Inspection on 30/05/07 for Langdale Nursing Home

This inspection was carried out on 30th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Langdale Nursing Home 30/09/05

Langdale Nursing Home 22/04/05

Langdale Nursing Home 18/11/04

Langdale Nursing Home 08/06/04

Langdale Nursing Home 13/01/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Langdale Nursing Home 11 The Avenue Alverstoke Gosport Hampshire PO12 2JS Lead Inspector Val Sevier Key Unannounced Inspection 10:15 30th May 2007 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 Langdale Nursing Home DS0000011503.V336119.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. Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Langdale Nursing Home Address 11 The Avenue Alverstoke Gosport Hampshire PO12 2JS (023) 92 581754 02392 503854 langdale@freenet.co.uk 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) Mrs Ruby Evelyn Kelly Mrs Bethney-Jane Kelly, Mrs Rebecca Evelyn McBride Rebecca Evelyn McBride Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35), Physical disability (7), Physical disability of places over 65 years of age (35), Terminally ill (7), Terminally ill over 65 years of age (35) Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No more than 7 service users in total can be accommodated at any one time within the categories of PD and TI. All service users must be at least 50 years of age to be accommodated at the home. 30th September 2005 Date of last inspection Brief Description of the Service: Langdale nursing home has been converted from a large old house and is situated in a quiet residential area of Gosport, close to all local amenities. The home is registered to accommodate 35 service users over the age of 65 years who are in need of nursing care and who have physical disabilities. The home is also registered to care for those service users who are terminally ill. There is a condition to the registration that 7 service users may be accommodated at any one time between the ages of 55-65 years who are within the stated categories. On the day of the visit the fees for the home ranged between £550 and £675, this is dependent on the assessed need of the individual. Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations. The findings of this report are based on several different sources of evidence. These included: the Annual Quality Assurance Assessment (AQAA) completed by the home, and an unannounced visit to the home, which was carried out on the 30th May 2007, during which the inspector was able to have discussions with staff and have interaction with the residents at the home. During the visit to the home a tour of the premises was carried out which included bedrooms. Staff and care records were sampled and in addition to speaking with staff and residents, their day-to-day interaction was observed. All regulatory activity since the last inspection was reviewed and taken into account including notifications sent to the Commission for Social Care Inspection. What the service does well: The home welcomes people who will use the service and their families or representatives, to visit the home and assess the facilities of the home. The manager actively seeks information from external healthcare professionals as part of the assessment where necessary, to ensure that the home is able to meet assessed needs. People moving into the home are assured that the home that they are entering will meet their needs. For example, staff are well trained and show perception and professionalism in the way they deliver care, which enables people who live at the home to feel safe and enjoy a varied and companionable way of life. Staff treat people who live at the home with respect; they share their companionship and give support sensitively. Detailed records were in place that gave nursing and care staff information that enabled them to provide the help that individuals need. Health care was promoted through the use of tools that assist with monitoring the nutritional needs of individuals when that was necessary. The home has also developed good working relationships with healthcare specialists. Daily routines in the home were flexible and people who use the service being encouraged to make choices for themselves and exercise personal autonomy as far as was reasonably possible. Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 Page 6 People who live at the home were positive about the food that the home provided and were pleased with the range of activities in which they could participate and the condition of the accommodation that they occupied. People at the home, relatives and staff had confidence in the effectiveness of the home’s manager. Systems and procedures in the home worked well including, the management of medication, dealing with complaints, staff recruitment, quality monitoring, and health and safety. 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. The summary of this inspection report can be made available in other formats on request. Langdale Nursing Home DS0000011503.V336119.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 Langdale Nursing Home DS0000011503.V336119.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People that use the service can feel assured that their needs will be assessed and that the home has an understanding of their needs using the assessment process. EVIDENCE: Information about the home received in the AQAA states that “prospective service users are provided with a brochure about the home, which also includes the homes statement of purpose. A contract is provided to prospective service users before admission enabling them to seek professional advice if they wish”. During the visit the inspector sampled four pre admission assessments and care plans. Prior to admission to the home the registered manager or her deputy undertakes a comprehensive assessment of the prospective resident. Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 Page 9 This assessment is carried out where the individual is at the time of request to move to Langdale. The assessment contains information about the needs of the individual. It was observed that the information gained through the assessment had been used to complete the care plans. The information gathered at the assessment included areas such as: * Personal care * Current and past medical history * Diet, weight, dietary preferences * Oral and foot care * Mobility and dexterity * Mental health and wellbeing * Social interests and hobbies * Religious and cultural needs * Safety and risk * Carers and family involvement Individual likes and needs that had been identified for example; ‘attends day centre weekly would like to continue’, ‘difficulty in swallowing – high fibre food needed’, were seen to be followed through on the care plans. Relatives who have commented, explained what had happened in the decisionmaking process regarding the home and how they had been involved. Residents who were able also commented that they had been to the home and had been asked if they would like to live there. The relatives commented that the admission process had worked, that they had been given adequate information to assist with the decision, making process. The relatives felt that the needs could be met at the home; in some cases the relatives appreciated being part of the process as they had cared for the individual and could continue to do so. Langdale Nursing Home DS0000011503.V336119.