Inspection on 15/05/07 for Nazareth House Nursing Home

This inspection was carried out on 15th May 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Nazareth House Nursing Home 09/02/06

Nazareth House Nursing Home 02/08/05

Nazareth House Nursing Home 18/02/05

Nazareth House Nursing Home 05/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Nazareth House Nursing Home Nazareth House Scholes Lane Prestwich Manchester Lancashire M25 0NU Lead Inspector Grace Tarney Unannounced Inspection 15th May 2007 10:00 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 Nazareth House Nursing Home DS0000017331.V298034.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. Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nazareth House Nursing Home Address Nazareth House Scholes Lane Prestwich Manchester Lancashire M25 0NU 0161 773 2111 0161 773 4847 office@nazarethhouse.co.uk 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) The Congregation of the Sisters of Nazareth Miss Barbara Mary Lupton Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60) of places Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Home is registered for a maximum of 60 service-users to include: Up to 60 service-users in the category of OP (Older People) The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 9th February 2006 Date of last inspection Brief Description of the Service: Nazareth house is owned and managed by the Sisters of Nazareth. The care home is purpose built and is attached to the convent. It is situated in its own large beautiful gardens, quite secluded but within easy reach of public transport and the motorway network. There is plenty of car parking and the home is only a short distance from Prestwich village. There are no steps to the front of the home. This ensures a level access for wheelchair users and people who have mobility problems. The accommodation is in single bedrooms some with their own en-suite shower and toilet and some with shared en-suite toilet facilities. The bedrooms are on the ground and lower ground floor and are reached either by stairs or a passenger lift. The home is divided into nursing and residential areas. The residential area has two lounges and a dining room plus a kitchenette. The nursing unit is divided into two floors and has lounges and dining rooms with a kitchenette on either floor. There is a large lounge to the front of the home that is used for activities and functions. The toilets and bathrooms have aids to assist any resident with a disability or mobility problem. The home is registered to care for people who require nursing or residential care and people of all religious faiths are welcomed. The provider informed the inspector that the fees within the home ranged from £341.00 to £341.00 plus the nursing fee contributed by the State. Additional charges are made for private chiropody, hairdressing and newspapers. This information was received on the 28th November 2006. Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was not told that this inspection was to take place although the home was aware that an inspection was due. This was because several weeks before the inspection questionnaires were sent out to the residents, their relatives and to the home itself. The questionnaires that were sent out to the residents were called Have Your Say and they asked what people thought about their care and of the quality of the service provided for them. 11 resident and 12 relative questionnaires were received. Some of their responses are detailed in different sections of this report. The Inspector spent 8 hours at the home and most of this time was spent on the residential unit. During this time the Inspector looked at care and medicine records to ensure that the health and care needs of the residents were being met. She then visited residents in their own bedrooms and lounge areas. The Inspector then looked around the home at some of the bedrooms, bathrooms, toilets and sitting areas on each unit to check if they were clean and well decorated. The Inspector also looked at what the residents had for their lunch. She also looked at how many staff were provided on each shift to make sure the residents needs were being met, and also looked at how management recruit and train their staff. How the home manages the residents’ spending money was also looked into. To make sure that the home and the equipment in it were safe some of the maintenance and service records were looked at. In order to get further information about the home the Inspector also spent time speaking to 5 residents, 1 visitor, 3 care assistants and the manager. What the service does well: The manager makes sure that the home only cares for those people whose needs the staff can meet. The residents’ care plans contain a lot of important information about what they need help with, and how they are to be cared for. The staff make sure that they continually look at anything that may be a risk to the residents. They then make sure that they write down in the residents care plan when they have done this, and what action they have taken to reduce the risk. The qualified nurses and care staff are extremely good at caring for the residents who are very ill and need lots of specialised care. Management make sure that all the necessary equipment needed for their care is available Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 6 Residents feel that they are well looked after by the staff and the following comments were made both by residents and relatives: ‘Nazareth house provides a caring environment for its residents and a welcoming atmosphere for relatives. The care staff are helpful and sensitive to the residents varying needs’. ‘My relatives and I consider the standards and staff at Nazareth house are superb’! ‘The care and attention I receive is that the very top end of the profession’. ‘The management of the home should, in my opinion be highly praised’. Activities are considered to be a very important part of the residents’ day. The residents live in a very safe and pleasant environment. Enough staff are on duty to meet the needs of the residents. The staff make sure that the residents are clean, comfortable and well dressed. The home makes sure that they check people out properly and safely before offering them a job. Management has a commitment to ongoing staff training and learning and has provided the care team with the knowledge and skills they need to protect and meet the needs of the residents. 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. Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 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 Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. People are properly assessed before they are admitted to the home and this gives an assurance to everybody, that a person is only admitted if the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Before any resident was admitted to the home an assessment of their needs was undertaken, either by the manager or a senior member of the nursing staff from the home. The assessments were detailed and gave a clear indication of the residents’ needs and their capabilities. The assessments looked at the physical, mental and social care needs of the residents as well as the involvement if any, of their relatives. Standard 6 does not apply. The home does not provide Intermediate Care. Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 9 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 &10 Quality in this outcome area is excellent. Care plans and care practices ensure that the residents’ needs are met in a very safe, caring and dignified way. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual care plans were in place for each resident. The care plans of 3 of the residents on the residential unit were inspected. The care plans were very detailed and gave clear instruction and guidance on how the care needs of the residents were to be met when problems had been identified. The staff looked at whether or not there was any risk in relation to the residents developing pressure sores and also if they were at risk due to problems with their diet and fluid intake. These are called risk assessments. Risk assessments were in place for whether a resident was at risk of falling. They also looked at and they wrote down, how any resident was to be assisted with being moved around and by how many members of staff and what equipment, if any, was to be used to assist in safe moving and handling. Risk assessments were also in place for any general safety hazards such as if a resident smoked. The care plans were reviewed at least on a monthly basis. Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 10 Inspection of the care files identified that the residents had access to health care professionals, such as dentists, opticians and chiropodists. Two GPs were visiting residents whilst the Inspector was on the residential unit. Equipment necessary for the prevention and treatment of pressure sores was available and in use. The following comments were made in the survey cards received: • My daughter found this home to be the best after looking at lots of others. The staff are excellent, first-class. • The care and time taken with me is second to none. I am always fully coordinated when I am dressed. I am changed when anything is spilled during mealtimes etc. • The staff are very kind and caring and they always take care of all my needs. My nails are always manicured and I always feel very cared for. Following a discussion with some of the residents they made the following comments: • Staff are wonderful you couldnt ask for anything better. • Very caring, and I mean caring. A safe system of medicine management was in place. Medicines were stored securely and recorded accurately. Only suitably trained staff were responsible for giving out the medicines. Staff were seen to be discreet when providing assistance. Staff demonstrated by example their knowledge of maintaining privacy and dignity, by knocking on doors, closing toilet doors and speaking to residents in a quiet and respectful way. A resident told the Inspector that the staff “Put the caring in carer”. Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 11 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 & 15 Quality in this outcome area is good. Residents have a choice in how they spend their day and find enjoyment with the activities available. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Inspector saw that some residents stayed in their bedroom for most of the day. They told the Inspector that this was their choice and that they could more or less do as they pleased. The residents’ routines of daily living and their social interests were recorded in their care plans. An activities co-ordinator is employed full time and the home has a well-equipped activities room. The daily activities were displayed on the notice boards. The Inspector heard 2 residents saying to staff that they were going to play bingo that afternoon, so they were aware of what was going on. Several residents were playing bingo in the main hall during the afternoon and seemed to be enjoying themselves. 1 resident was laughing with the Inspector and said that winning was the only way he could get his toiletries! One resident told the Inspector that she likes knitting and goes to the knitting club. Comments from the survey cards were: • The activities manager is very good and will help me in many ways. Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 12 • • My illness makes it difficult to partake in many of the activities but I am always asked to join in. Although Nazareth house is operated by a catholic organisation there is no pressure on people to attend or share in religious functions such as Mass although such activities are available. There is also a little shop off the reception area that sells sweets, drinks greetings cards and toiletries. This was being run by one of the residents. A visitor confirmed that there were no unreasonable restrictions to her visiting at the home and that visits could be conducted in the privacy of the resident’s room or wherever they liked. This visitor said that the staff make her feel welcome when visiting. Visitors are very welcome to use the chapel and attend services with or without their relative. Most of the residents’ bedrooms were very personalised with small pieces of their own furniture, televisions, pictures, photographs and ornaments etc. 1resident had her own kettle, fridge & microwave. The Inspector did not eat with the residents but watched what they were having for their lunch and how it was being served. There was a choice of main course and dessert. The meals were nicely presented and of ample proportion. The tables were nicely set with napkins and condiments. Hot and cold drinks were available throughout the day. Members of staff told the Inspector that food is available out of hours and is left in the fridges on the unit kitchens. The residents spoken to said that they had enjoyed their meal but 2 residents said that they felt that sometimes the menu was monotonous or bland. The manager agreed to undertake a survey of the residents’ views to look at how things could be improved for them. Comments from the survey cards were: • The midday meal is hot and adequate. The five oclock tea is questionable. • The meals are varied and good. Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 13 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 & 18 Quality in this outcome area is good. People know how to complain and staff have a good knowledge and understanding of what abuse is, thereby reducing the possible risk of harm to residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A discussion with the residents showed that there was a general awareness of how to make a complaint. The complaints procedure was displayed and it is also included in the Service User Guide. It was easy to understand and gives an assurance that complaints would be responded to within 28 days. 1 resident said: I have not had to complain in the two years that I have been here. Another said: Nothing to complain about No complaints have been made to the home or to the CSCI within the last 12 months. A copy of the Local Authorities Vulnerable Adults Procedure was in place and a discussion with the senior staff identified that they were very aware of the procedure to follow in the event of any allegation of abuse. Training in the protection of vulnerable adults has been undertaken by staff and is ongoing. Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 14 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 20 21 24 25 & 26 Quality in this outcome area is excellent. The residents live in suitably adapted, clean, comfortable and very pleasant surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The secured entrance hall is very welcoming. The use of a CCTV camera is restricted to the outer door only to ensure the security of both staff and residents. The entrance hall is a large area with seating which has a very attractive display of plants. There is a reception area, a small interview room, the tuck shop and visitors toilets. To the left of the reception area is the residential unit and to the right, the nursing units. The nursing units are situated on two floors. The residential unit has two lounges, a dining room plus a kitchenette. The nursing units have lounges and dining rooms with kitchenette on either floor. Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 15 There is also a separate dining room for the priests who live at Nazareth House. There is a large lounge to the front of the home that is used for functions. Next to this is a very pleasant conservatory area. The home also has a well-stocked library a hairdressing room and a sensory room. All the communal rooms were very well decorated and furnished to a high standard. A lot of building work was going on during the inspection and the manager said that it should be finished very soon. The double bedrooms have been made into large single bedrooms with an ensuite toilet and shower. All are very spacious and have aids and adaptations to assist easy use. A further shower room, adapted for disabled use, has also been made. Each bathroom has a toilet and wash hand basin and the bathrooms were decorated to a high standard. Toilets are close by the lounge and dining areas. Each toilet and bathroom has a lock on the door to ensure privacy and they were all clearly marked as such. The bedrooms were decorated and furnished to a good standard. They were clean and odour free. A lockable facility was provided in the bedrooms and the doors had an over riding door lock to ensure privacy. A comment from the survey card was: • Right from coming into the grounds it has a beautiful entrance hall and all the lounges and dining rooms are spotless. The home was clean and free from odours. Hand washing facilities were in place in each resident’s room, in bathrooms, toilets and sluices. Clinical waste was handled properly and staff who handle food undertake basic food hygiene training. Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 16 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 & 30 Quality in this outcome area is excellent. Residents’ needs are met by enough staff that are safely recruited and properly trained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Inspection of the duty rotas and a discussion with staff and residents showed that there was enough staff on duty over a 24-hour period to meet the needs of the residents on all 3 units. On the nursing units 24-hour nursing care continues to be provided by qualified nurses. Suitably trained care assistants support them. Senior care assistants who have achieved their NVQ level 3 in care manage the residential unit and suitably trained care assistants assist them. In addition to the qualified nurses on the unit there are 2 Clinical Nurse Managers in post. These senior nurses oversee the care being provided on all the units and offer support and supervision to both carers and nurses. The overall management of both units remains the responsibility of the Registered Nurse Manager. Comments from the survey cards were: • The professional attitude at the staff is laudable and all their work is undertaken with great care, humour and efficiency. • The staff are available at any time we have wished to discuss any problem or request that we have Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 17 Of the 40 care staff employed 7 have obtained their NVQ level 3 in Care & 5 are presently doing it. 20 staff have also obtained their NVQ level 2 in Care & 6 are doing it. This is 67 and therefore the home has exceeded the Standard. The personnel files of 2 staff members were inspected. All were in order and these staff had been properly and safely employed. They had a completed application form, 2 professional references, an enhanced criminal record disclosure (CRB) check and a health status declaration A detailed induction-training programme was in place and the Inspector was given a detailed training plan that shows what training has been undertaken by the staff, what is outstanding and when it has been scheduled. . Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31.33.35 & 38 Quality in this outcome area is excellent The home is well managed and the welfare and health and safety of the residents, staff and visitors are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is a Registered General Nurse with extensive experience of nursing both within the NHS and the private sector. She has also obtained The Registered Managers Award. She has undertaken training in bereavement counselling, is a moving and handling facilitator and has experience in palliative care nursing. Residents spoke very fondly of the manager; they liked her and said that they see her everyday when she is working. Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 19 The home has an annual development and business plan and has achieved the Investors in People award. The home also has a quality assurance team. They look at various issues within the home such as food, health and safety, care plans, the laundry service and wheelchair provision. The home also sends out questionnaires to the residents/relatives asking what they think of the care and services that are provided. The systems in place for the management of residents’ money were good. The home had a satisfactory accounting system in place. Receipts were retained for all financial transactions. The home had a detailed Health & Safety Policy. Fire risk assessments and risk assessments for all safe working practices were performed and outcomes recorded. The fire logbook was up-to-date. Regular checking and testing of the fire detection system, fire exits and emergency lights was undertaken and documented. Any accidents that happen are properly recorded and monitored. The information taken from the pre inspection questionnaire showed that the equipment and services within the home were serviced on a regular basis in accordance with the individual requirements. In addition the Inspector checked the documentation in relation to the servicing of the passenger lift & the gas safety. These were regularly serviced and up to date. Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 20 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 4 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 4 x 3 3 x 3 3 3 STAFFING Standard No Score 27 4 28 4 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 Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 21 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. Standard Regulation Requirement Timescale for action 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 Standard Good Practice Recommendations Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Nazareth House Nursing Home DS0000017331.V298034.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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