Inspection on 14/03/08 for Manor Court

This inspection was carried out on 14th March 2008.

CSCI found this care home to be providing an Good service.

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

Manor Court 06/07/10

Manor Court 26/04/10

Manor Court 14/04/10

Manor Court 23/02/10

Manor Court 26/02/07

Manor Court 30/06/06

Manor Court 18/10/05

Manor Court 27/04/05

Manor Court 04/11/04

Manor Court 04/08/04

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Hawkhills

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Beeches The - North Yorkshire County Council

The Grove Waltham

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Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Manor Court 31 Churchfield Lane Darton Barnsley South Yorkshire S75 5DH Lead Inspector Shirley Samuels Key Unannounced Inspection 14th March 2008 08:40 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 Manor Court DS0000018271.V355778.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. Manor Court DS0000018271.V355778.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Court Address 31 Churchfield Lane Darton Barnsley South Yorkshire S75 5DH 01226 382321 01226 381299 manorcourt@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Care Centres Limited Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Linda Marie Knowles Care Home 32 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (22) of places Manor Court DS0000018271.V355778.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: Dementia over the age of 65 Code DE(E), Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 32 The DE(E) unit is on the first floor of the home. Can provide accommodation and care for two named service users aged under 65 years of age. 26th February 2007 2. 3. 4. Date of last inspection Brief Description of the Service: Manor Court provides residential care for older people; the home has 32 beds. It is in the village of Darton with easy access to shops, post office, church, local village club and health centre and it is on the main bus route. The home accommodates people on two floors and there is a passenger lift. Manor Court has 28 single bedrooms, 7 of which are en suite and 2 double bedrooms. The upper floor accommodates 10 people. The home has 5 lounges and 2 dining rooms. There are extensive gardens, with lawns and an enclosed area, garden furniture and a water feature. There is parking at the front of the building. The fees range from £370 to £468 per week. Additional charges include hairdressing, chiropodist, toiletries and transport. These charges are variable; the manager can provide more information about this. People who are interested in Manor Court can get information by contacting the manager. The home will also provide a copy of the statement of purpose and the latest inspection report. Inspection reports were available in the entrance to the home. Manor Court DS0000018271.V355778.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two star. This means that the people who use this service experience good quality outcomes. This was an unannounced visit; carried out by Shirley Samuels. It took place between 08:40am and 17:15 pm on the 14th March 2008 In the report we make reference to “us” and “we”, when we do this we are referring to the inspector and the Commission for Social Care Inspection. The manager Darren Saunders, the previous manager Linda Knowles and the operations manager assisted us during the visit. During the visit we looked at the environment, and made some observations on the staffs’ manner and attitude towards people. We checked samples of documents that related to people’s care and safety. These included, Three care plans, Sample of medication records, Three staff files Health and safety records. We looked at other information before visiting the home, this included evidence from the last key inspection, and the homes Annual Quality Assurance Assessment (AQAA). An AQAA is information we ask for, about once a year, to show us how the provider thinks the home is performing. On the day of the visit we spoke in detail to, Four people using the service, Five members of staff, Two relatives. This was a key inspection where we checked all the key standards. We would like to thank the people, who live at the home, the staff and the management for their welcome and help during this inspection. Manor Court DS0000018271.V355778.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Improvements had been made to the medication procedures. Activities were offered on a regular basis and people using the service said they enjoyed the opportunity to go out. Staff were aware of peoples dietary needs. For people who needed liquidised food, Staff said, this was presented in a dignified manner. For people who had changing and uncertain dietary needs referrals were made to the dietician or health care professional. Manor Court DS0000018271.V355778.R01.S.doc Version 5.2 Page 7 A review of the staffing levels had taken place. This identified that the staffing level needed to be increased. However these staffing levels were not being maintained. Staff files now include a recent photograph. The commission for Social care inspection is notified of deaths at the home. 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. Manor Court DS0000018271.V355778.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 Manor Court DS0000018271.V355778.