Inspection on 08/01/07 for Linson Court Nursing Home

This inspection was carried out on 8th January 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

Linson Court Nursing Home 02/12/05

Linson Court Nursing Home 16/06/05

Linson Court Nursing Home 21/03/05

Linson Court Nursing Home 07/01/05

Linson Court Nursing Home 23/02/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Linson Court Nursing Home Dark Lane Wellington Street Batley West Yorkshire WF17 5RU Lead Inspector Tracey South Key Unannounced Inspection 8th January 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 Linson Court Nursing Home DS0000001088.V319298.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. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Linson Court Nursing Home Address Dark Lane Wellington Street Batley West Yorkshire WF17 5RU 01924 445253 01924 472461 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) Tri-Care Limited Mrs Julie Roper Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Terminally ill over 65 years of age (2) of places Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One of the above TI(E) may be used for the named person - category TI for the duration of their accommodation in the home 2nd December 2005 Date of last inspection Brief Description of the Service: Linson Court is owned and managed by Tri-Care Ltd. Linson Court is a large, detached, purpose built care home providing nursing care for up to 40 older people. All rooms are single and en-suite. Garden and patio areas are located at the rear of the building and there is parking within the grounds. The home is situated just outside Batley town centre and is well served by the local bus service, the nearest bus stop being approximately 200 yards away. All local shops and amenities are within 10 - 15 minutes’ walking distance. Information provided by the home prior to the inspection indicated that the fees range from £360.84 to £650 per week. Additional charges are made for hairdressing, chiropody, toiletries and newspapers. The service provider ensures that information about the service is available to prospective residents and the current residents by way of the home’s Statement of Purpose, the Service User Guide and through CSCI inspection reports. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to this key inspection the home received a random inspection on 19th June 2006, following concerns raised by an anonymous source. The outcome of the inspection resulted in requirements being made in respect of care planning and staff duty rotas. Both of the requirements made have been addressed. As part of this key inspection the Commission for Social Care Inspection (CSCI) undertook a visit to the home. Alongside this, the staff at the home also completed a pre-inspection questionnaire which was returned to the Commission before the inspection as requested. Information from this questionnaire was also used for this report. Two inspectors carried out the site visit. The inspectors arrived at the home between 9.30am-10am and left between 3pm-4.30pm. Surveys were sent to residents, their relatives and GPs. Nine surveys were sent out to residents, two were returned although one had not been completed. Nine surveys were sent out to relatives, five responses were returned. Seven GP surveys were sent, three of which were completed and returned. In writing this report, information and evidence was not only obtained by way of visiting the home, but also from notifications sent and information obtained by the Commission for Social Care Inspection. The last inspection report was also consulted. Care practice was observed during the day. One of the inspectors spoke with four residents. Discussions also took place with the manager, care staff and a visiting palliative care nurse. Records were examined and a tour of the home was also undertaken. There were 36 residents living at the home on the day of the inspection. The inspectors would like to thank everyone for their assistance and hospitality during the inspection process. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Staff responsible for medication supplies must ensure that all medication received in the home is accounted for. They must ensure that they sign to say they have received the correct amount and dosage in accordance with the records in place. Residents should receive help and support with feeding in a discreet and sensitive manner, which should only be provided on an individual basis. Feeding more than one resident at any one time should be avoided. Staff need to take greater care when dealing with residents’ finances to avoid errors being made. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Linson Court Nursing Home DS0000001088.V319298.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 Linson Court Nursing Home DS0000001088.V319298.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. Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are thoroughly assessed prior to them moving into the home. EVIDENCE: Four residents’ care records were examined and there was good information to confirm that thorough assessments had taken place prior to the new person moving into the home. Assessments usually take place in either the resident’s own home or in hospital, whichever is applicable at the time. Although residents are able to visit the home prior to moving in, this rarely happens, as the majority of people who are admitted to Linson Court are quite ill on their arrival at the home. Relatives are invited to look around the home prior to their loved ones moving in. The manager explained how she encourages relatives to visit the home Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 10 unannounced rather than making an appointment. The manager is confident that the conduct of staff and the facilities on offer will be apparent to visitors whether the visit is planned or not. Two people came to visit the home during the inspection. They were made to feel welcome by the staff on duty. The one completed survey returned to the Commission indicated that this person had received enough information about the home prior to moving in. Linson Court Nursing Home DS0000001088.V319298.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. Care plans provide good information about the residents’ current needs. Residents have access to health care services. Greater care is needed when booking-in medication received in the home. Residents are treated respectfully. EVIDENCE: Four care plans were examined. Two were that of residents who receive a high level of nursing care and two residents who are less dependent on staff. All four care plans contained a detailed account of the person’s needs in respect of their health, welfare and personal care requirements. The care documentation used is lengthy and staff explained that a considerable amount of time is taken up when completing care plans. This was evident when examining them but very worthwhile as the detail in the care plans seen was very good. