Inspection on 06/03/07 for Leolyn Care Home

This inspection was carried out on 6th March 2007.

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

Leolyn Care Home 23/01/09

Leolyn Care Home 17/11/05

Leolyn Care Home 22/07/05

Leolyn Care Home 23/11/04

Leolyn Care Home 27/04/04

Leolyn Care Home 10/11/03

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Leolyn Care Home 63 Pevensey Road St Leonards On Sea East Sussex TN38 0LE Lead Inspector Gary Bartlett Key Unannounced Inspection 6th March 2007 09:30 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 Leolyn Care Home DS0000014013.V304532.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. Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Leolyn Care Home Address 63 Pevensey Road St Leonards On Sea East Sussex TN38 0LE 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) 01424-422063 01424 457000 leolyn@new-meronden.co.uk New Century Care (Leolyn) Limited Vacant Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service Users must be aged fifty (50) years or over on admission The maximum number of service users to be accommodated is thirtyfour (34) Service users with a physical disability only to be accommodated Two named service users under the age of fifty (50) to be accommodated 17th November 2005 Date of last inspection Brief Description of the Service: Leolyn is a large detached property, situated in a residential area of St. Leonards-On-Sea. It is owned by New Century Care Ltd. and provides 24 hour nursing and personal care for up to 34 residents aged 50 years or older. Leolyn is set out over four floors with both a chair lift and a passenger lift to provide access to all floors. Road parking enables easy access for visitors to the Home. Current fees range from £425 to £550 per week. Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was conducted by Gary Bartlett, Regulatory Inspector, who was in Leolyn from 9.30 a.m. until 4.30 pm. During that time the Inspector spoke with 6 residents, 3 visitors and some staff. Parts of the Home and some records were inspected and care practices observed. Residents responded that they liked the home and staff. Statements made included: • “This is a lovely home”. • “Leolyn has got a family feel”. • “Staff are very kind to me”. Further statements are quoted in the text of the report. The Manager and staff gave their full co-operation throughout the inspection. The previous registered Manager who had been promoted to Area Manager in December 2006, was also present. What the service does well: Leolyn provides a comfortable environment in which to live. There is an open and friendly atmosphere with good interaction between residents, staff and visitors. Staff are good at helping residents to settle in. The standard of cleanliness around the Home is very good. Personal health care needs are well supported and residents’ individual preferences are catered for where practicable. The Home enjoys good relationships with other health care professionals. Residents enjoy the range of activities available to them. Staff are encouraged to undertake training. The Manager is approachable and is understanding. Residents are regularly asked for their views about the home. Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Leolyn Care Home DS0000014013.V304532.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 Leolyn Care Home DS0000014013.V304532.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, 4, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that they are appropriately placed due to good preadmission assessments and benefit from being able to visit the home prior to admission. The home does not provide intermediate care. EVIDENCE: The Manager described how a pre-admission assessment is made of each prospective resident using an aide-memoir. Records show that prospective residents, their families, advocates, and relevant health care professionals are Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 9 involved in the assessment process. Specialist advice is sought from external sources where required. Residents said they or their families had been able to visit Leolyn before moving in. They also said staff had been very helpful in assisting them to settle in. This was confirmed by a two relatives present. Intermediate care is not offered at Leolyn. Leolyn Care Home DS0000014013.V304532.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ personal health needs are assessed and maintained through their individual care plans. Residents are protected by adherence to good practice guidelines in the administration of medicines. The timely disposal of unneeded controlled drugs would further safeguard residents’ safety. Residents’ health needs are met with good liaison with relevant health care professionals. EVIDENCE: Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 11 Each resident has a care plan and four were inspected in detail. There are clear improvements to care planning. Where residents are particularly poorly, the standard of recording keeping is high. The Manager is aware that some daily records for more general care need to be more detailed to comprehensively reflect the resident’s health and welfare and is addressing this through the regular review of care plans and risk assessments and by staff training. There are some instances where risk assessments need to be written to help safeguard residents. The Manager described how they offer all residents and/or their relatives the opportunity to be involved in the writing and review of care plans but some do not want to. There is a key worker system to facilitate a good exchange of information about residents. Visiting relatives said staff are very good at keeping them informed. Accidents records seen are appropriately completed and correlate with the daily records of care that show appropriate action is being taken. The medicines room is clean and well maintained. Records show that all staff administering medications are trained and signed off as being competent to do so. The Medication Record Administration Record (MAR) sheets seen were completed appropriately. Inspection of the controlled drugs cupboard showed the home must ensure it disposes of all unneeded dugs in a timely fashion to further ensure residents’ safety. Records show the Home continues to have a good working relationship with the specialist and local health care professionals. This greatly assists in supporting residents in their health care needs. Care plans indicate referrals are made as necessary. Residents said they can have access to their G.P. and other services such as dental, hearing and sight etc. when they need to. Residents feel that staff are kind and gentle and this is confirmed by observation. Staff are very considerate of the age and dignity of residents and treat them with courtesy. Leolyn Care Home DS0000014013.V304532.