Inspection on 31/01/08 for Maple Court Nursing Home

This inspection was carried out on 31st January 2008.

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

Maple Court Nursing Home 26/07/06

Maple Court Nursing Home 01/12/05

Maple Court Nursing Home 10/05/05

Maple Court Nursing Home 05/10/04

Maple Court Nursing Home 13/05/04

Maple Court Nursing Home 22/01/04

Maple Court Nursing Home 15/09/03

Maple Court Nursing Home 19/06/02

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Maple Court Nursing Home Rotherwood Drive Rowley Park Stafford Staffordshire ST17 9AF Lead Inspector Joanna Wooller Unannounced Inspection 31st January 2008 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 Maple Court Nursing Home DS0000022352.V354636.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. Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Maple Court Nursing Home Address Rotherwood Drive Rowley Park Stafford Staffordshire ST17 9AF 01785 245556 01785 244506 maplecourt@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Healthcare Services Ltd 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) Ms Patricia Heather Sault Care Home 80 Category(ies) of Dementia - over 65 years of age (45), Physical registration, with number disability over 65 years of age (35) of places Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. DE minimum age on admission 60 years of age - 45 beds DE minimum age on admission 50 years of age - 7 beds PD minimum age on admission 60 years - 35 beds PD minimum age on admission 55 years of age - 5 beds Date of last inspection 26th July 2006 Brief Description of the Service: Maple Court is a care home providing nursing care and personal care for up to 80 residents. This includes care for up to 45 people suffering with forms of dementia and 35 beds for people with a physical disability. The home is owned by Southern Cross Healthcare Services Limited and is located in a quiet residential area on the outskirts of the town. The home was purpose built several years ago and consists of two floors served by a passenger lift. The ground floor accommodates residents with general nursing needs and the second floor has been created specifically for people suffering with varying forms of dementia. The home can take some residents in from the age of 50 who are suffering the early onset of dementia. Both floors can also accommodate residents in the above categories that require personal care only. The home consists of 80 spacious single bedrooms, all of which have en-suite facilities. There is ample provision of communal and seating areas throughout the home. Peaceful, mature gardens are located around the home. There are ample car-parking facilities at the entrance car park and around the side of the home. A bus route is available up to the bottom of the road leading to the home. There are no amenities within the immediate vicinity but Stafford town centre is approximately a ten-minute walk away, where there is a choice of shops, public houses, banks and churches. Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 5 Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 31st January 2008 by the lead inspector. The Manager was present at the care home during the inspection. The inspection included the following elements; A tour of the building, service users bedrooms and all departments, Observation and inspection of records relating to provision of care, Discussions with several service users, Discussions with several of the staff members on duty, Observation and sampling of other services provided such as catering and laundry, and an inspection of the managerial aspects such as staffing issues, training, recruitment and health & safety. The Inspector was made very welcome in the home and all assistance was given to gain the evidence required for the report. Commission for Social Care Inspection had received no complaints about the home since the last inspection. Service Users spoken to at the visit were complimentary about the home. One lady said “I am quite content, the manager speaks to me quite often and the staff are patient. Sometimes I feel a bit tired but the staff respect that.” A visitor spoke to the inspector for sometime about the home, saying the manager was very good and he felt he could talk to the staff. He said the home was marvellous and he thought they looked after his wife very well. What the service does well: The home continues to offer its service users the opportunity to experience a good quality of life, with flexible daily routines and a range of social activities. There was a warm and welcoming ambiance in the home and the manager and her staff were welcoming and friendly. The open and honest style of management that the manager delivers is very welcoming for the staff, service users and their relatives. She strives to improve the homes services for the benefit of the service users and their daily life. She is passionate about ensuring that each service users is content in the home. The health and personal care needs of service users were evidenced as being met appropriately and each service users had a written care plan, a sample of which were examined and found to be very satisfactory. All care plans were in line with NMC requirements. Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 7 Service users individual risk assessments were in place beside long and shortterm problems, which were reviewed monthly or more frequently if required. There was evidence that the staff maintain comprehensive care planning notes, up to date, reflecting the current condition of each service user. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Maple Court Nursing Home DS0000022352.V354636.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 Maple Court Nursing Home DS0000022352.V354636.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): Standard 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are given the information required to make a choice with regard to living in the home. EVIDENCE: The manager at Maple Court encourages all prospective service users to visit or spend time at the home prior to admission. All service users receive a trial period of 4 - 6 weeks, this enables them to make an informed decision as to whether they wish to continue their stay. All new service users or prospective service users are provided with a copy of the homes brochure, service user guide and the companies news letter. They also provide them with a copy of our menus and activities guide. The statement of purpose and the service user guide is also available on audio tape for people with sight problems or DVD with subtitles on request. Before a service user is admitted into the home they are assessed by the Home Manager, Deputy Manager or EMI unit Manager or Deputy to ensure Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 10 that Maple Court is able to meet all their needs. During the assessment as well as speaking with the individual, the home speak to the key people whom are at present looking after the person ie Ward Nurse, District Nurses, GPs or consultants along with family and friends of the person. On assessment the completed Pre-admission draft care plan highlights any risks or immediate requirements. All service users or prospective service users are able to access CSCI inspection reports, which are kept in the foyer of the home. The staff at the home closely follows the admission policies and procedures to ensure that the service users admission is fully completed. Maple Court Nursing Home DS0000022352.V354636.