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): 1, 2 and 3. People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. People receive information about the home and their needs are assessed before they move into the home. EVIDENCE: People said they were given written information about the home. We saw information leaflets in some of the bedrooms and they were also posted in the entrance. This made sure that people had the information they needed to make a decision about whether the home was right for them or not. Each person had a contract. This made sure that people knew the terms and conditions of their stay at the home. Manor Court DS0000018271.V355778.R01.S.doc Version 5.2 Page 10 The manager said a full assessment was done of each persons needs prior to them coming into the home. Assessments were seen on all the people’s files we looked at. This made sure that staff had the information they needed, to make a judgement about whether they could meet people’s needs. The home did not provide intermediate care. Manor Court DS0000018271.V355778.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 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. People’s needs are set out in a care plan and their rights are upheld. EVIDENCE: In the AQAA, the manager stated, “each person is spoken to on an individual basis to enable us to plan his or her care appropriately”. There was a plan of care on all the files we checked. In the main peoples health, personal and social care needs were detailed. This made sure that staff knew what action to take to meet people’s needs. Details of hobbies interest, mental health needs, religious, spiritual and cultural needs were recorded in the initial assessment. These areas were not however followed though in the care plan. There was one-person whose first language was not English. Observation was made of some communication difficulties. This was mentioned in the care plan Manor Court DS0000018271.V355778.R01.S.doc Version 5.2 Page 12 but did not consider what actions staff could take to make communication easier. Options were discussed with the staff and manager. Daily records of care given were adequate. The manager agreed there was room for improvement regarding the content and detail of the reports. People told us, they knew the home kept information about them, staff did ask them what they liked and how they wanted to spend their time. Relatives said they were able to have a say about how the person using the service was cared for. This made sure that people were consulted about their care. Records were kept of appointments with health care professionals, such as dentist, opticians and chiropodist. District nurses visited the home and GP visits were requested when needed. Records were kept of all visits. This made sure that people’s health care needs were met. There have been improvements with the medication procedures since the last inspection. Medication was signed for on administration, the records were clear and legible. All administration instructions were typed onto the medication administration records sheet from the pharmacy. This reduced the risk of mistakes being made. Staff administering medication received appropriate training. The manager monitored the medication procedure. There was one example of a medication to be ‘given once daily when needed’. There was no written guidance for staff telling them how to make a decision about if this medication was needed or not. This medication was being given routinely every other day. People told us they were treated with respect. They said.” we can do what we want”, “Staff speak to us in a proper manner”, “the staff are excellent”, “ the staff are very considerate, I only have to ask for something and they will get it for me if they can”. Staff were able to tell us some of the ways they respected peoples rights, by listening, giving people time to do things themselves, not taking over, speaking to people as I would want to be spoken to. Observations were made of staff interaction. Staff were patient, relaxed and confident. One relative said the staff were “comforting”. Another said staff were always “hospitable”. We felt there were some dignity issues regarding two people sharing a bedroom. This was discussed with the manager, who was asked to consider Manor Court DS0000018271.V355778.R01.S.doc Version 5.2 Page 13 this, consult with appropriate people and take whatever action is in the best interest of the people sharing. Manor Court DS0000018271.V355778.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 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. People are encouraged to make choices and exercise control over their lives. EVIDENCE: There is a range of activities provided at the home. These included indoor games, craft and quizzes. Trips out, shopping, drinks or meal at local pubs and restaurants were also arranged. People told us they were able to make a choice about taking part in activities. There was an activity co-ordinator employed four days a week. This meant that activities took place on a much more regular basis. People told us they were asked what sort of activities they enjoyed. On the day of the visit people were observed taking part in a game of skittles. Others told us they had been out for a meal the day before. This makes sure that people have the opportunity to be involved in activities of their own choice according to their own individual needs and interest. Manor Court DS0000018271.V355778.R01.S.doc Version 5.2 Page 15 In the AQAA, the manager stated ‘we actively encourage family members to visit as many times as they can to enable them to maintain a close relationship with their relative’. People told us “the food is excellent”,” really good”,” It’s just like being at home we can have what we want”. We observed staff encouraging people to eat and offering alternatives. The cook told us the menus are reviewed and people using the service are able to have a say. This makes sure that people receive a varied, tasty and nutritious meal that is satisfying to them. The cook told us there were no problems with food suppliers; the kitchen equipment was in good working order. She said, any problems with equipment were soon sorted out. Food was plated up and transferred on a trolley. This meant for people on the 1st floor, food was not always hot and had to be reheated. The possibility of a heated trolley was discussed with the manager. Manor Court DS0000018271.V355778.