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 12 The manager explained that care plans are reviewed every month and there was evidence of this. It was clear to see that the care plans are amended as the residents’ needs change. It was easy to see the residents’ current condition from looking at the documentation which included the daily reports. The manager and the senior staff are responsible for auditing all care profiles every four to six weeks and this was evident. The residents have access to health care services and visits by the GP and any outpatient appointments are documented in each person’s own care records. The inspectors spoke with the clinical specialist nurse for palliative care who was visiting one of the residents. She spoke positively about the home in respect of looking after people who are terminally ill. She explained how the staff contact her or her colleagues for help and advice in ensuring they are meeting the nursing needs of people needing terminal care and she also said that staff do act on the advice given. There was good information regarding oxygen therapy in residents’ files with the contact numbers for replacement equipment and repeat ordering of cylinders. Health care assessments are undertaken, these include a Waterlow tissue viability assessment, used to identify those prone to pressure sores. When calculating the scores of the assessments, staff must take greater care as two were found to be incorrect. Information about the incidence of pressure sores including the treatment and outcome was clearly recorded and regularly reviewed. There was information in residents’ care records that influenza vaccinations have been given. Medication and records were examined. The home uses a monitored dosage system which arrives at the home pre-packed and ready for use. The nursing staff administer medication. Three items of medication had not been recorded as received. All other medication had been signed as correct when received. One resident is responsible for taking her own medication, and appropriate risk assessments were seen. The resident has a lockable storage space to ensure her medication is kept safe and secure. All controlled drugs are administered and stored in accordance within the proper guidelines. A designated member of the nursing team is responsible for the re-ordering of medication supplies. The home has recently changed pharmacists and the pharmacy has provided training to all the nursing staff on the monitored dosage system. Further training about how this system works will be extended to care staff. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 13 Residents’ preferred term of address is recorded in their care profile. Staff were observed being courteous to residents and visitors. All rooms at Linson Court are used for single occupancy only. As part of the survey, residents were asked if they received the care and support they needed. The returned survey indicated that they always did. Surveys returned by GPs indicated that they were satisfied with the overall care provided at Linson Court. All three said they were able to see their patients in private and that staff could demonstrate a clear understanding of the care needs of people who live at the home. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 14 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 are able to make their own choices about how they spend their time. Residents are offered activities, which match their own preferences. Visitors are made welcome at any time during the day. The home provides a well balanced diet with plenty of variety. EVIDENCE: The home’s activities programme is on display at the front entrance of the home. Visitors are able to see for themselves the different types of activities that take place on a daily basis. On the day of the inspection a special event was taking place, a pantomime. A number of residents were seen watching the pantomime that afternoon in one of the communal lounges. Resident surveys asked if there are activities arranged by the home that they can take part in. The one returned survey indicated that there usually were. Evidence of residents taking part in daily activities was seen in the care profiles examined. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 15 Visitors are welcome at the home at any time. The visitors’ book showed that the home receives a number of visitors throughout the day and evening time. Those residents spoken with were positive about their life at Linson Court. They explained that they had control over their lives in that they choose what they want to do, for example, when they get up on a morning, where they eat their meals and whether or not they join in with the activities on offer. Some residents prefer to stay in their own rooms during the day whilst others enjoy the company of others and prefer to sit in the lounge areas. The home offers a wide variety of choice at mealtimes. The home is currently offering the autumn/winter menu, which provides a well-balanced and nutritious diet for residents. Those residents spoken with said they enjoyed their meals. One resident who is a diabetic said they have to adhere to a controlled diet and that staff support them with this. A mealtime was observed from a distance. One member of the care staff was seen feeding two residents at the same time. At one point she got up from the table and assisted her colleagues with another task, a few minutes later she returned back to the table and continued to feed the two residents. This is not seen as good practice and it is an expectation that each resident should receive one-to-one support from staff whilst assisting with feeding. The manager was advised of this during the mealtime and quickly dealt with the matter. There were no condiments in place on the tables. One resident asked for salt but was not responded to until the inspector brought it to the attention of the care staff. A few minutes later the resident was provided with salt. The manager later explained that it is not always appropriate to leave certain condiments such as salt and pepper on the tables. Whilst this is appreciated, a little more thought should be made to those residents who may want such condiments to hand. The meal on offer was shepherds pie and vegetables, with crème caramel or fruit flan for dessert. The meal was nicely presented and residents appeared to enjoy it. Some residents had chosen an alternative such as jacket potatoes and a filling. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 16 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. The home has a clear complaints procedure that is simple, clear and accessible. Residents are protected from abuse. EVIDENCE: The home has received one complaint within the last 12 months. The complaint was sent direct to the Commission and a random inspection took place in June 2006. The outcome of the random visit was that specific requirements were made to ensure the home rectified the shortfalls identified, and those requirements have been addressed. The complaints procedure is displayed in the front entrance of the home. In response to surveys sent to relatives, three relatives indicated they were not aware of the home’s complaints procedure. One person said they were aware of it, whilst one person did not answer the question. The question in respect of how to make a complaint as part of the resident’s returned survey had not been completed, however, residents spoken with were able to confirm that they knew who to speak to if they were unhappy about something. