Inspection on 14/09/06 for Newfield Lodge Rest Home

This inspection was carried out on 14th September 2006.

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

Newfield Lodge Rest Home 27/10/09

Newfield Lodge Rest Home 27/09/07

Newfield Lodge Rest Home 18/01/06

Newfield Lodge Rest Home 17/10/05

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 Newfield Lodge Rest Home Newfield Lodge 93-99 St Andrews Road South St Annes Lancashire FY8 1PU Lead Inspector Phil McConnell Unannounced Inspection 14th September 2006 09:30 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 Newfield Lodge Rest Home DS0000064313.V304320.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. Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newfield Lodge Rest Home Address Newfield Lodge 93-99 St Andrews Road South St Annes Lancashire FY8 1PU 01253 721322 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) Lakeview Rest Homes Ltd Mr Nicholas Jay Wood Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 32 service users in the category OP (older persons 65 and over) 18th January 2006 Date of last inspection Brief Description of the Service: Newfield Lodge is a care home providing personal care and accommodation for up to 32 older people who do not require nursing care and enjoys high occupancy levels. The home is jointly owned by the experienced provider of a small group of homes in the local area and her son who provides day-to-day management responsibility. Newfield Lodge is located in close proximity to the centre of St Annes and is within easy reach of community services and resources. Newfield Lodge is arranged over three floors and provides individual, en-suite bedroom accommodation for all service users that is well maintained and furnished to a high standard. In addition, a communal bathroom provides a medic bath and walk-in shower facility for ease of access in respect of service users with mobility difficulties. A passenger lift is also provided to enable ease of access to all areas of the building. Although the home is not provided with a garden area, a large roof garden is provided with garden tables and chairs that can be accessed from a main corridor and small seating areas are available to the front and rear of the building. The present rate of charging is £388.50 per week. Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The assimilation of information was used to assess the key standards that are identified in the National Minimum Standards, including: the pre inspection questionnaire (completed by registered manager) and an unannounced inspection visit to the service. (Unfortunately no questionnaires from service users and only one comment card from a service users’ relative was returned). During the visit to the home four service users’ files were examined, including the most recent person to go and live at Newfield Lodge and discussions took place with some of the service users throughout the day. There was the opportunity to observe the care provided to the service users and the interaction between them and the staff. The registered manager was available throughout the day and there was the opportunity to have conversations with other staff members including the deputy manager and some of the care staff. The homes policies, procedures and all other documentation including health and safety files and certificates were examined as well as a full tour of the home being carried out. Generally the home is of a very good standard, however one concern was identified during the visit and the registered manger was informed of this. (See standard 9). What the service does well: There is a consistent staff team, with few staff changes, helping to maintain continuity and familiarisation for the service users. The organisation provides good training opportunities and the staff are well trained and skilled to provide a good level of care to vulnerable people. The premises are very well maintained to a good standard. There is a calm, welcoming and relaxed atmosphere within the home and it is apparent that good relationships exist between the service users and the staff. The home has good quality assurance monitoring systems in place and they have also maintained the ‘Investors in People Award’, which is a quality assurance-monitoring organisation. Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 Page 6 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. Newfield Lodge Rest Home DS0000064313.V304320.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 Newfield Lodge Rest Home DS0000064313.V304320.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (intermediate care is not provided) “Quality in this outcome area is ‘Good’. This judgement has been made using available evidence including a visit to this service”. There is a thorough pre admission process in place, helping to ensure that individuals are properly and adequately assessed, in order to meet their needs. EVIDENCE: Three service users’ files were examined including the most recent person to come to live at Newfield Lodge and all of their files contained relevant assessment documentation including: admission assessments, care plans and up to date daily record sheets. A thorough and robust pre-admission process was in place and in discussion with the manager it was clear that the process is successfully used for all new service users who to come to live at Newfield Lodge. A document entitled ‘New Resident Checklist’ is used for all new service users, which includes a list of relevant, concise and important questions, to ensure Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 Page 9 that as much information as possible is gathered to ensure that a persons assessed needs will be met. Relevant and appropriate risk assessments were drawn up along with an in depth care plan, which are used to help ensure that the persons assessed needs are being appropriately met. Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 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 and 10. “Quality in this outcome area is ‘Adequate’. This judgement has been made using available evidence including a visit to this service”. The home works in partnership with other agencies to ensure that service users’ health needs are fully assessed and addressed. The administration of the controlled drugs was not adequately recorded, this could cause potential harm to service users. Service users are empowered where possible to administer their own medication, thereby promoting independence and choice. Equality, dignity and respect is actively and positively demonstrated in the way that care is provided. EVIDENCE: Service users’ care plans were examined and were found to be up to date, containing relevant information with clear guidance on how to provide individual personal care and how to meet a person’s health care needs. Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 Page 11 Individual information was also available with regard to service users’ specific health needs and there was evidence that, hospital appointments, GP’s appointments and other treatments and consultations with other health professionals had been carried out. This helps to demonstrate that people’s health needs are monitored and treated correctly when necessary. During the inspection visit a service user was overheard asking one of the staff, “When will my next appointment for the hospital be?” the member of staff was able to answer immediately and then went to check, she returned within minutes and gave the service user full details of forthcoming appointments, what they were for and who with. Another person was coughing and a staff member said “I think we will make an appointment with your doctor, to get that cough seen too” and then the member of staff spent some time reassuring the person. It was evident that nothing was rushed or hurried and people were listened to and given time to respond. Care plans and risk assessments are reviewed monthly, helping to demonstrate that individuals’ health and personal care needs are regularly monitored and assessed, in order to ensure that they are adequately provided for. The medicines were stored safely, securely and were well organised with all medication being properly labelled and files containing service users’ photographs, helping to avoid any confusion when administering medication. The records for the general prescribed medicines were up to date and correct, however the controlled drugs record book had not been signed the previous evening for the medication given and although the medication process in general was detailed and thorough, this oversight means that this standard is not adequately met. The registered manager was informed of this error during the visit. For the service users who are able to self medicate, there were signed contracts/agreements in place between them and the provider, confirming that individuals are responsible for taking their own medication. Highlighting that when possible, individuals are supported and enabled to be independent. In observation throughout the visit, service users were treated respectfully and with dignity and some comments received were, “The care my mother receives is excellent” “everything is perfect” and one other person said, “you will not find anything wrong here”. Newfield Lodge has a calm and pleasant atmosphere, with attentive, caring and supportive staff. Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 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 and 15 “Quality in this outcome area is ‘Good’. This judgement has been made using available evidence including a visit to this service”. The home provides a number of varied activities, promoting stimulation and motivation to service users. Visitors are made welcome to the home, demonstrating that relationships with family and friends are maintained and encouraged. The meals provided are wholesome and nutritious, with the food menus providing a balanced diet, helping to promote a healthy eating plan for all service users. EVIDENCE: The home has a number of varied activities taking place on a regular basis including: armchair bowls, skittles, bingo, art & crafts, indoor cricket, indoor golf, memory game (very popular) and regular trips out to places of interest, throughout the summer months there is a weekly bus trip in the homes own mini bus. A poster was displayed in the home advertising forthcoming entertainment and informing people of the daily activities and events that were available. Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 Page 13 The home is active in providing as many recreational activities as possible and the inspector was informed that new games have been ordered, including musical bingo and oversized dominoes, this will enable people who may have a visual impairment to participate more fully in these activities. There were books, magazines and daily newspapers also available within the home. A ladies hairdresser visits on a weekly basis and a gent’s hairdresser visits every 5 to 6 weeks. The home has an open house policy with visitors to the home being made welcome and service users are encouraged to maintain relationships with their families and friends. During the inspection / visit there was the opportunity to speak to a service users’ visitors and they said, “we have been visiting the home for a number of years and we have always been made welcome, it’s a lovely place”. There was a choice of menus available, which were seen to be nutritious, varied and appetising. Some of the comments regarding the meals were, “The cook is really good” and “the food is mostly good and we get plenty”. There was a birthday list displayed in the homes kitchen and a cake is provided for each person’s birthday. A service users’ birthday had occurred a couple of days earlier and there were photographs displayed on the homes notice board of the birthday party. This person said, “It was the best birthday I have had for years, I was looked after, they made a fuss of me and the cake was lovely” Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 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 and 18. “Quality in this outcome area is ‘Good’. This judgement has been made using available evidence including a visit to this service”. Thorough satisfactory policies and procedures are in place, helping to protect vulnerable people. Staff members are suitably and adequately trained, in order to manage any protection issues. EVIDENCE: The home had a comprehensive complaints policy and procedure in place, regarding the safeguarding and protection of vulnerable adults. There had been no complaints received since the last inspection. In speaking to service users, there was a general awareness of who to speak to if they had a concern or a complaint and they were also aware that the inspector for CSCI (commission for social care inspection) could be contacted if they chose to do so. One person commented, “we have nothing to complain about here, you won’t find anything wrong with this home”. There was a thorough policy in place to deal with a suspicion or allegation of abuse. The inspector spoke with staff members and they were fully aware of the procedures to follow, if there was any suspicion or alleged abuse and would be confident in the process, highlighting that staff had been trained in the protection of vulnerable people. Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 Page 15 One staff member said, “I have been trained to identify if any kind of abuse is taking place and I don’t appreciate it if people are being treated in an unfair way, that’s what I am here for, to protect and care for people”. Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 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 and 26. “Quality in this outcome area is ‘Good’. This judgement has been made using available evidence including a visit to this service”. The home is clean, hygienic and well maintained, helping to ensure that people live and work in a safe, comfortable and pleasant environment. EVIDENCE: A full tour of the home was completed and throughout it was found to be of a good standard, it was clean, homely, and fresh smelling, comfortable and hygienic with a fully equipped kitchen, which was clean, bright and practical with stainless steel cupboards and working areas. The fully equipped laundry was situated away from the general living area, helping to effectively manage infection control. The home was found to be generally well decorated, with all of the service users’ bedrooms being ensuite and demonstrating their own personality, containing individual’s own personal possessions, including photographs, ornaments and items of furniture, helping to demonstrate that people are Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 Page 17 encouraged to bring their own belongings into the home, helping to maintain familiarity and identity. The home is well furnished, with good quality furniture in the spacious communal lounges and dining rooms. There was appropriate specialist equipment observed around the home, such as lifting hoists, a passenger lift and walking frames, thereby helping to ensure that individual needs are catered for, whilst independence is promoted. The home has a neat and attractive secluded roof garden, which is regularly used by many of the service users. The homes maintenance book was examined and there was an appropriate system in place, ensuring that any needed maintenance work is acted upon on a daily basis. This helps to ensure that the premises are maintained to a good and safe standard. Overall the environment of the home was observed to be safe, comfortable, hygienic and well maintained. Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 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 and 30. “Quality in this outcome area is ‘Excellent’. This judgement has been made using available evidence including a visit to this service”. The staff team have the necessary skills and experience to provide an excellent standard of care to vulnerable people. The home has a rigorous recruitment process, which gives the confidence that service users are protected and safeguarded as much as possible. A satisfactory supervision system is in place, which gives staff the encouragement and confidence to know they are supported and equipped to deliver a good service to vulnerable people. EVIDENCE: The staffing levels were examined and found to be adequate and satisfactory, with the staff files containing information with regards to the experience, skills and training that staff have received with mandatory training being provided to all staff, with an updated recording system. (this was a previous requirement). The home now has a thorough and concise training matrix in place, identifying what training individuals have completed, with dates for any outstanding or refresher courses that staff members will be attending. During the inspection visit the staff were observed demonstrating a caring, sensitive, dignified and respectful approach, with service users responding Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 Page 19 positively and it was evident that good relationships existed between service users and the care staff. There is a thorough recruitment in place, with staff files containing evidence that Criminal Record Bureau (CRB) checks had been carried out and staff are only employed on the satisfactory completion of these checks with two independent satisfactory references being obtained, thereby helping to ensure that service users are protected and safeguarded by having a robust recruitment and selection process. In discussion with some of the staff, there was a general consensus that the training provided is excellent and staff were very appreciative of the opportunity to obtain qualifications and further develop their skills and experience, some of the comments were, “I have really appreciated the training, I have my NVQ and completed medication and first aid training, I only had to ask and it happened” “the training provided is very good. Learning is a continuous process and we are given the opportunity to further develop and learn”. Individual staff supervisions are held on an eight-week basis, where any further identified training needs are discussed and acted upon. Some of the staff supervision records were examined and found to be up to date and satisfactory, demonstrating overall that staff are suitably qualified, well-trained and supervised in order to meet the service users’ assessed needs. Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 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 and 38 “Quality in this outcome area is ‘Good’. This judgement has been made using available evidence including a visit to this service”. The home is well managed and organised, ensuring as much as possible that service users receive a good quality service. The health and safety certificates were up to date, helping to ensure that people are protected and safeguarded. The financial arrangements for residents were thorough enough to ensure that individuals’ finances were protected. EVIDENCE: The manager has many years of experience in the care profession and is adequately qualified, having obtained the national vocation qualification in Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 Page 21 level 4 (NVQ) and is in the process of commencing a management course, which will include modules on time management and managing people. In discussion with other staff members, there was a general opinion that the management team is professional, fair and approachable, some comments were, “The management is good, that’s why I am still here, they will always listen to your point” and one other person said, “I feel very well supported by the management”. The home’s policies and procedures were examined and found to be up to date and satisfactory, helping to ensure that policies are kept up to date and relevant for the care and protection of vulnerable adults. Newfield Lodge continues to maintain for it’s fifth successive year the ‘Investors in People’ award, which is an independent monitoring agency, which assesses the standard of quality assurance. There was documented evidence that all staff have received mandatory training, including: moving and handling, protection of vulnerable adults (POVA), the control of substances hazardous to health (COSHH) and infection control, with refresher courses being available when needed. There was an up to date health and safety policy, with comprehensive, individual and corporate risk assessments, promoting the health, safety and independence of service users. All inspection certificates were in place up to date and correct, including: gas safety certificates, electric check certificates, fire extinguisher checks, lifting hoists and emergency lighting certificates and inspection records were available with regard to the testing of Legionella. There was sufficient evidence to demonstrate that the health and safety of service users and staff is promoted as much as possible, to help ensure that people live and work in a safe and healthy environment. There were procedures in place, regarding service users’ finances, with appropriate and adequate records being kept, helping to ensure that people’s finances are safeguarded . Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NONE 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 OP9 Regulation 13 (2) Requirement Controlled drugs must be signed for and witnessed immediately following the administration of the medication. Timescale for action 14/09/06 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 Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Newfield Lodge Rest Home DS0000064313.V304320.R01.S.doc Version 5.2 Page 25 - 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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