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): Standards 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users health, personal and social care needs are set out in a plan of care to ensure their needs can be met. Medication is administered following policies and procedures. Service users are treated with respect and privacy is upheld. EVIDENCE: All the service users have a comprehensive care plan based upon daily living and including risk assessments for pressure ulcers, dependancy, falls, nutrition, urinary incontinence and bowels also moving and handling. Each service user and their family are encouraged to be involved in the formation of the individualised care plan. Service users reviews are carried out at regular intervals, generally 6 months, but 3 monthly for an individual with pressure sores and bed rails. All care plans and risk assessments are reviewed monthly or more frequently if required and are audited by the home manager and the operations manager on her unannounced visits to the home. Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 12 All service users are given choice over their personal care and their input into decision making is valued. Familys are actively encourage in all aspects of personal care. Medication procedures were observed and seen to be following the policy set in the home. Medication administration was also obsereved and seen to be completed correctly. The service users spoken to said they felt that their privacy was considered and protected in the home. They felt that the staff were considerate to their needs and gave them chance to do things in their own time. They enjoyed it when the staff or manager took time to sit with them and chat. Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12 to 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users preferred lifestyles needs are documented and met. Service users maintain contact with those they wish to from the community. Service users are given choices. Service users receive a balanced diet. EVIDENCE: The home encourage service users to take part in social activities such as attending the local pub for lunch. The home employs and Activity CoOrdinator. There is an activity board which displays the weekly and monthly activities. Service users are encouraged to take part in decision making regarding activities organised to provide a service suited to their needs and maximise their individual choices. The home have an Activities Organiser in post for 13 months who has improved standard of activities taking place at Maple Court. The home wish to further develop the activity programme with more involvement for service users and families. The plan is to make the activity board more attractive and appealing to the eye and at a level for all service users can appreciate. Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 14 The dining room on Alice Suite required a new fridge as the seal was broken and the some of the cups and sugar bowls were in need of replacement also. The chef is committed to delivering a wholesome and appealing meal at each mealtime. He has started to develop the ‘Nutmeg’ menu into the home as part of the company’s directorate. The stores were found satisfactory and the kitchen cleanliness was in good order. Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have confidence that they can have a voice in the home and know who to complain to. Service users are protected from abuse. EVIDENCE: Southern Cross complaints procedure is widely available in the home. It is distributed to all our service users on admission with the statement of purpose and is also displayed on our notice board in the main reception area. Any complaints are passed immediately to the home manager, if not present the senior person in charge is notified and deals with it promptly. Complaints and outcomes are recorded. All relevant, regulation 37s are sent to CSCI. All complaints are audited by the operations manager. Staff receive mandatory training in adult abuse.Staff are reminded at staff meetings about whistleblowing and the importance of protecting the service users in the home. The manager is passionate about making life ‘good’ for the service users in the home and the staff are fully aware any type of abuse is not tolerated oin the home for staff or service users. No complaints had been brought to the attention of the Commission For Social Care Inspection. One service user spoken to at the visit said she felt able to talk to any of the staff if she had any problems but her daughter always visited and she would Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 16 chat to her first. She said the manager was very approachable and always made time to chat to all the service users and their families/visitors. Maple Court Nursing Home DS0000022352.V354636.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): Standards 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well maintained, generally clean and tidy however the fixtures, fittings and soft furnishings (including carpets) are very worn and dated and in need of replacement. Some infection control issues were noted but the home is a safe place to live. EVIDENCE: Maple Court is a very spacious care home and has well maintained living environment which offers service users and their visitors a choice of areas in which they can sit and relax and enjoy the comforts of home, or they wish they can use bedrooms for a more private visit the choice is theirs. The home has two large lounge areas with a choice of entertainment facilities such as TV, radio, and books which are available in the foyer. Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 18 There is a hospitality lounge in the foyer area. All of the 80 bedrooms are in excess of the standard size requirement and 79 have en suite facilities. The home has gardens situated all around the building enhancing views to each clients windows. Redecoration of some areas of the home and some bedrooms is required. The paint work, carpet, fixtures and fittings are looking tired and worn. The carpets in the hallways (foremost Alice suite) are not acceptable and need urgent replacement. The bathrooms and toilets are fitted with appropriate adaptations to meet the needs of the people who use the service, and are in sufficient numbers. An issue with regard to toilet roll dispensers was identified and the storage of toilet rolls on toilet cisterns, which is not acceptable. Washing up liquid and two other items were found in an unlocked cupboard, and removed immediately. The manager has plans to make improvements in the home, to put life into it and to generate a feeling of energy and warmth creating a more homely environment. Gardens to the rear of the property continue to be improved and the manager has been making plans with some of the service users and their families to enhance the space for the benefit of all the service users ready for the summer/warmer days. To ensure the home is being run as required the manager completes home audits, she herself carries out a daily walk round inspection of the environment, chats to service users and gets involved with client reviews and replies from client/relative surveys. The operations manager visits the home and reports are completed with the findings. All audits / reports and sent to head office at the end of each month. Maple Court Nursing Home DS0000022352.V354636.