Inspection on 12/12/07 for Longfield Manor

This inspection was carried out on 12th December 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

Longfield Manor 26/07/06

Longfield Manor 07/12/05

Longfield Manor 06/07/05

Longfield Manor 09/02/05

Longfield Manor 08/09/04

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 Longfield Manor West Street Billingshurst West Sussex RH14 9LX Lead Inspector Elizabeth Dudley Unannounced Inspection 10:00 12 December 2007 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 Longfield Manor DS0000024173.V349710.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. Longfield Manor DS0000024173.V349710.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longfield Manor Address West Street Billingshurst West Sussex RH14 9LX 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) 01403 786832 01403 782427 Dr Shafik Hussien Sachedina Mr Shiraz Boghani Mrs Jessica B Dabalus-Pinson Care Home 54 Category(ies) of Dementia - over 65 years of age (14), Old age, registration, with number not falling within any other category (40) of places Longfield Manor DS0000024173.V349710.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 14 persons in the category DE/E (Dementia) to be accommodated. A maximum of 40 persons in the OP category in need of nursing care may be accommodated. 26th July 2006 Date of last inspection Brief Description of the Service: Longfield Manor is a care home with nursing providing personal care and accommodation for up to forty older people and accommodation for fourteen service users with dementia. Forty-eight service users are accommodated at this time. Dr. S. H. Sachedina and Mr. S Boghani privately own it. Conditions of registration may be reviewed by the South East Registration Team as part of the ‘ Modernising Registration Agenda’. The home was opened in 1998 and is a two-storey building with wellmaintained grounds. The home has forty-six single bedrooms and four-shared bedrooms all offering ensuite facilities. There is a passenger lift and comfortable sitting and dining areas, domestic in character. There is an attached day centre, which the service users can access. The home is located in Billingshurst close to shops and other local amenities. Current fees range between £496 and £839 per week. Extra services, which include chiropody, hairdressing and newspaper provision are not included in the fees and charges for these are available from the home. Longfield Manor DS0000024173.V349710.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on the 12th December 2007 over a period of seven hours. Methods used to collect information about the home included examination of documentation in the home, observation of staff working with residents, the serving of lunches and conversations with residents, staff and visitors to the home. All residents were spoken with during the inspection, and six residents were spoken with in depth and gave their views on life in the home. There were two visitors in the home and conversations were held with them to determine their satisfaction in the way that the home looked after their relative. Documentation examined included care plans, personnel files, staff training and supervision records, catering records and health and safety files. Prior to the inspection sixteen questionnaires were sent out to residents and ten were sent out to representatives of residents. Of these two were returned from visitors to the home and fifteen from residents. These gave information about the daily life in the home and helped to inform the judgements made in this report. Thanks are extended to those people who responded. The Annual Quality Assurance Assessment required by the CSCI was received and seen to accurately reflect what was current status of the home What the service does well: The home provides nursing care for up to forty older people and personal care for fourteen older people with a dementia type condition. This is provided in a pleasantly decorated and clean home, with staff attending to their duties in a calm and quiet manner. A resident spoken with said that the home ‘has a very relaxing atmosphere’; a visitor to the home also reiterated this. The standard of both the clinical and the personal care received by the residents appeared good, with attention to detail being evident insomuch as staff were taking the time to help female residents with their make up and hair and ensuring that all residents wore appropriate clothing for the time of year. There is evidence of a range of activities and outings provided by the home, residents are informed of these by posters throughout the home detailing what entertainers are visiting or inviting residents to go for a cooking or art session. Longfield Manor DS0000024173.V349710.R01.S.doc Version 5.2 Page 6 On the day of the inspection a church service was taking place which included carols, the majority of residents attended this and it was refreshing to see that the minister went and visited residents who were unable to attend, following the service. Some residents living in the mental health unit were able to integrate with residents from the main part of the home, to have lunch and to participate in activities as their health permitted. The home has a commitment to staff training, encouraging all grades of staff to take training relevant to their specific role in the home. What has improved since the last inspection? What they could do better: The Service user guide should be offered to residents in the mental health unit in a format suitable for those whose cognitive abilities are impaired. Other residents in the main part of the home may also benefit from this. Longfield Manor DS0000024173.V349710.R01.S.doc Version 5.2 Page 7 Whilst the standard of care planning is generally good, risk assessments should be put in place for the use of bedrails. These must follow the guidance provided by the relevant authority and personalised to reflect the needs and relevant safety requirements of the individual resident. The choice of meals at both lunch and suppertime is limited and residents are often not aware of any choice of meals available. The size of home would warrant a second choice of complete meal being available rather than the current options offered. Residents in their rooms would benefit from more interaction with the activities coordinators and more time spent on activities in the main part of the building would enable those residents who are unable to go over to the day centre to participate in the activities on offer. 