Inspection on 27/09/07 for Newfield Lodge Rest Home

This inspection was carried out on 27th September 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

Newfield Lodge Rest Home 27/10/09

Newfield Lodge Rest Home 14/09/06

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 27th September 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 Newfield Lodge Rest Home DS0000064313.V347706.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.V347706.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.V347706.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) 14th September 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 between £342.50 and £425.00. Newfield Lodge Rest Home DS0000064313.V347706.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information was gathered in order to assess the key standards that are identified in the National Minimum Standards for care homes for older people, including: the Annual Quality Assurance Assessment, (AQAA) which is a self assessment document completed by the manager, some surveys returned to the commission from service users and relatives and an unannounced inspection visit to the service on the 27th of September 2007, which lasted approximately 7 hrs. The registered manager Mr Nicholas J Wood was available during the inspection visit. A previous visit was also carried out on the 29th of June 2007 when I was accompanied by Simon Hill (CSCI pharmacist) and Cindy Hargreaves (Social Services). This visit was carried out in response to some concerns that were raised regarding medication issues and some of the findings from that visit are included in this Key Inspection Report. During the visit to the home 4 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. All of the files were well organised with all relevant documentation being in place. There was the opportunity to observe the care provided to the service users and the interaction between them and the staff. Five staff files were also examined, including the last person to be employed at Newfield Lodge, with all documentation being found correct. Throughout the visit there was the opportunity to have conversations with other staff members, including the homes maintenance man and some of the care staff. There was also the opportunity to speak to some visitors to the home. All of the feedback from these discussions was quite positive. The home’s policies, procedures and all other documentation including health and safety files and certificates were examined. (See management section). A full tour of the home was also carried out. (See environment section). What the service does well: Newfield Lodge Rest Home DS0000064313.V347706.R01.S.doc Version 5.2 Page 6 The provider is committed to providing sufficient training and has demonstrated that any ‘gaps’ in training are quickly and adequately addressed. Service users are given the opportunity to make choices, take decisions and voice their opinions. The overall environmental standards of the home are very good and it is evident that the provider is endeavouring to maintain this good standard. The recreational and leisure pursuits being provided are evidently stimulating and motivating people. The home has a welcoming and inclusive atmosphere and it is apparent that trusting relationships exist between the care staff and the service users. What has improved since the last inspection? What they could do better: Provide Regulation 37’s to notify the commission of service users’ deaths ASAP. Also notify the commission of any serious injuries, for example, a person attending hospital following an accident or fall and provide details of the incident with the outcome. Newfield Lodge Rest Home DS0000064313.V347706.R01.S.doc Version 5.2 Page 7 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. Newfield Lodge Rest Home DS0000064313.V347706.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 Newfield Lodge Rest Home DS0000064313.V347706.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): 3. Standard 6 N/A. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory pre-admission assessment process is in place, helping to ensure that peoples’ needs are identified and that home can meet those needs. EVIDENCE: Four service users’ files were examined including the most recent person to go and live at Newfield Lodge, with all of their files containing relevant assessment documentation including: admission assessments, care plans and up to date daily record sheets. Newfield Lodge Rest Home DS0000064313.V347706.R01.S.doc Version 5.2 Page 10 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. It was also commented that recently they have “been providing respite care to individuals and an equally satisfactory assessment process is carried out”. The Annual Quality Assurance Assessment (AQAA) states that a “New resident checklist is completed, which includes a list of relevant, concise and important questions, to ensure that as much information as possible is gathered in the aim of ensuring that each persons assessed needs are met” This checklist was observed during the inspection visit. Newfield Lodge Rest Home DS0000064313.V347706.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ care plans are thoroughly detailed, with specific health care needs clearly identified. It is evident that peoples’ assessed needs are being appropriately provided and people are treated with respect and dignity. EVIDENCE: Four service users’ care plans were examined and they were found to be welldetailed and up to date with evidence that they are reviewed on a monthly basis. The plans contained relevant information with guidance on how to provide individuals’ care needs. Daily recording ‘tick’ sheets were available for inspection, these included sections for medication, bathing and toileting. Newfield Lodge Rest Home DS0000064313.V347706.R01.S.doc Version 5.2 Page 12 Relevant and appropriate risk assessments were drawn up along with the persons care plan, which are used to help ensure that the persons assessed needs are being appropriately met. Individual information was 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. Individual medical visit charts are maintained and these were