Inspection on 06/04/06 for Manor View Nursing Home

This inspection was carried out on 6th April 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Manor View Nursing Home 04/08/08

Manor View Nursing Home 21/08/07

Manor View Nursing Home 26/09/06

Manor View Nursing Home 07/10/05

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

CARE HOMES FOR OLDER PEOPLE Manor View Nursing Home 19 Manor Rd Hatfield Doncaster South Yorkshire DN7 6BH Lead Inspector Valerie Hoyle Key Unannounced Inspection 6th April 2006 09:00 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 View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 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 View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Manor View Nursing Home Address 19 Manor Rd Hatfield Doncaster South Yorkshire DN7 6BH 01302 350877 01302 843807 manor.view@fshc.co.uk www.fshc.co.uk Four Seasons Health Care (England) Limited (wholly owned subsidiary of Four Seasons Health Care Ltd) Gillian Antley Care Home 54 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) Category(ies) of Dementia - over 65 years of age (54), Mental registration, with number disorder, excluding learning disability or of places dementia (40) Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One specific service user under the age of 65, named on variation application dated 16th March 2004, may reside at the home. One specific service user under the age of 65, named on variation application dated 23rd June 2004, may reside at the home. 7th October 2005 Date of last inspection Brief Description of the Service: Manor View is situated in the village of Hatfield, nearby are shops and a public library. There is easy access to the bus service into the centre of Doncaster a few miles away. The home is divided into two separate units. The main unit (Manor View) provides nursing/residential care for older people with dementia and can accommodate 40 service users. Manor View is a two-storey building with bedrooms on both the ground and first floor. The second unit, (formerly known, as Church View) is a purpose built small care home providing accommodation for fourteen older people with dementia. Secure gardens are provided for both units with easy access for service users. Information gained on the 6th April 2006 indicate the current fees range from £410 for residential care and £470 for nursing care, additional charges include private chiropody, hairdressing, and outings. The home provides information to service users and their relatives prior to admission into the home. Service Users Guides are available in all bedrooms or on request from the manager. The last published inspection report is available on request and a copy is available in entrance for visitors to read. Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two days (14 hours) where a full inspection of the buildings was undertaken. The inspector examined four service users care plans and supporting documentation. Three service users and ten staff were spoken to during the visit. The inspector was able to speak to nine relatives, visiting social services reviewing officer and a care home liaison officer, to gain their views on how the home is run. The registered manager was present throughout this inspection and assisted with the inspection process. A representative from Four Seasons Healthcare also attended the home during this inspection. What the service does well: What has improved since the last inspection? The registered providers have made considerable investment in the home to improve the environment. The continued commitment is required to ensure the environment is safe and homely for those who live at the home. The registered providers have agreed to refurbish four bedrooms each month agreed at a meeting held on 18th October 2005. Relatives spoken to said the improvements to bedrooms has made a difference, the rooms are bright and the furnishings are of good quality. The registered manager has refurbished one of the lounges into a quiet area with soft lighting and comfortable seating, so that service users can spend time away from the main lounge which can sometimes be quiet noisy. Staff should Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 6 ensure that this lounge is used on a regular basis, as on a number of visits it was unoccupied. The registered manager continues to develop the care plan documents to ensure the needs of service users are clearly recorded, further work is being undertaken to improve how social activities are recorded. The recruitment and supervision of staff has improved, although yearly appraisals are still to be undertaken by the manager. Staff spoke positively about the training they had received 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. Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. The registered manager always undertakes an assessment of service users prior to them moving into the home, ensuring their needs can be met. EVIDENCE: Social services have placed an admissions embargo on the home, whilst continuing investigations take place. The registered providers are to attend further meeting to address the outstanding concerns, and they continue to cooperate with this process. Assessment documents were examined on four service users and these included sufficient information to ensure care needs can be met by the staff at the home. A carer said she found the information essential to ensuring a service user settles into the home, handovers are usually used to pass vital information to staff. Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 9 One relative told the inspector that the home was recommended to him and he was happy with the care provided by the staff at the home Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service, including examination of documents and discussion with staff and visitors to the home. The care plans provides staff with sufficient information to ensure they can meet the needs of service users Medication policies and procedures are well managed and staff have the necessary skills to administer the medication to service users, ensuring their safety and protection. EVIDENCE: The inspector was able to examine four care plans and supporting documentation to determine how service users care needs are being met. Discussion with care staff and visiting relatives also inform the overall judgement in this outcome group. The registered manager continues to ensure details recorded in service users care plan are up to date and accurate. New documentation and training has Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 11 been introduced to ensure a consistent approach, and there is evidence that improvements have been made. A visiting social services reviewing officer said some areas of the care plans still require further development including service users involvement in social activities. The registered manager has begun to address this issue and the inspector was able to evidence how service users can participate in social activities. One relative spoken to said he was pleased with his wife’s care now she had moved into Manor View. He said he visited every day and always found his wife well presented and staff are kind. A member of the care staff was able to describe the care needs of one service