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. Longfield Manor DS0000024173.V349710.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 Longfield Manor DS0000024173.V349710.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): People who use the service experience good quality outcomes in this area The home provides sufficient information to enable prospective residents to make the decision over whether the home can meet their needs and expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose and Service user Guide comply with the National Minimum Standards and associated regulations and a copy of these documents are supplied to each resident prior to their admission. It is recommended that the home consider amendments to the format and wording of the Service User Guide for those residents admitted to the dementia care unit to meet the needs of those residents who may not be so cognitively able. It would be useful for all residents if a means of identifying grades of staff were added to this document. Longfield Manor DS0000024173.V349710.R01.S.doc Version 5.2 Page 10 The manager or a registered nurse assesses prospective residents prior to them being admitted to the home. Three preadmission assessments were seen and these contained sufficient information to inform staff of the needs of the prospective resident. The manager should send a letter to prospective residents confirming the homes ability to meet the resident’s needs and offering or refusing admission in line with Regulation 14(1)(c). The deputy manager said that this would be commenced. Prospective residents or their representatives can visit the home prior to their deciding whether they wish to live there, and each resident receives a Statement of Terms and Conditions of Residence on their admission to the home. The home admits residents for respite care but not for intermediate care. Longfield Manor DS0000024173.V349710.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): People who use the service experience good quality outcomes in this area. The standard of care planning supports staff in their delivery of good quality health and personal care to residents. Residents expressed satisfaction with the standard of care and the maintenance of personal dignity afforded to them. The standard of medication administration supports and safeguards the residents in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Seven care plans (14 ) were examined in depth, these included two from the Dementia care unit. Care plans were computer generated but personalised to reflect individual residents physical and mental health needs. They were comprehensive, included both past and current needs, wound care, nutrition Longfield Manor DS0000024173.V349710.R01.S.doc Version 5.2 Page 12 and social care plans, and had been formed in consultation with the resident or their representative and reviewed on a monthly basis. Daily records viewed related to the care planning process. There are fourteen residents in the dementia care unit, and they receive an additional six monthly review using a format, which the resident can relate to and participate in (Clipper care planning). The home is also taking part in a university research project relating to communication with people with dementia. It would be advantageous to the care of the residents with dementia if more details relating to the specific types of dementia with which people were suffering were in the care plans. There is a specific night care plan, which is comprehensive; this could be improved by residents preferred time of rising being included. Residents using bedrails require a risk assessment. This should be addressed as a priority. A retained General Practitioner visits the home on a weekly basis and residents receive visits from other health care professionals including Dentists and Opticians. Residents appeared well looked after and there was evidence of full nursing intervention to those residents who were in bed or required this. The home has a range of pressure relieving equipment and there was information on what type was to be used for individual residents The standard of both the nursing and the personal care was of a standard that met the needs of the residents in the home. Residents and relatives spoken with expressed satisfaction with the care received and said that the staff were ‘ Polite and attentive’, ‘Very knowledgeable about their care and quick to answer bells and always polite’ ‘ Cannot fault the care I am given, the staff, or the attention I receive both day and night’. The standard of medication administration, recording and storage was safe and there were the relevant policies and procedures in place. There are two residents who are self medicating and these are reviewed on a daily basis by the staff. The deputy manager was reminded to ensure that these residents keep their medications in lockable drawers. Arrangements to dispose of medication in line with current legislation must be completed. Longfield Manor DS0000024173.V349710.R01.S.doc Version 5.2 Page 13 Some staff are attending training in the use of the Liverpool Care Pathway and Gold Standards Framework (Nursing and care tools for ensuring that people at the end of their lives receive extensive care and pain control) and there was evidence of this being used in the home and care planning for the care of the terminally ill resident being carried out. Longfield Manor DS0000024173.V349710.