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 17 Information provided by the home prior to the inspection suggests that all staff have received adult protection training. Policies and procedures are in place in respect of protecting vulnerable people. The manager is able to demonstrate a good understanding of adult protection matters. All residents are provided with lockable storage space to ensure their belongings are kept safe. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Linson Court offers a safe, well-maintained and comfortable environment for residents. The home is clean, pleasant and hygienic. EVIDENCE: A brief tour of the home was carried out, and included three residents’ bedrooms, with their consent. The home is clean, tidy and free from unpleasant odours. There are a number of areas showing signs of wear and tear. The manager explained that there is a refurbishment/redecoration plan in place – whereby areas of the home will be redecorated in order of priority. The manager explained that she is currently awaiting the installation of two new baths and a new shower room. A number of bedrooms and ensuite facilities have been newly decorated. Curtains and furniture in the lounge areas have been replaced. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 19 One relative made the following comment, “I would like staff to remember that the resident’s room is essentially their home and that evidence of nursing requirements should not be evident and discreetly placed, eg, all continence appliances cleared away”. The manager explained that this arises due to a shortage in storage space, particularly as continence equipment is supplied in bulk and, as it belongs to individual residents, it creates a problem when trying to keep stocks in individual bedrooms. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 20 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. There are sufficient numbers of staff to meet residents’ needs. Staff receive training to assist them to carry out their responsibilities. Thorough recruitment procedures are followed in respect of all potential employees. EVIDENCE: The manager explained that the staffing levels are currently set at seven-eight carers and a nurse on duty during the day shift. In most cases there are seven staff, or a minimum of six carers and a nurse during the evening shift, and three carers and a nurse cover night shift. In addition to these staffing levels, there are ancillary staff such as domestics, cooks and laundry staff who provide cover over a seven day period. Duty rotas examined confirmed this. Four out of five relatives’ surveys felt that, in their opinion, there were always sufficient staff on duty. Information provided by the home in the pre-inspection questionnaire indicated that 60 of the care staff have achieved an NVQ level 2 qualification. The manager explained that a further five staff are due to complete their qualification by early 2007. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 21 Four staff personnel files were examined. All four staff had been recruited during mid to late 2006, and documentation confirmed that a thorough recruitment process had been followed. Staff training included basic food hygiene, dementia, fire, infection control, moving and handling, medicine management, oral hygiene and induction training, and refresher training is provided periodically. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 22 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. The home is well managed. The home is run in the best interests of people who live there. Residents’ financial interests are safeguarded. The health, safety and welfare of people living and working at the home are promoted. EVIDENCE: The manager is qualified, competent and experienced to manage the home. She has achieved NVQ level 4 qualification in management and care and is a registered nurse with many years’ experience of working within a nursing setting. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 23 The manager spoke of the importance of quality assurance audits taking place. She explained that all care records are audited every 4-6 weeks. A number of other audits take place each month in order to monitor specific areas such as complaints, accidents, weight loss and auditing the amount of bed rails used in any one month. The manager explained how she likes to keep abreast of what takes place in the home and will often sit in the handover of one shift to another with the staff. A nominated person from the organisation undertakes monthly management visits to the home. The purpose of this visit is to ensure that the home is meeting its objectives. A report is then produced, a copy of which is forwarded to the Commission as evidence. In addition to the above, annual quality assurance questionnaires are sent out to residents/relatives, although these were not examined as part of this inspection. Small amounts of personal monies are kept on behalf of residents, four of which were checked. Two of those checked were found to be incorrect. The money in place did not tally with the records kept. Staff responsible for dealing with residents’ monies should take greater care when making any transactions. Information provided by the home prior to this inspection indicates that the servicing of equipment takes place on a regular basis. Weekly fire alarm tests take place and all staff receive regular fire training sessions. The most recent fire drill to take place was on 3rd January 2007. COSHH (Control of Substances Hazardous to Health) documentation was examined. The information provided is up to date and relevant for those staff dealing with such substances on a daily basis. The environmental health officer visited during November 2006, all recommendations made as part of that visit have now been dealt with. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 24 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 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 25 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 OP9 Regulation 13(2) Requirement All medication received in the home must be booked in and signed for as being correct. Timescale for action 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. 1 2 OP15 OP35 Staff should offer assistance with eating, where necessary, discreetly, sensitively and individually. Staff should take greater care when dealing with residents’ personal monies to avoid mistakes being made. Linson Court Nursing Home DS0000001088.V319298.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Linson Court Nursing Home DS0000001088.V319298.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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