observed to be informative and up to date. There is a policy in place for staff to adhere to regarding the procedures for the receipt, recording, storage, handling, administration and disposal of medicines. The medicine administration records (MAR) were observed and were found to be accurate with medication being correctly administered Medicines were kept in a secure locked room and provision was made for the correct storage of controlled drugs. The controlled drugs register was examined and it was found to be accurately recorded, with only appropriately trained members of staff administering medication. There had been some concerns with the recording of medication (previous inspection report) and more recently concerns were raised regarding the administration of an individual’s medication. These issues have been satisfactorily rectified, with extra training and the necessary supervision of staff taking place. Members of the staff team were observed demonstrating a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. Newfield Lodge Rest Home DS0000064313.V347706.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): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Many varied, stimulating and motivational activities and leisure pursuits are provided. This helps ensure that peoples’ wellbeing, interests and choice are maintained and promoted. EVIDENCE: Newfield Lodge has a policy entitled ‘meaningful activities within the home’ and it states, “Activities should empower the residents and allow them a sense of purpose” and then gave some examples of how this could be achieved. It was observed that a varied number of activities take place within the home to help motivate and stimulate people, including: carpet bowls, skittles, bingo, arts & crafts, a number of reminiscence memory games, larger sized games, including, A5 sized playing cards and oversized connect 4 were also available, helping people who may have some visual difficulties to also be included. Newfield Lodge Rest Home DS0000064313.V347706.R01.S.doc Version 5.2 Page 14 The activities and events within the home and any outings are clearly advertised on the homes notice board. With regards to outings, a new mini-bus had just been purchased and people were clearly excited about this and a number of trips and events have been planned. Regular entertainment is also provided within the home. It was commented that there are monthly residents meetings, “where residents have the opportunity to have a say in how they live their lives and what activities they would like more or less of”. 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. One relative said, “we are always made welcome, everything is really good”. There was a choice of menus available, which were seen to be nutritious, varied and appetising. There was the opportunity to have lunch in the home and the meal was good and well presented. It was evident that mealtimes for service users are flexible and when needed people are given assistance to eat their meals. The feedback from the service users was that the meals are always very good. Newfield Lodge Rest Home DS0000064313.V347706.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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is evident from the policies and procedures that vulnerable people are protected as much as possible from harm or abuse. EVIDENCE: A comprehensive complaints policy and procedures is in place regarding the safeguarding and protection of vulnerable adults. No complaints have been received since the last inspection. The complaints policy is displayed in the entrance to the home and it can also be found in the service user guide and the statement of purpose. Questionnaires returned to the commission for social care inspection (CSCI) indicated that people are aware of the complaints procedure and how to complain if they need to. Some of the service users said, “I have no complaints what so ever” and “you can’t fault it, everything here is fine” One relative wrote, “can’t think how the Newfield Lodge Rest Home DS0000064313.V347706.R01.S.doc Version 5.2 Page 16 home could improve” and another person wrote, “My friend never complains to me, it’s a great home with great care”. There was a thorough policy in place to deal with a suspicion or allegation of abuse. Some staff members were spoken to and they were fully aware of the procedures to follow in the event of any suspicion or alleged abuse and would be confident in the process, to ensure the protection of service users. It was observed that training in ‘safeguarding adults’ is made available to staff. There is a whistle blowing policy, which is provided to new members of staff at their inductions. Newfield Lodge Rest Home DS0000064313.V347706.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): 19 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The environmental standards are very good, helping to ensure that people live and work in a safe and pleasant home. EVIDENCE: A full tour of the home was completed and throughout it was found to be of a very good standard, it was clean, homely and fresh smelling. New windows have been installed throughout the premises since the last inspection visit. Newfield Lodge Rest Home DS0000064313.V347706.R01.S.doc Version 5.2 Page 18 The kitchen was clean, with stainless steel cupboards and work surfaces, well organised and well equipped with all of the necessary apparatus for a home of its size. The laundry is situated in the basement area, helping with the management of infection control. The laundry is also well equipped with more than adequate machines to cater for peoples needs. It was observed that all cleaning materials are stored in a safe and secure area of the laundry. The homes décor is of a good standard and it is planned to redecorate in the next couple of months, this will further enhance the décor. Peoples’ bedrooms are all ensuite and they contained personal belongings, such as televisions, photographs, ornaments and some of their own furniture items, demonstrating that people are encouraged to bring their own personal possessions into the home, in order for it to be familiar and as comfortable as possible. There was