user, this included the detailed care where one service user enjoyed his/her clothing being warmed before being dressed, as he/she felt the cold in the morning when he/she got out of bed. The recording of health care has improved and there is evidence in healthcare notes to show involvement from speech therapist and dietician. Staff spoken to were aware of the needs of service users and are knew who to contact if service users require any medical intervention. Nurses ensure the clinical needs of service users are met and they also have responsibility to administer medication to service users at Manor View. Care staff who have received the appropriate training have responsibility for administering medication to those service users who reside at the residential unit known as Church View. Observation of staff administering medication to service users showed staff had a good understanding of the needs of service users. An audit of records and stock were accurate, although there appeared to be high levels of drugs waiting to be disposed off. The registered manager arranged for this to be removed by the organisation responsible for the safe disposal of waste medication. A visiting care home liaison manager said she is currently working with staff at the home to promote positive mental health practice to maximise the quality of life to service users using a holistic approach. Several service users had been referred to the service by the manager and she felt that the benefits were starting to have a positive affect. Staff were observed throughout the inspection interacting in a positive manner. One staff was observed reassuring a service user who was disorientated with time and space, while other staff spoke quietly and with respect to service users who required assistance with personal care. Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. Social activities remain an area requiring improvement, although the manager has begun to address this issue. Mealtime is more organised, although a number of service users receive their meals in the lounge area. EVIDENCE: Observations during this inspection and discussion with staff and relatives. There is an activity co-ordinator who has recently attended a local day centre to observe diverse activities to gain new ideas. The co-ordinator said he found the visit useful and spoke about his role within the home. Activities are usually specific to meet the needs of people with dementia, which involves small groups. The registered manager has identified activities and social stimulation as being an area for further development. A number of relatives were spoken to during this visit and they spoke positively about the care provided at the home. One visitor said she visited at different times of the time and her visits were always unannounced, she said staff always made her feel welcome and she sometimes stayed to have lunch Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 13 with her relative. She said the food was always well presented and of reasonable quality. The registered manager shared a letter received from a relative who said she was delighted with how staff cared for her father. She also stated that other relatives told her that the care was very good and this gave her a lot of reassurance. The inspector observed two meals during this visit and staff were seen to offer support and assistance where required. Mealtimes and the way they are organised have been an issue during past inspections, and the manager has addressed issues to ensure service users nutritional needs are met. Staff was seen taking meals to service users who were in bed. The meal looked well presented and drinks were available. Service users clothing was protected by aprons and staff were seen to encourage service users to eat their meal, and meals were reheated for those service users who were slow to eat. Staff were well organised and had time to spend with service users who needed assistance, staffing levels had improved at Church View to ensure mealtimes were less rushed. Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is poor. The judgement has been made using available evidence including a visit to this service, and information received from notifications and referrals to social services protection of vulnerable adults team. Service users and their relatives are provided information to enable them the raise concerns about the home and their care. Adult protection policies, procedures and training of staff ensure the protection of service users from abuse. EVIDENCE: There is a complaints procedure that is available to service users and visitors. The procedure is also referred to in the service users guide, identifying the stages to follow; this includes the time scales to respond to complaints. The address and telephone number of the Commission for Social Care Inspection is included in the procedure. Examination of complaints received at the home provides evidence for this outcome group. CSCI and Adult Protection are currently investigating one complaint recorded by the home and the outcome is not yet available. There have also been two other referrals made to adult protection since the last inspection. Referrals relate to the quality of care practise, and healthcare issues regarding diets and weight loss. The registered providers and the registered manager have assisted fully during the investigation process, these continue to be ongoing. Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 15 The registered manager encourages staff to disclose information regarding the protection of service users and the providers ensure staff receives training to enable them to recognise signs of abuse. In the absence of the registered manager some concerns remain as some staff are unsure of the procedures to follow, which could lead to a delay in referrals being made. Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 26 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service, including a tour of the building. The registered provider continues their refurbishment of the home to ensure the environment is safe and suitable for service users to spend their time. EVIDENCE: The inspector continues to monitor the improvement plan from the previous unannounced inspection. The registered providers have given a commitment to continue with the refurbishment of both units. 16 of the bedrooms have been fully refurbished since the last inspection in October 2006, and this has improved the personal space for service users to spend their time. The registered providers agreed at a meeting held on the 18th October 2005, to refurbish 4 bedrooms each month until all rooms are completed. Visitors to the home commented that the bedrooms were bright and welcoming, and much improved. Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 17 Some windows have been replaced at Church view and Manor View, although some remain in need of attention. Several new carpets have been purchased, although four bedroom carpets and the entrance carpet at Church View remain outstanding. The inspector was able to evidence that orders have been placed for those carpets. Bathrooms at Manor View remain a concern, as they have not yet been refurbished. Two bathrooms and a shower facility are not in use and are currently used as storage areas. The registered providers have given an assurance that bathrooms will be refurbished by the end of May 2006. The registered manager has improved the cleanliness of the Church View by employing a domestic. The home was clean and tidy and free from offensive odours. Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. There are robust recruitment policies to ensure the safety and protection of service users. Staff are trained and competent to undertake their care duties, although some concerns remain regarding the consistency of levels to meet the needs of service users. EVIDENCE: The inspector examined staff rotas and recruitment and training documentation, which inform the judgement for this outcome group. Discussion with care staff and the qualified nurses also inform the overall judgement in this outcome group. Staffing levels on the first day of this inspection was insufficient to meet the needs of service users. Only one qualified nurse was on duty, and she appeared to be rushed. The registered manager must ensure that staffing notice is used to ensure sufficient levels are maintained. On the second day of this inspection levels had improved and staff seemed more relaxed. A number of staff recruitment files were examined, and there is evidence that all the required employment checks have been undertaken prior to commencing work at the home, ensuring the safety and protection of service users. Training files examined show that staff have received the required Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 19 statutory training, and the manager said staff are to undertake customer care training as part of the homes development plan. Staff have adequate skills to meet the needs of service users, although they do not meet the requirement of 50 NVQ qualified staff. A number of staff are working towards the award. Staff spoken to said the manager had begun to make improvements to the home and she said she had been supported to attend training including moving and handling and safe handling of medication. Staff spoken to also made comment about the general moral being low due to the admissions embargo, and hoped that this would be lifted so they go move forward and improve the care provided. Domestic staff spoken to said they enjoyed working at the home, especially now the home had been refurbished. New equipment purchased has assisted to ensure good standard of cleanliness and hygiene. Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. The registered manager is skilled and experienced to manage the home to ensure the safety and protection of the service users. The registered provider must develop method to actively seeks the views of service users. Procedures are in place to ensure the financial interests of service users are safeguarded. Staff and service users follow health and safety procedures and records provide evidence of servicing of essential equipment. EVIDENCE: The registered manager holds an appropriate nursing qualification and has been in post for 6 months and has worked extremely hard to improve the standard of care at the home. She has recently enrolled on the Registered Managers Award and anticipates to finish the award by November 2006. Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 21 CSCI has raised concerns regarding the appointment of a deputy manager who will act up in the absence of the registered manager. This position remains vacant, although one of the existing nurses has now been allocated two days a week supernumery to assist the manager. Adverts for the deputy manager’s position have been placed and interviews will take place in the near future. A new care manager has been appointed at the residential unit know as Church View, she has been supernumery for one month to improve documentation and care records. Relatives spoken to said the new care manager has improved many areas of previous concern, including the increase of staffing levels to ensure the safety of service users. Residents/relatives meetings are used to gain the views of service users, including suggestions for menus and activity programme. Annual quality surveys are not used currently, although the organisation provides a leaflet that asks for comments about the service provided. The registered manager must ensure that an annual development plan is developed, based on a systematic cycle of planning, action, and reviewing to reflect the aims and outcomes for service users, and stakeholders. Service users are able to manage their own finances, although most prefer the manager to assist with dealing with their personal allowances. A number of service users pocket money records were checked and these were accurate. Examination of supervision and appraisal records show that yearly appraisals have not taken place takes. Staff must be given the opportunity to discuss the philosophy of the home and their own development to promote the quality of care expected. Accident reports are analysed by the manager to ensure risk assessments are developed where required. Maintenance and service records examined were up to date and current to the services provided. The manager has the required Health and Safety policies and procedures and displays the relevant notices. Fire safety procedures are in place and service records were examined and were current, ensuring the safety of service users. Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 22 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 1 X X 2 X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 X 3 Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP19 Regulation 23(2)(c) Requirement The registered manager must continue with the refurbishment of the home and ensure old furniture is safe and fit for purpose. The registered provider must provide sufficient bathing facilities that are in good working order. Two bathrooms are currently used to store equipment and the shower facility is not working. The bathroom floor at Church View is in bad repair and must be replaced (timescale 01/02/06 not met) Four carpets at Church View are badly stained and in bad repair. These must be replaced (timescale 01/02/06 not met) The registered manager must ensure that staffing levels are maintained to ensure the safety and protection of service users The registered manager must develop a systematic approach to gain the views of service users Arrangements must be made to ensure staff receive annual appraisals DS0000065195.V287861.R01.S.doc Timescale for action 01/07/06 2. OP21 23(2)(j) 01/06/06 3. OP24 23(2)(d) 01/06/06 4. OP27 19 01/05/06 5. 6. OP33 OP36 24 19 01/09/06 01/06/06 Manor View Nursing Home Version 5.1 Page 24 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 OP28 Good Practice Recommendations The responsible individual must work towards providing a minimum of 50 of staff who are NVQ level 2 qualified in 2005 The manager must gain the management and care qualification in 2006. NVQ Level 4 2. OP31 Manor View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ National Enquiry Line: 0845 015 0120 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 View Nursing Home DS0000065195.V287861.R01.S.doc Version 5.1 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. 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. 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