Inspection on 20/07/07 for Lilburn Lodge and Riverview Care Centre

This inspection was carried out on 20th July 2007.

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

Lilburn Lodge and Riverview Care... 25/06/10

Lilburn Lodge and Riverview Care... 29/07/09

Lilburn Lodge and Riverview Care... 07/08/08

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Lilburn Lodge Care Home Lilburn Place Southwick Sunderland SR5 2AF Lead Inspector Lee Bennett Key Unannounced Inspection 10:00 20 July and 6 September 2007 th th 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 Lilburn Lodge Care Home DS0000069666.V340506.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. Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lilburn Lodge Care Home Address Lilburn Place Southwick Sunderland SR5 2AF 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) 0191 5496331 0191 5480395 Southern Cross Healthcare (Focus) Limited Mrs Joanne Swales Care Home 40 Category(ies) of Dementia - over 65 years of age (18), Old age, registration, with number not falling within any other category (40), of places Physical disability over 65 years of age (10) Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places 40. Dementia, over 65 years of age - Code DE(E), maximum number of places 18. Physical disability over 65 years of age - Code PD(E), maximum number of places 10. The maximum number of service users who may be accommodated is 40. 8th and 9th June 2006 2. Date of last inspection Brief Description of the Service: Lilburn Lodge is a registered care home near Sunderlands Queen Alexandra Bridge, set at the top of a steep hill close to the shopping centre of Southwick. The area is well served by public transport. It shares its grounds with a registered nursing home, River View, operated by the same company. The home provides permanent accommodation with personal care and support for up to a total of forty older people, some of whom may have dementia needs. Within this total, the home may also provide a service to a limited number of older people with a physical disability. Nursing care cannot be provided. Accommodation is laid out over three floors of the purpose built property, served by a passenger lift. Each floor has a lounge, bathing areas, WCs and single en-suite bedrooms. Open plan kitchen/dining areas are situated on the first and second floors. Although entrance to the building may be gained via a series of ramps, there is a steep gradient, so access may be difficult for anyone who has impaired mobility or uses a wheelchair independently. There is an enclosed lawned area at the rear and car parking on site. Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 5 The home publishes a regularly updated statement of purpose and service user guide, which are available in a range of accessible formats. These are provided to prospective service users and their families and supporters to help them choose whether Lilburn Lodge will meet their needs. The manager also provides a range of information leaflets and a monthly newsletter and these can be found in the home’s reception area. All service users have a signed, written contract and statement of terms and conditions of their placement. This includes all of the information necessary to ensure people are made aware of their rights and any limitations on these that might be imposed. Current charges are £359.00 per week for standard residential care and £374.00 for service users who have additional ‘EMI’ or dementia needs. (2006/07) Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. Before the visit: We looked at: • Information we have received since the last visit on 6th June 2006. • How the service dealt with any complaints & concerns since the last visit • Any changes to how the home is run • The provider’s view of how well they care for people The Visit: An unannounced visit was made on 20th July and 6th September 2007. During the visit we: • talked with people who use the service, relatives, staff, the manager & visitors • observed life here • looked at information about the people who use the service & how well their needs are met • looked at other records which must be kept • checked that staff had the knowledge, skills & training to meet the needs of the people they care for • looked around the building/parts of the building to make sure it was clean, safe & comfortable • checked what improvements had been made since the last visit We told the manager/provider what we found. What the service does well: Service users benefit from level access on both floors, and equipment and adaptations are available to help physically disabled and frail service users to get around the home. This can help make the service accessible for service users with diverse needs. Each bed room had its own en-suite WC’s and hand washbasin. Staff in the home work hard to meet service users’ needs, and have a good rapport with them. Staff demonstrate a good understanding of service users needs, including the needs of people with dementia. Written care plans provide clear guidance to staff on what service users need help with. Attractively presented and nutritious meals are provided, which service users commented on in a complimentary manner. Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 7 Service users and their relatives said many good things about this home. Their comments included: • • • • • • “I’ve settled in nicely.” “If you need any help they’re handy.” “It’s perfect here.” “They’re all good here.” “The foods excellent.” “There’s a bus that to pick us up to go to college.” 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. Lilburn Lodge Care Home DS0000069666.V340506.R01.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 Lilburn Lodge Care Home DS0000069666.V340506.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admissions process ensures that service users’ needs are assessed to a good standard prior to care being offered. This helps to ensure that service users are offered the right type of care at the home. Intermediate care is not provided at Lilburn Lodge. EVIDENCE: For all those service users recently admitted to the home (whose care were looked at) a Care managers’ (Social Worker) assessments was received before care was offered to them. The home ‘s deputy managers and senior carers also complete assessments, relating to social interests, areas of risk, diet, and so on. Following this a plan of care is developed. This details what actions the staff have to take to meet these needs. After a person has moved here a Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 10 review takes place after six weeks. This is to make sure everyone is happy with the arrangements made. This involves the service user, their social worker and other representatives. Care plans are, thereafter reviewed by senior member care staff on a regular basis. Should a reassessment of need be required, this is arranged with the relevant Social Services Department, as was found to be the case for a service user whose needs were specifically looked at. Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 11 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. Service users’ care plans are in place, and generally reflect their observed needs to a good level. Effective care planning can offer guidance to care staff regarding care practice and ensure consistency where necessary. Service users’ health care needs are identified through assessment and observation, and areas such as pressure care and falls prevention are subject to good supervision and care practice. Medication is administered following recognised good practice, and recording and auditing arrangements are generally sound. The effective management of service users’ medication can help contribute to their general health and wellbeing. Staff undertake appropriate care practices that help to preserve service users’ privacy and dignity. Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 12 EVIDENCE: Each service user (whose needs and experience of care was ‘case tracked’) has a plan of care in place, and the deputy managers and senior carers have, undertaken significant revisions of these documents since the home’s acquisition by Southern Cross. Each service user’s care file follows a standardised format, and a template file is available to act as a guide. A system whereby assessments are used to guide the development of care plans, which are then monitored, evaluated and reviewed has been developed for service users. Care plans are ‘person centred’ (that is they are written in a way that reflects each person’s unique needs). Monitoring of specific needs occurs by using monitoring charts (for pressure relief, continence, diabetes and falls) and through daily progress notes. Detailed monthly reviews are also undertaken, to make sure care plans and practices are up to date. The management and administration of service users’ medication is governed by a set of policies and procedures, available to staff responsible for this task. These documents have been developed corporately by Southern Cross. Additional guidance material is also available to staff, such as the Royal Pharmaceutical Society Guidelines and the British National Formulary (a guide book and all current prescription medicines). Medication is, in the vast majority of cases, handled and administered by senior care staff. Medication rounds take place during the morning, at lunchtime, at teatime and in the evening. A monitored dosage system (Manrex) is used, whereby the dispensing pharmacist supplies each service users’ medication within a large colour coded blister pack. The pharmacist also supplies medication administration record sheets. These correspond to the four medication rounds of the day, on a 28 day cycle. A brief audit of loose stocks was undertaken. Some stocks did not balance with the records held. Staff must exercise care to ensure stocks balance. Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 13 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. Arrangements to provide activities and occupation offer service users a range of activities and occupation to a good level. A planned, structured and well delivered activities programme can contribute to a more interesting and stimulating lifestyle for service users. Service users are able to maintain family and other contacts to a good degree should they wish. This can help ensure they do not become socially isolated. Service users are actively encouraged by staff to a good degree in exercising choice and control over their lives. This can help promote their independence. Service users receive a good, varied and well presented, choice based, menu. This can help promote their general health and wellbeing. Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 14 EVIDENCE: The home has employed two workers specifically to plan and coordinate activities for service users. Activities are regularly carried out, and on the day of the inspection some service users were being supported on activities out of the home. One service user attends college, and other activities are offered in the home. Trips out have included visits to the Stadium of Light, Fish and Chips at the coast and a visit to the Winter Gardens in Sunderland. Visitors regularly call to the home. Service user’s relatives and representatives indicated that they are welcomed in the home, and that they are able to visit their relative or friend in private. During the inspection several visitors called to the home and were made welcome by staff. The home has a variety of communal lounges available, should service users wish to meet people in private outside of their own room. Relatives are also encouraged to contribute to the care of the service user to whom they are related, and able to share meals in the home if they so wish. Meals are provided within two large dining areas, on the first and second floors. Some service users take meals within their own bedrooms. Service users are offered a range of choices for meal times and consultation has taken place with service users about a revised summer menu. Staff are attentive to service users’ requests, and provide support and prompts where necessary. The lunchtime meal was attractively presented and service users were very complimentary about the food provided. The levels of staffing support at mealtimes allows service users needs to be met, including assistance for people who need help with eating. Assistance is provided with patience and respect for people’s dignity. Opportunities for self service are limited, and should be more actively encouraged. Some service users would also benefit from chairs with glide rails, to help them sit in at the dining table more easily. Lilburn Lodge Care Home DS0000069666.V340506.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A clear complaints procedure is available that is implemented to an adequate standard. This can allow service users’, and their relatives, confidence in the process, and provide opportunity for the management team to improve the service provided. The deputy managers and staff have a good understanding of local adult protection procedures. This can help contribute to the protection of service users from abuse. EVIDENCE: Since the last inspection there have been no complaints referred directly to CSCI to investigate. Service users and relatives indicated that they were aware of the home’s complaints process. All of the service users questioned stated that they were aware of who to speak to if they were unhappy with their care, as were relatives. The homes own records indicate that 2 complaints have been received since the last inspection of the home. A copy of the record kept, including details of the outcome, but not whether this was fed back to the complainant. It is important that the complainant is clearly informed about the action taken by the home to address their complaint. Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 16 The host local authority (Sunderland) publishes clear adult protection procedures, of which the registered manager and staff are aware. Staff receive training and guidance on adult protection from the local authority, internally, and through their work to attain an NVQ award in care. There have been no adult protection referrals since the last inspection. Where staff disciplinary issues have arisen, these have been dealt with internally, rather than multi-disciplinary input sought. Additional information has been requested by the lead inspector on this. Lilburn Lodge Care Home DS0000069666.V340506.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, and well maintained. This can help promote a positive image for service users, and ensure they remain safe. Service users’ bedrooms, communal areas and bathing/WC facilities are accessible to a good level to help meet service users’ mobility needs. EVIDENCE: The service users rooms were clean and many contained furniture and possessions personal to the individual. New carpets have been fitted in some areas of the home. Service users own rooms have en-suite facilities. Some en-suites benefit from natural lighting, and windows have been frosted and fitted with blinds to ensure the privacy of service users. Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 18 Corridors and WC / bathing facilities have been provided with grab rails, and other adaptations to enable access for service users who are disabled or who are physically frail. This can help ensure the service is accessible to service users with diverse needs, and promote the equality of people with a range of disabilities and needs. The home has been decorated and furnished in a way that better meets the needs of people with dementia, with more subtle and calm décor schemes and sensory prompts. Lilburn Lodge Care Home DS0000069666.V340506.R01.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. 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. Staffing levels are good and have been increased to allow service users’ needs to be effectively met. The staff team benefits from an excellent level with care qualifications, which can help ensure that a competent staff team is available to meet service users’ needs. Service users are protected by the home’s recruitment procedures, which are implemented to a generally good standard. This can help ensure that unsuitable candidates do not gain employment in the home. Training is planned to a good standard, which has highlighted where staff require broader and more frequent training opportunities. A range of appropriate training can contribute to staffs’ understanding of service users’ needs and ensure sufficient competence to undertake their job. EVIDENCE: Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 20 There are seven care staff deployed within the home during the daytime (08:00 to 22:00) one of whom acts in a senior capacity. Three staff work in the home at night. There are also two activities workers. Staff records indicate that the managers receive an ‘enhanced’ Criminal Records Bureau disclosure prior to staff commencing duties. POVA first checks are also being received. Two references are always obtained prior to employment being offered. Staff recruitment practices are governed by a policy that aims to ensure equal opportunities practices are adhered to. Interview records are not always kept, and for one member of staff who failed to disclose a caution on her application form, no record was made of the explanation offered, if this had been sought at all. Care staff have received training on a broad range of topics, including fire safety, adult protection, food hygiene, manual handling, aging and disability, dementia care, first aid, epilepsy, falls prevention and medication during 2006/07. Several have undertaken a course of study to attain an NVQ award in care. Around two thirds of the care staff team have attained an NVQ qualification in care, at level 2 or higher. Lilburn Lodge Care Home DS0000069666.V340506.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is no manager employed at the home. Effective and close management can help ensure that the service is run in the best interests of service users. Internal quality assurance systems have been developed to an adequate level, but with scope for further improvement. This can allow the views of service users, relatives and others to be sought and the internal quality management of the service to be progressed. Service users personal monies are managed in a good way to ensure the interests are well served. Risks to the health and safety of service users, visitors and staff are minimised in a generally adequate manner. Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 22 EVIDENCE: A quality assurance file, which incorporates the views of service users and their relatives, has been developed. Service users also have the opportunity to express their view at meetings, by questionnaire, and in day to day conversations with staff and the manager. A range of other safety and quality checks are also undertaken, such as medicines audits, premises checks and so on. Monthly inspections are carried out by an area manager. An audit of money held by the home, on behalf of service users, was carried out. All written balances checked corresponded with those cash amounts held. The home is kept generally clear of hazards to the health and safety of service users, visitors and staff. Risks to service users are subject to periodic assessments, and staff receive training on health and safety related topics. Lilburn Lodge Care Home DS0000069666.V340506.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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 3 X 3 X X 3 Lilburn Lodge Care Home DS0000069666.V340506.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 2 Standard OP9 OP29 Regulation 13(2) 19(5)(d) Requirement Timescale for action 05/10/07 3 OP31 8(1)(a) Accurate stock keeping of all medications must be maintained. Failure of employees to disclose 05/10/07 a criminal record should be discussed with them and explanations given and decisions reached recorded on their file. A manager must be recruited to 05/11/07 the home. 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 Refer to Standard OP15 OP15 Good Practice Recommendations Ways of promoting more self-service at meal times should be considered and implemented. Consideration should be given to obtaining dining chairs with glide rails for those service users who find it difficult to sit in at the dining table. Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Lilburn Lodge Care Home DS0000069666.V340506.R01.S.doc Version 5.2 Page 26 - 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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