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 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. Complaints are taken seriously and people are protected from harm. EVIDENCE: Information about how to make a complaint was posted in the entrance. The service user guide also gave details of how to make a complaint and the procedures. This information was given to service users and their next of kin at the time of admission. In the AQAA, the manager stated the home has had 4 complaints in the last 12 months 3 of them were upheld all were resoled within 28 days of the complaint. This shows that complaints are taken seriously and acted upon. Two referrals had been made to Adult safeguarding in the last 12 months. Hospital staff had concerns about poor oral and personal care following an admission to hospital. A Meeting was held under adult safeguarding procedures the outcome was. There had been no intentional neglect. The case was removed from procedures with some recommendations made. The recommendations have been implemented; staff have received further training and monitoring. This makes sure peoples oral hygiene and personal care needs are met. Manor Court DS0000018271.V355778.R01.S.doc Version 5.2 Page 17 The 2nd referral was made by the commission for social care inspection Following a complaint made by a relative who raised concerns about lack of fluids offered and care of bedsores. The commission for social care inspection are awaiting details of the outcome. (The person who was living at the home has now moved to a more suitable placement.) Manor Court DS0000018271.V355778.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 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. The environment meets the needs of the people using the service. EVIDENCE: The manager stated In the AQAA, ‘there has been some redecoration of the small lounge, and conservatory and new furniture has been purchased’. The manager said bath, toileting transfer and standing aids were available. All equipment was well maintained, and that maintenance documents were in place. This made sure that staff had the equipment they needed to handle people safely. Manor Court DS0000018271.V355778.R01.S.doc Version 5.2 Page 19 People’s bedrooms were personalized, and in the main were well decorated and maintained. The manager said there was a maintenance programme and bedrooms were decorated as they became vacant. People told us they were happy with their bedrooms. One person told us they were in a smaller room when they first came, but they had been offered a bigger room when one became available. There were plenty of communal areas, this offered people a choice of where to sit and for activities to take place. There were sufficient toilets and bathrooms. All were clean but in need of refurbishment. The furniture in the bedrooms was adequate; in some rooms furniture had handles missing. The home was clean and most areas were odour free. An offensive odour was noted in one bedroom. Staff told us domestic staff had been used to cover care vacancies. This meant some cleaning jobs were unable to be done. Staff said they had received training on infection control. They said cleaning materials and equipment such as gloves aprons and hand gel was available. And there were procedures in place for the disposal of clinical waste. This reduced the risk of infection. Manor Court DS0000018271.V355778.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 People who use the service experience adequate outcomes in this area. We made this judgement using a range of evidence including a visit to the service. There was not always enough trained and competent staff to meet the needs of the people using the service. EVIDENCE: Since the last inspection there has been a review of the staffing levels. This identified that additional staff were needed to meet the needs of the people using the service. Staff told us, and the records showed, the staffing levels needed were not being maintained at all times. They told us that on several occasions staff worked alone caring for up to six people with Dementia. This meant that people were placed at unnecessary risk and their needs were not always being met. Handovers were held. Staff passed information about people from one shift to the other. This was not however a formal handover time and relied on staff coming in early without pay. This is not good practise. Manor Court DS0000018271.V355778.R01.S.doc Version 5.2 Page 21 Since the last inspection 14 staff have left. The staff said this had been unsettling but felt the effect on the people using the service was minimal. Some recruitment had taken place. During discussion with staff there were indicators of a lack harmony within the staff team. This was discussed with the managers who were aware of some minor problems with some staff relationships. The manager said that more than 50 of the staff were trained to National Vocational Qualification (NVQ) level 2 or above. People told us they trusted the staff and were confident that staff had the skills to do the job well. This made sure that people felt they were in safe hands. The manager said in the last 12 months staff had received in house training on the organisational policies and procedures. Staff told us they received regular training and refresher training. The records showed that staff had received all core training such as health and safety, fire, moving and handling, 1st aid and food hygiene. This made sure staff had the training they needed to do their job. The records showed that one member of staff had not received fire instruction in the last six months. There was a recruitment procedure that required thorough checks to be made on staff before starting work at the home. In the main these were carried out. There were however examples of gaps in employment histories, not being checked. For one member of staff a reference from the last employer was not in the file. This could place people at risk. Manor Court DS0000018271.V355778.