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): People who use the service experience good quality outcomes in this area. Residents are able to make choices around activities of daily living and the extent of their participation in the leisure activities taking place in the home. The standard of catering provides well-balanced and well-presented meals for the residents, but they may benefit from more variety of food and choice of meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was evidence in both surveys received and during discussion with residents, that to show that residents are allowed to choose their activities of daily living and to what extent they wish to participate in the life of the home. Various leisure activities are provided by the staff of the day centre adjacent to the home and these are well advertised throughout the home. Residents can go over to the day centre to participate and in addition the staff visit the house for around an hour both mornings and afternoons to interact with, and provide activities. Some residents who remain in their rooms may not have the opportunity to take part in the social life of the home and one relative said that Longfield Manor DS0000024173.V349710.R01.S.doc Version 5.2 Page 15 although the leisure facilities were advertised, she had not seen these taking place in the home at any time. Residents spoken with said that they would prefer an extension both of the time allocated to them for the pursuit of leisure interests and an increase in the number of outings taking place. Visitors spoken with said that they could visit at any time and were always welcomed, and that they were kept informed of the progress of the resident. Whilst the standard of catering and the presentation of meals is good and several residents said that they enjoyed the food, there was little choice available at individual meals and only one cooked option apart from egg dishes or baked potatoes at lunchtime. Likewise the menu could be improved, as there was not much variety generally, although menus and preferences are discussed with residents at resident meetings. Resident’s comments about the food were variable, all said that fresh fruit and vegetables were served but described the food as ‘ Alright’, “Food is passable, a bit of the same sometimes”. “The choice of food isn’t particularly good, if you don’t like what’s on the menu you can have soup or bread and butter”. “The food is adequate, no choice but if you don’t like the meal you can have an omelette or soup”. Meals are served in a spacious pleasant dining room or in residents own rooms according to the preferences of the individual. Longfield Manor DS0000024173.V349710.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): People who use the service experience good quality outcomes in this area. The home addresses complaints in a thorough and transparent manner and residents are facilitated to make complaints if required. Staff are aware of their responsibilities towards the safeguarding of those in their care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a complaints policy, which meets the regulations and is displayed in the entrance hall and included in the service user guide. There have been four concerns raised in the past year, these were minor concerns only and had been addressed and responded to within the required timescales. The company’s abuse policy should be amended to reflect that the manager or senior person on duty must contact adult safeguarding team in the first instance, prior to informing anyone else, if an adult safeguarding alert is received. Senior staff have recently attended an update to their safeguarding training and all staff spoken with were aware of the procedures to follow if an instance occurred and also of their responsibilities towards the residents in the home. Longfield Manor DS0000024173.V349710.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): People who use the service experience excellent quality outcomes in this area The home has a high standard of cleanliness, laundry services and maintenance and provides a comfortable, clean and well-maintained home for residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is purpose built and well maintained. There is sufficient communal space, which includes lounges, dining rooms and gardens. Residents’ accommodation is mainly in single rooms, all have ensuite facilities, which consist of a toilet and washbasin, and there are assisted bathing facilities throughout the home. Residents can have keys to their doors and this is reflected in the care planning process, all residents have a lockable drawer in their rooms. The standard of comfort and décor in the residents’ rooms is good. Windows have Longfield Manor DS0000024173.V349710.R01.S.doc Version 5.2 Page 18 restricted opening, radiators are guarded and the water temperature to residents’ facilities is monitored regularly. On examination of the records it was seen that water temperatures were kept below recommended parameters (34°C -37°C) and this could compromise residents comfort. The maintenance man addressed this the day following the inspection. Residents can bring their own possessions into the home, including some furniture and rooms were homely and personalised. The home provides aids and equipment to assist residents in maximising their independence and nursing beds are provided throughout Staff receive training in infection control and domestic staff are encouraged to undertake their National Vocational Qualification level 2 relevant to their role. The standard of cleanliness throughout the home was very high and the home was free from any odours. The standard of laundry of bed linen and residents personal clothing was good and five residents expressed their satisfaction at the high standard of this service. Longfield Manor DS0000024173.V349710.