appropriate specialist equipment observed around the home, such as lifting hoists, passenger lift, walking frames, bath seats/shower chairs and wheelchairs, thereby helping to ensure that individual needs are catered for, whilst independence is promoted. It was observed that the home is very well maintained and there was the opportunity to have a brief conversation with the homes maintenance man, who said, “we have a good system for dealing with any repairs and anything I can’t deal with we get someone in who can”. The maintenance book was examined and it is apparent that any maintenance repairs are satisfactory and appropriately dealt with. There is an attractive secluded roof garden, which is easily accessible and frequently used by many of the service users. Some of the comments received were, “the home is always nice and clean, everything is great” and “everything is excellent, it’s more like an hotel” Overall the environmental standard of the home is very good. Newfield Lodge Rest Home DS0000064313.V347706.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): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A concise and thorough recruitment process is in place, helping to demonstrate that vulnerable are protected as much as possible from harm or abuse. EVIDENCE: The homes staffing levels were examined and were found to be adequate and satisfactory. As already mentioned the staff demonstrated a caring, sensitive, dignified and respectful approach, with people responding positively and it was evident that good relationships existed between service users and the care staff. There is a thorough recruitment process 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. It was also observed that overseas staff had received Home Office clearance to work in the UK. This helps to demonstrate that vulnerable people are protected and safeguarded, by having a robust recruitment process. Newfield Lodge Rest Home DS0000064313.V347706.R01.S.doc Version 5.2 Page 20 Five staff files were examined, including the last person to be employed at Newfield Lodge and they contained information with regards to the experience, skills and training that staff have received with a full and thorough mandatoryinduction programme being in place. There was evidence of other relevant training being provided including, Infection control, Dementia Awareness and safeguarding adults. The national vocational qualification in care (NVQ) training programme is ongoing and there was evidence that the provider is committed to ensuring that this NVQ training is accessed for all staff. The AQAA states that, 78.57 of staff hold NVQ level 2. Some others have achieved level 3 and level 4. The staff were complimentary about the training provided and it was evident that regular, relevant and appropriate training is provided, helping to confirm that staff are well trained and equipped to provide the skills and expertise needed to meet peoples’ needs. (Since the last inspection an improved medication course has been adequately provided, this was to address some errors that had occurred). Newfield Lodge Rest Home DS0000064313.V347706.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): 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, helping to ensure that vulnerable people are safe and receive a good quality service. EVIDENCE: The homes manager has many years of experience in care work and he has been the manager for 7 years. Newfield Lodge Rest Home DS0000064313.V347706.R01.S.doc Version 5.2 Page 22 He is adequately qualified and has achieved the national vocational qualification in management at level 4 (NVQ) and he has also obtained the registered managers award (RMA). Some comments from members of staff were, “the management are always fair and approachable” and “they have been really good with me”. The feedback from service users and relatives regarding the management was generally positive. The home’s policies and procedures were examined and they were found to be up to date and of a good quality, having been reviewed during 2007. The home continues to maintain the investors in people award; this is an external quality assurance-monitoring organisation. The home has introduced their own quality assurance system, which includes providing questionnaires to obtain feedback from interested parties, however at the time of the inspection visit no questionnaires had been returned to the provider. 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. There was documented evidence that all staff have received mandatory training, including: moving and handling, safeguarding adults, 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 and up to date, including: gas safety certificate, electric check certificate, fire extinguisher checks and fire drills are carried out weekly, PAT portable appliance testing (May 2007), emergency lighting certificate and a satisfactory environmental health report (30/8/07). There was sufficient evidence to demonstrate that the health and safety of people who live and work at Newfield Lodge is promoted as much as possible, to help ensure that a safe and healthy environment is maintained. Newfield Lodge Rest Home DS0000064313.V347706.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 3 X X 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 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 4 30 3 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.V347706.R01.S.doc Version 5.2 Page 24 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. 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. 1 2 Refer to Standard OP37 OP9 Good Practice Recommendations The Registered Manager must ensure that Regulation 37 notifications are submitted ASAP to the commission, with regards to the deaths of service users. The manager must continue to ensure that staff who are responsible for administering medication, have regular refresher courses. (Previous concerns with the controlled drugs). Newfield Lodge Rest Home DS0000064313.V347706.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Newfield Lodge Rest Home DS0000064313.V347706.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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