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): Standards 27 to 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The skill mix and numbers of staff in the home meet the service users needs. Service users are well supported and in safe hands. Staff are trained well and competent to do their jobs. EVIDENCE: There is a good recruitment procedure that clearly defines the process to be followed. This procedure is followed in practice with the home recognising the importance of effective recruitment procedures in the delivery of good quality services and for the protection of individuals. People who use the service are regularly involved in the recruitment process. Staff recruited confirm that the home was clear about what was involved at all stages and was robust in following its procedure. There are clear contingency plans for cover for vacancies and sickness. Many staff have worked at the home for a number of years. New staff are interviewed, POVA checked and 2 references gained before employment is commenced. Staff are now attending regular training sessions with higher attendance. There was evidence of staff training files, training matrix, supervision files & matrix, policies & procedures, training audits, training plans, home audits, staff rotas, staff files, staff meeting minutes. Accurate job descriptions and specifications clearly define the roles and responsibilities of staff. People who use the service report that staff working Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 20 with them are very skilled in their role and are consistently able to meet their needs. One visitor said, “The staff are marvellous, nothing is too much trouble.” Rotas show that the home is staffed efficiently, with particular attention given to busy times of the day and changing needs of the people who use the service. The staffing level is based around delivering outcomes for service users and is not led by staff requirements. There is enough staff available to meet the needs of the people using the service The manager is fully aware of the importance of training and the staff report that they are supported through training to meet the individual needs of people in a person centred way. Staff meetings take place. Notes and action points are taken of meetings and sessions, and progress is regularly reviewing. Supervision sessions have commenced now regularly and staff find them helpful with a focus on improving outcomes for people using the service. Maple Court Nursing Home DS0000022352.V354636.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): Standards 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A manager whom is professional and friendly runs the home in the best interests of the service users. The health, welfare and safety of service users and staff is promoted and protected. EVIDENCE: The Home Manager has 16 years experience in the delivery of care to frail and elderly. The manager has applied to RMA registration, and support from the compay will need to be sought to assist this process. The Home Manager is responsible for both the financial performance as well as the day to day management for care of service users and has daily hand over reports. The manager is supervised and monitored by the companies Operations Manager on a regular basis via regulation 26 visits and audits. She is also Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 22 responsible for ensuring the home meets all the regulatory and company standards. The manager has a good understanding of the key principles and focus of the home, based on organisational values and priorities. She is working to continuously improve service, with a strong focus on equality and diversity issues and promoting human rights, especially in the areas of dignity, respect and fairness. The manager demonstrates a strong ethos of being open and transparent in all areas of running of the home. The manager leads and supports a strong staff team who have been recruited and trained to a high standard. The manager is aware of current developments both nationally and by CSCI and plans the service accordingly. There was evidence that the manager promotes equal opportunities, has good people skills and understands the importance of person centred care and effective outcomes for people who use the service. She was familiar with all the service users, staff and relatives whilst inspecting the environment. The company has updated policies and procedures and the manager ensures the staff follow the policies and procedures of the home. The home works to a clear health and safety policy. All staff is fully aware of the policy and is trained to put theory into practice. Regular random checks take place to ensure they are working to an acceptable standard. Safeguarding is given high priority and the home provides a range of policies and guidance to underpin good practice. The home has a consistent record of meeting relevant health and safety requirements and legislation, and closely monitoring its own practice. There is also evidence of operations manager input in the home. Records are of a good standard and are routinely completed. The manager ensures risk assessments involve the service users in their production and that they are fully completed and taken into account in planning the care and routines of the home. Fire safety tests, drills and training were all up to date and in order. The maintenance person takes responsibility for safety checks in the home and records support his work. He takes an active and important role in the home to ensure staff and service users safety and well being. Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 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 X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? 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 (2b,d) Requirement Timescale for action 31/03/08 2. OP26 13(3) The service users environment should be continually maintained at an acceptable standard for the enjoyment of the service users. The carpets in the corridors, communal areas and some bedrooms require replacement. Soft furnishings including curtains/bedding must be replaced to reach a satisfactory standard to live in. Suitable toilet roll dispensers 31/03/08 must be purchased to prevent the possible spread of infection throughout the home. Drinking cups and sugar bowls must be checked daily to ensure suitable items are available in the home for the service users to use1. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000022352.V354636.R01.S.doc Version 5.2 Page 25 Maple Court Nursing Home 1. Standard OP38 The manager must complete the Registered Managers Award in a timely manner with the support of the organisation due to time constraints and priorities within the home. Please inform us in writing of the arrangements made. Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Maple Court Nursing Home DS0000022352.V354636.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!