination of the staff training matrix evidenced that a significant amount of staff have not attended mandatory training which included Health and Safety, Moving and Handling, Infection Control, Protection of the Vulnerable Adults, Food Hygiene and the Management of Challenging Behaviours. A senior member of the nursing team confirmed that the training opportunities provided at the home have not been comprehensive in providing information and guidance for staff within the home. The registered provider will be required to evidence the measures to be taken to ensure that all staff are in possession of the mandatory training which is appropriate to the work they are to perform. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 21 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, 38. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. The manager of the home is suitably qualified to perform the management role. The home is run in the best interests of the residents and their health and welfare is promoted and protected. Residents are protected from financial abuse and their financial interests are safeguarded. Routine maintenance at the home is effective in maintaining the residents and staff health and safety. EVIDENCE: Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 22 The manager of the home was formally interviewed by the Commission for Social care Inspection and was assessed as competent in performing the manager’s role at the home. Residents and staff alike praised the manager’s abilities and stated that they have a great deal of confidence in her ability to manage the home effectively. Residents, relatives and staff confirmed that the manager is very confident in performing the manager’s role at the home and confirmed that she operates an open door policy so as to address any concerns that they have. In protecting the resident from financial abuse it was established through conversations with the administrator at the home that residents monies are individually stored and appropriate policies and procedures are in place to protect the residents from financial abuse. The monies of the case tracked residents were examined and found to be correct. To ensure that the residents are safe within the homes environment a range of Health and Safety records were seen, all were found to be satisfactory. It is evident that all documentation appertaining to the routine maintenance within the home is well organised by the maintenance technician and is easily accessible. Currently staff at the home do not receive appropriate supervision sessions so that staff can discuss any concerns they might have plus identify training opportunities available to further enhance the care provision within the home. The registered provider should ensure that all staff receives appropriate supervision within the home and that the content of the supervision sessions are documented effectively. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 2 3 X X X X X X 2 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 3 Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 24 No 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 OP30 Regulation 30 Requirement The registered provider shall ensure that all staff receive mandatory training. Timescale for action 31/12/06 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 2 3 4 5 Refer to Standard OP14 OP15 OP26 OP26 OP36 Good Practice Recommendations The registered provider should ensure that an effective consultation process is initiated within the home. The registered person should ensure that residents at the home are afforded a choice of meals at lunchtime, which will be displayed on a menu within the dining area. The registered provider should ensure that the flooring in communal toilets, which is stained, is replaced. The registered provider shall ensure that all residents’ rooms are odour free. The registered provider shall ensure that all staff receive formal supervision sessions. Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Kirkby Manor Care Home DS0000063843.V296913.R03.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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