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The records and systems within the home that ensure that the personal and healthcare needs of people who use the service are met and medication is managed safely and effectively. Staff working practice helped to ensure that the privacy and dignity of people who use the service is promoted. EVIDENCE: The inspector sampled four care plans on this occasion in conjunction with a sample of medication records and other health-monitoring tools used as part of the care planning for individuals. The care plans that have been developed for the residents were seen to be a working tool, with records of daily life and regular evaluations by the key worker. The documents examined and the plans were based on the assessments the home carried out in order to identify what help individuals needed. Assessments included a range of potential risks to residents e.g. pressure sores; falls; moving and handling; malnutrition; etc. Where a pressure sore Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 Page 11 assessment indicated that an individual was at risk it was noted that the corresponding plan of care for the person concerned referred to the use a pressure relieving aid. The plans examined set out clearly the actions and support staff needed to take and what specialist equipment was needed to provide the support and assistance each person required. For example where support with movement was identified instructions on numbers of staff needed, equipment and communication was seen. Examples of instructions to staff included “reassure, give time to speak as anxious, talk calmly and gently orientate”. It was seen in the care plans that physical health needs are also addressed with recent residents having moved to the home with information from health and other specialists; this information has been incorporated into the care plan at this home. It was also seen that residents have access to opticians and dentists as needed. Notes re physical health indicated that other professionals had been involved as necessary for example the tissue viability nurse and care plans clearly identified pressure area care and monitoring. In the medical plan it was noted that one individual who received regular care from a foot health professional also had ‘their feet warmed up’ due to poor circulation and lack of movement. Records indicated that care plans were reviewed regularly and as needs changed and daily notes referred to the actions taken by staff to provide the needs set out in those plans. Care plans are agreed with the person using the service where possible and their relative or representative. The home had written policies and procedures concerned with the management and administration of medication. Medication was kept in locked and secured medicine trolleys, cupboards and where required in a medical refrigerator. Controlled drugs were stored securely and appropriately. The home dispenses all medication from its original containers and the only staff in the home that dispensed and were responsible for the management and administration of medication on a day-to-day basis were registered nurses. The records and stock were sampled and it was noted that all records related to the administration of medication had been completed. The manager advised that the home had had an inspection in April 2007 from an independent pharmacist, which made some recommendations that the home has carried out. Staff were observed speaking and assisting the residents with dignity and respect. Affection was given appropriately to those residents who sought it. It had been seen on care plans that the preferred choice of name had been recorded and staff were heard to speak to residents by the name they wished. Langdale Nursing Home DS0000011503.V336119.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service participate in activities appropriate to their age, peer group and cultural beliefs as part of the local community. Dietary needs are well catered for with a balance and varied selection of food available that meets individual dietary requirements and choices. EVIDENCE: The care plans sampled had a social activity record, which indicated whether individuals had participated in the activity and their level of enjoyment. There were general activities noted as well as individual preferences such as one individual attending a day centre that they had gone to before moving to the home. Another individual it was noted went out in their wheelchair to the local area whenever they wanted to. The home has an activity coordinator who has undertaken training in the provision of activities. They have organised group events such as ‘night club’, quizzes, games, film shows, and a red book this is your life night’, as well as individual activities such as hand and nail care and one to one talks. Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 Page 13 The inspector was able to see minutes of residents meetings where they discussed with the manager and staff ideas for their care and the home. At the recent meeting people who use the service had requested staff to have ‘informal’ name badges and voted on the number of church service to be held at the home. The home has open visiting and relatives are able to have meals with their relatives. Langdale facilitates people who use the service to attend outside activities with their families, who are also encouraged to join in with events at the home. All residents spoken who were able to pass comment were complimentary about the food provided. The relatives spoken with said that the food always looked nice when they were there and they could have a meal as well if they wanted. The menus and records of food provided indicated that the food was nutritious and there was a wide range of meals provided with a selection of choices every day. In addition special diets and individual preferences and needs were catered for such as soft and pureed meals and diabetics. Residents could choose where to eat and some preferred to eat in their rooms. Food preferences, dislikes, food related allergies and nutritional and dietary requirements were recorded in residents care plans and the information was also readily available to catering staff. The main meal of the day was observed and it was unhurried and staff were sensitive when providing assistance. Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are protected through the open complaints process and the staff’s knowledge and understanding of Adult protection issues. EVIDENCE: The homes complaints procedures was seen to be displayed in two communal areas of the home as well as being included in the homes statement of purpose which is in every bedroom. The information supplied by the home states that 3 complaints have been received in the 12 months preceding the completion of the AQAA, of which 1 was upheld and action taken as appropriate. The manager advised that Langdale promotes an open door approach to relatives and people who use the service to help resolve complaints and issues effectively. The information given by the home states, that 1 referral under the ‘Safeguarding Adults’ policy was made in the 12 months preceding the completion of the AQAA, which has been resolved. The manager has attended the train the trainer course on Elder Abuse on 28th March 207 and undertakes training for staffing this area. Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have a pleasant and homely environment to live in which also has had adaptations to meet individual needs. EVIDENCE: The home is well maintained with an ongoing programme of refurbishment. All areas of the home are accessible to people living at the home with ramps in place to assist with access in and out of the building. The garden is laid out in a way that enables all people at the home to access it with outside seating and protection from the weather. All of the bedrooms were brightly decorated and had evidence of individual personalities with posters and the service users photographs on the walls, and other personal effects. People who live at the home are encouraged to furnish the room with personal belongings such as furniture and pictures, to make it Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 Page 16 feel like home. Consideration is given to the support of needs with the use of equipment. Specialist beds are available at the home for those that are assessed as needing them. There is also specialist seating, a lift and adapted bathing facilities. The downstairs lounge was redecorated in March 2007 and a large plasma television with subtitles fitted in the room. The home also purchased a fish tank and new tables for the dining room provide a flexible and accessible area for all people at the home. Comments from residents about the condition of the premises included: • “They are particular about keeping it clean, the windows ands so on, I think they also look after the building”. • “It is kept spotless and I like looking out of the window. The tress and plants change colours and I can see the birds”. It was noted that in accordance with best practice all communal WCs that were seen were provided with liquid soap dispensers (that were full and working), alcohol gel sanitizers and paper towels. Protective clothing was readily available and staff were observed using gloves and aprons appropriately. The home’s laundry was appropriately sited and equipped and effective procedures were in place for the management of soiled laundry items. The home manages all the laundry with dedicated staff. There was no malodour in the home and it was seen to be clean and tidy. Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the services have their needs met by staff who are trained, supportive and sufficient in numbers. People who use the services are protected by a robust recruitment procedure. EVIDENCE: The staffing structure provides a broad spread of experience and professionalism: manager, nurses, support workers, activity coordinator, kitchen staff, laundry and housekeeping. Other health care professionals support the team from outside the home as needed. Staff spoken with on the day of inspection indicated that they were aware of the needs of the residents who live at Langdale; they also seemed enthusiastic about working at the home. The rotas indicated that there were sufficient staff to meet the needs of the people at the home. There was evidence that staff have received training in all mandatory areas such as food hygiene, first aid and manual handling. There are 50 of staff trained in NVQ. The registered nurses maintain their training through in-house and external courses. Staff receive at last three days training a year and are enabled to access courses either at the home or externally. Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 Page 18 Records were examined of three staff that had been employed to work in the home since the last fieldwork visit to the home. It was apparent that all statutorily required pre-employment checks, intended to ensure that people unsuitable to work with vulnerable adults were not employed, had been completed before the individuals concerned actually started working in the home. The information supplied by the home indicates that letters are sent to newly recruited staff stating their terms and conditions; new staff sign a contract after eight weeks. New staff complete a two-week induction period when they are supernumerary and they receive an induction pack which is signed off when the individual is able to express knowledge and understating of an area/policy. The induction pack also contains a copy of the adult protection and whistle blowing policies. Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from a well run home; with systems and procedures in place which monitor and maintain the quality of the service provided and promotes the safety and welfare of everyone living and working in the home. EVIDENCE: The home is family run with Mrs McBride as the registered manager. She is first level nurse with 15 years experience in nursing. Mrs McBride completed her Registered Managers Award in 2005 and she regularly updates her knowledge and competencies. Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 Page 20 There were a range of written policies and procedures available for staff to refer to as guidance and to inform their practice. These included the following: • Admission, discharge and transfer of residents • Human Rights • Confidentiality and access to personal records • Abuse of the person • Drug administration • Self administration of medication • Infection control • Complaints procedure • Whistle-blowing • Sexuality • Health and safety at work The people who use the service and their relatives or representatives and the staff, are able to discus all aspects of the running of the home generally or on a personal level. This opportunity is offered in resident, relative and staff meetings, and in questionnaires. All monies held for on behalf of people who love at the home are logged into an individual account with records kept. Where possible people who live at the home are encouraged to take care of their own money, which they can then keep in a small safe in their rooms. It was noted that the home’s equipment, plant and systems were checked and serviced or implemented at appropriate intervals for example: passenger lift and hoists; fire safety equipment portable electrical equipment; hot water system. There were contracts in place for the disposal of clinical and household waste. Records were kept of accidents. There was a fire risk assessment for the premises; tests of equipment and regular risk assessments of the premises and working practices were undertaken regularly. Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 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 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 4 Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 Langdale Nursing Home DS0000011503.V336119.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Langdale Nursing Home DS0000011503.V336119.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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