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): People who use the service experience good quality outcomes in this area Staff are employed in sufficient numbers and receive suitable training to meet residents needs and expectations. The recruitment systems in the home safeguard the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Duty rotas and staff and residents spoken with, showed that there are sufficient staff on duty over a twenty-four hour period to meet the needs of the residents in a prompt and caring manner. All staff complete an induction course on commencement of employment, this takes place at the head office and gives the basics of care, company policies and mandatory training. Registered nurses also undertake induction training relevant to their role. Care staff commence the recognised induction ‘Skills for Care’ following the company induction. Staff are in the process of undertaking more dementia training and one registered nurse said that he hopes to study this to a higher level to give him a greater understanding. Longfield Manor DS0000024173.V349710.R01.S.doc Version 5.2 Page 20 Domestic, catering and care staff are encouraged to undertake the National Vocational Qualification relevant to their role when they have worked in the company for two years. Nine members of staff (19 ) have the National Vocational Qualification level 2 in care; the company should try to increase this in line with national minimum standards guidelines, although it is recognised that many of the staff working at the home have attained the equivalent of the National Vocational Qualification in their home countries. Five (10 ) staff files were examined, these included all the documentation required by the regulations. Staff commence induction when a Protection of Vulnerable Adults check is returned and undergo supervised practice until the Criminal Records Bureau check is received back in the home. Longfield Manor DS0000024173.V349710.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): People who use the service experience excellent quality outcomes in this area. Management systems in place ensure the well-being and safety of the residents and staff at the home. There is a regular monitoring of services offered and consultations with residents to ensure that these meet with resident’s expectations and wishes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is a registered nurse and is in the process of completing the Registered Managers Award. Longfield Manor DS0000024173.V349710.R01.S.doc Version 5.2 Page 22 Residents spoke of the friendly atmosphere in the home, saying that all staff and management were very attentive, one resident described the staff as ‘Charming’, and one relative identified in a survey that the reason for choosing the home was the good atmosphere. The home elicits views of residents and relatives by sending out questionnaires on an annual basis and three monthly residents and relatives meetings, minutes were seen of these. These are used as part of the quality monitoring process and inform practices in the home and services offered. Staff meetings are held on a three monthly meetings and minutes of these were available. It is recommended that surveys are sent to health and social care professionals that visit the home. The Annual Quality Assurance Assessment was received by the due date and accurately reflected the current status of the home. Formal Staff supervision and regulation 26 visits (visits required and reports generated by the provider and required by the regulations) take place at intervals directed by the regulations and National Minimum Standards. Policies and procedures in the home and staff are able to access them, they have been reviewed on a regular basis, and there are appropriate insurances in place. Certificates relating to the servicing of utilities and equipment were seen and the deputy manager gave assurances that requirements made by the fire service at their recent visit have been complied with. All areas of the home have been risk assessed and all staff have mandatory training. Risk assessments were not present in all care plans where the residents had bed rails but the deputy manager was aware of the need for this and said these would be put in place. Accident records in the home were examined and these were found not to have been excessive. The home informs the CSCI of any incidents or serious accidents that occur. Longfield Manor DS0000024173.V349710.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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 3 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 4 4 4 4 x 4 3 4 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 4 4 x 3 3 3 3 Longfield Manor DS0000024173.V349710.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 OP3 Regulation Reg 14(1)(c) Requirement Following assessment of service users, the registered person confirms in writing that the care home is suitable for meeting the person’s needs That risk assessments regarding the use of bedrails are put in place, with attention to guidelines from the relevant authority. Timescale for action 30/01/08 2 OP7 Reg 13(4) 30/01/08 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 Refer to Standard OP15 Good Practice Recommendations That choices of alternative meals are provided at the main meal times. Longfield Manor DS0000024173.V349710.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Longfield Manor DS0000024173.V349710.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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