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, 32, 33, 35 and 38 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. The home is well managed, the procedures, ensure the health safety and welfare of people using the service and the staff. EVIDENCE: The home has had three managers in the last 12 months. The current manager started at the home in December 2007. He has completed the Registered managers Award and has applied to the commission for social care inspection to be registered. The staff spoke positively about the manager. The people using the service were able to identify the manager one person said, “he really is very nice”. Manor Court DS0000018271.V355778.R01.S.doc Version 5.2 Page 23 In the AQAA the manager highlighted developments in the service since he started and identified areas for improvement. He demonstrated a commitment to increasing the quality of life for people and building a strong focused staff team. This will make sure staff are managed by a person who is able to carry out his responsibilities and who is prepared to listen to people using the service and the staff. The operations manager carried out monthly audits of the service. A report was written and any action points identified. Copies of the reports were seen on the day of the visit. People using the service, their relatives, professional visitors and staff were asked to comment on the quality of the service. Their comments were gathered together and helped the service to see what people thought they did well and what areas needed further development. This made sure that people were able to have a say about how the service is run. People told us they were satisfied with the arrangements for taking care of their finances. The home was responsible for the safe keeping and recording of some people’s income and expenditure. The records checked were in order and receipts were kept of all expenditure. This made sure that people’s financial interest was safeguarded. The manager said, accounts were checked regularly. There was however no written evidence of this. Staff said they had received health and safety training. Staff were observed using appropriate and safe moving and handling techniques. Staff told us they promoted the safety of people. By using the equipment available, attending training and reporting hazards. This made sure the health safety and welfare of people and staff was promoted. Manor Court DS0000018271.V355778.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 3 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x x 2 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 3 x 3 x x 3 Manor Court DS0000018271.V355778.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 OP7 Regulation 15 Requirement Care plans must be further developed to include people’s interest and hobbies, mental condition, religious, spiritual cultural needs and communication needs. This must include details of what action staff must take to meet these needs. Thorough and detailed records must always be kept of care given. Medication to be given ‘when necessary’ must be supported by guidance for staff about how they make a decision about whether to administer or not. All areas of the home must be kept clean and free from offensive odour The staffing level needed to keep people safe and to make sure their needs are met must be maintained at all times. As part of the recruitment procedures gaps in employment history must be explained and DS0000018271.V355778.R01.S.doc Timescale for action 20/04/08 2 OP9 13 20/04/08 3 4 OP26 OP27 23 18 20/04/08 20/04/08 5 OP29 19 Schedule 2 20/04/08 Manor Court Version 5.2 Page 26 6 OP30 23 recorded. References must be obtained from the last employer and kept on the staff file. All staff must receive fire instruction twice yearly. 20/04/08 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 2 3 4 5 Refer to Standard OP10 OP19 OP27 OP32 OP35 Good Practice Recommendations Consideration should be given to the dignity issues regarding the two people sharing the action taken should be in the best interest of the people sharing. All areas of the home should be well maintained therefore handles should be replaced on furniture. And the bathrooms and toilets should be refurbished. The home should review handover procedures to ensure staff have sufficient time to hand over information that it is thorough and effective. Action should be taken to develop teamwork and to ensure there are good working relationships within the staff team. The manager should make a record on the finance sheets when she has audited to show that the money is checked and correct. Manor Court DS0000018271.V355778.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region 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 Manor Court DS0000018271.V355778.R01.S.doc Version 5.2 Page 28 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!