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy routines of daily living and activities that are flexible and varied to suit their preferences. Where practicable, residents can participate in local community activities and their autonomy and choice is promoted. Dietary needs of resident are well catered for with a balanced and varied selection of food that meets their tastes and preferences. EVIDENCE: Staff spoken with are aware of the rights of residents to have the opportunity to have choice in daily routines and activities. Residents spoke very favourably of the activities available. An Activity Co-ordinator is employed for 18 hours per week and a programme is organised that includes outings, sessions with residents on an individual basis and group activities. The group activities and Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 13 outings are publicised on the notice board in the main entrance and in the lounge. The Manager spoke of how records of time spent with individuals are kept and assessments of individual likes and dislikes are being included with the resident’s care plans, thereby enabling meaningful and appropriate activities to be organised. Residents are content with the manner in which their inks with the local community are maintained according to their wishes and take account of their capabilities. One resident regularly goes shopping locally. The visitors book shows regular visits by families, friends and others. Residents can meet with visitors in various communal rooms or in a designated room should they not wish to use their bedrooms. Residents said they are happy with the arrangements. Visitors described how they can visit at any reasonable time and are always made welcome by staff. The Manager stated residents are supported to manage their own affairs for as long as they wished and are able. Residents enjoy the meals. Comments made included: • “The food is great”. • “There is always plenty to eat”. • “There’s always something you like”. The main, cooked meal is at lunchtime and a choice is offered. Special needs diets are provided for. Most residents have their meals in their bedrooms, some choose to use the dining room. Mealtimes are relaxed; staff are patient and helpful and allow residents the time they need to finish their meal comfortably. There are drinks in the lounges and hot drinks and biscuits are served throughout the day. Leolyn Care Home DS0000014013.V304532.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives know their complaints will be listened to and acted on. There are systems to ensure residents are protected from abuse. EVIDENCE: The complaints procedure is on display and residents and their relatives said they feel confident that they would be listened to and any necessary action would be taken. A resident said: • “If you have any quibbles, they are always quickly dealt with”. The Home only keeps a record is of written complaints received by them and not of those dealt with “informally”. Consequently the total number of complaints received since the last inspection could not be determined. The Manager acknowledged that the severity of a complaint is not always apparent when first made and undertook to keep a record of all complaints to comply with the Regulations and to better inform the annual development plan. Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 15 There are procedures for responding to suspicion or evidence of abuse or neglect to ensure the safety and protection of residents. The Manager and other staff spoken with have a sound understanding of adult protection procedures and stated that any allegation of abuse would be referred to the concerned agencies without delay. There was some discussion about how the policy seen would benefit from including reference to the local authority’s adult protection procedures. The Manager regularly audits records of monies held on behalf of residents. Three of the six records inspected did not tally with the actual amount held. Two of these had more money than records shown, for which the Manager could readily give good reason and the third anomaly was quickly identified as being due to an arithmetical error that would have been addressed at the next audit. Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 16 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, 20, 21, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is good providing residents with an attractive and homely place to live. EVIDENCE: Comments made by residents’ visitors included: • “I intend to book my own room here as soon as I can”. • “Whenever we come here, it is always very clean”. Leolyn is situated in a quiet residential area of St. Leonards. It provides spacious accommodation over four floors, with a passenger lift and chair lift to Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 17 each floor. The Home is accessible for wheelchair users: a range of equipment and aids both provide support for those with reduced mobility and to promote independence. Residents said they can readily get to all parts of the home they wish to. The Manager is particularly attentive that residents’ care needs can be met in the bedrooms they occupy. Residents said they have all they need and are very happy with their bedrooms. The bedrooms seen are comfortably furnished and some contain the residents’ own furniture and effects. All bedroom doors are now fitted with locks and lockable facilities are provided in every bedroom for residents to secure personal items and money. Many residents have televisions and some have their own landline telephones. For those residents who share a double room, there is curtain screening between the beds so their privacy can be maintained. Everywhere is very clean and there are no offensive odours. There is an ongoing programme of redecoration and refurbishment, indeed the decorators were present during the inspection. Staff and residents consider the bathing facilities to be suitable for their needs. Hot water taps are fitted with thermostatic control valves and radiators are guarded to ensure residents’ safety. The laundry is well maintained and adequate for the purposes of the home. All fire-doors have been fitted with automatic closure devices. Residents spoke of how they like to use the patio and well kept grounds in more clement weather. The patio has been recently re-laid for safety and new garden furniture has been provided. There are raised flowerbeds, enabling residents to be involved with the garden if they wish. Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 18 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. This judgement has been made using available evidence including a visit to this service. Recruitment processes offer protection to people living at the Home. The Home provides ongoing training for staff so they have the skills to meet the needs of the residents. EVIDENCE: Residents and visitors spoke highly of the staff and consider them to be very caring and hard working. Comments included: • “There is always someone to help you”. • “You couldn’t ask for better”. • “They are wonderful”. The Manager has a sound understanding of good staff recruitment processes and this is underpinned by the home’ s policies and procedures. The staff files showed robust recruitment processes had been adhered to, thereby ensuring only people properly vetted work at the home. New staff are required to undertake a “first day induction” then foundation training, over a period of about six months, before commencing their NVQ Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 19 training. Staff confirmed these processes and spoke of the support they are given with NVQ. There was some discussion as to how the “first day induction” record could be improved to give better evidence that staff had been signed off as having attained competency in each of the individual elements of the programme. The Manager acknowledged the home could also better show staff competency if induction records for all recently recruited staff members could be produced for inspection. The Manager places great emphasis on training and a lot of work is being done to ensure all staff receive mandatory training and updates as necessary and a matrix is being used for easy monitoring of individual staff requirements. The staff roster seen indicated that staffing levels are geared to peak times of activity and did not show any staff to be working long consecutive shift patterns that could compromise staff competency through fatigue and thereby put residents at risk. Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 20 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, 32, 33, 35, 36, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a Manager who is accessible and has high expectations of the service to be delivered. The home regularly reviews aspects of its performance through a programme of self-review and consultations, which includes the opinions of residents and relatives. Residents’ financial interests are protected. EVIDENCE: Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 21 The previous registered Manager was promoted to Area Manager in December 2006. The current acting Manager is hoping to apply for registration in the near future. She is a registered nurse, is undertaking the NVQ level 4 in management and is experienced in caring for older people. Staff and residents spoken with said the management approach to Lelyn creates an open, positive and inclusive atmosphere in which people who live there are able to influence the way in which the home is run. Leolyn operates a comprehensive quality assurance system based on seeking the views of residents, their relatives/representatives and other concerned parties to measure the success in meeting the aims and objectives of the home. As the Manager is recently in post, they have not yet had the opportunity to be very involved in the writing of an annual development plan. Residents are encouraged to manage their own financial affairs or to have assistance from their families / representatives. The home’s management team do not act as the appointees for the financial affairs of any of the residents. There is a sound system of holding and recording residents’ cash, which facilitates ease of monitoring. These are regularly audited in-house. Residents’ and relatives did not express any concerns about the Home’s management of monies or valuables held on the residents’ behalf. The standard of cleanliness in the kitchen is good. An Environmental Health Officer inspected the kitchen on 21st August 2006 and the resultant recommendations have been addressed. Appropriate insurance cover is provided for the home and a current insurance certificate is displayed. There are arrangements to ensure all staff receive the supervision necessary to ensure good standards of care practice. The Manager strives to ensure that feedback and discussions with staff is carried out at least every two months with records kept. Staff spoken with have a sound understanding of emergency procedures. The Manager is in the process of ensuring all staff have the necessary fire drills/training. The Manager described a system of ongoing environmental risk assessments, stated that all records of maintenance and safety checks are up to date and that policies and procedures are regularly reviewed by a competent individual to ensure they comply with current legislation and good practice advice. These were not inspected on this occasion. Records seen are kept in a manner that preserve confidentiality. Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 22 Leolyn Care Home DS0000014013.V304532.R01.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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 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 2 17 X 18 3 3 3 3 X 3 3 3 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 3 3 X 3 3 3 3 Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 24 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. 1. Standard OP7 Regulation 13(4) Requirement Timescale for action 27/07/07 2. OP9 13(2) 3. OP16 17(2) Schedule 4 The registered person shall ensure that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated in that risk assessments must be more comprehensive and recorded in response to incidents and changes in residents welfare. All necessary risk assessments must be in place by the given timescale, if not sooner, and maintained thereafter. 30/04/07 “The registered person shall make arrangements for the recording, handling, safekeeping, safe administration of medicines” in that controlled medicines of residents that have died or left must not be retained for unecessary protracted periods of time. This must be completed by the given timescale and maintained thereafter. “The registered person shall 30/04/07 maintain in the care home a record of all complaints made by service users or representatives or relatives of service users or by DS0000014013.V304532.R01.S.doc Version 5.2 Leolyn Care Home Page 25 persons working at the care home about the operation of the care home, and the action taken by the registered person in respect of any such complaint”. Arrangements must be in place for this to be done by the given timescale and maintained thereafter. 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. Refer to Standard OP7 OP18 OP30 Good Practice Recommendations It is recommended that records of daily care be more consistently comprehensive to give a detailed account of residents health and welfare. It is recommended the Abuse Policy 41 be revised to include reference to the local authority’s adult protection procedures. It is recommended the staff induction form be revised so that the inductee and their mentor can sign off individual elements of the programme when competency has been attained. Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Leolyn Care Home DS0000014013.V304532.R01.S.doc Version 5.2 Page 27 - 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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