Inspection on 22/04/08 for Oldbury Grange Nursing And Residential Home

This inspection was carried out on 22nd April 2008.

CSCI found this care home to be providing an Good service.

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

Oldbury Grange Nursing And... 10/02/10

Oldbury Grange Nursing And... 26/05/06

Oldbury Grange Nursing And... 06/03/06

Oldbury Grange Nursing And... 24/06/05

Oldbury Grange Nursing And... 07/10/04

Oldbury Grange Nursing And... 21/04/04

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

CARE HOMES FOR OLDER PEOPLE Oldbury Grange Nursing And Residential Home Oldbury Road Oldbury Bridgnorth Shropshire WV16 5HA Lead Inspector Rosalind Dennis Key Unannounced Inspection 22nd April 2008 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 Oldbury Grange Nursing And Residential Home DS0000022259.V362610.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. Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oldbury Grange Nursing And Residential Home Address Oldbury Road Oldbury Bridgnorth Shropshire WV16 5HA 01746 766616 01746 768741 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) Shropshire Private Care Limited Post vacant Care Home 55 Category(ies) of Dementia (55), Old age, not falling within any registration, with number other category (55) of places Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with nursing, to service users of either gender, whose primary care needs on admission to the home are within the following categories: - Old age, not falling within any other category Code OP. The maximum number of service users who can be accommodated is: 55. 26th May 2006 2. Date of last inspection Brief Description of the Service: Situated in the Oldbury area of Bridgnorth, Oldbury Grange is a large country style house converted and extended to include the addition of a single story purpose-built wing. Solely owned by Shropshire Private Care Ltd until very recently, Oldbury Grange is registered to provide care for a maximum of 55 Older People, which may include up-to 21 persons requiring nursing care, up to 34 persons requiring ‘residential’ care. The home may also care for people with dementia related conditions (either nursing or residential). The original building is utilised for people requiring ‘residential’ care, and comprises a mix of single and double occupancy bedrooms with access via a passenger lift to the upper floor. Nursing care services are located in the single story wing and accommodation is provided in single bedrooms, with en-suite facilities. The gardens are well maintained and enjoy safe access for all. At the time of this inspection we were informed that the current weekly fee ranges from £317-£600 and that information on fees will be included in the Service User Guide. The reader may wish to obtain more up to date information from the care service. Inspection reports produced by CSCI can be obtained direct from the provider or are available on CSCI’s website at www.csci.org.uk Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes This unannounced inspection was conducted by one inspector over a period of around 7 hours. A range of evidence was used to make judgements about this service, which included discussions with people living at the home, speaking with staff, looking at care records and other documentation. We had also sent questionnaires to people living at the home, their significant others and to some of the staff and some of the comments we received are included in this report. Not all the people living at Oldbury Grange are able to communicate their views so the inspection also focussed on observing staff in their work and their interactions with people living at the home. All ‘key’ standards were assessed during the day- that is those areas of service delivery that are considered essential to the running of a care home. There have been recent changes with the ownership of Oldbury Grange and new providers Morris Care are taking an active role in the development of the home. A new manager, Ms Lydia Tyanase has recently been appointed to lead and manage the home. Ms Tyanase is supported by a senior management team, including a nurse support manager who along with Ms Tyanase shows a commitment to enhancing and developing the service. What the service does well: The home has a committed staff group who communicate effectively with people and show kindness in their approaches. People living at the home who were able to communicate their views spoke positively about the care they receive, this was also shown within questionnaires completed by relatives, comments included; ‘I am extremely satisfied with the level of care given to my relative’, ‘staff are always willing to talk when we visit’, ‘staff are always willing to drop paperwork to discuss any concerns’ and ‘staff are pleasant and attentive’. People living at the home are provided with recreational and social activities. Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 6 Oldbury Grange provides people with an attractive and clean place to live and further planned redecoration will continue to enhance the appearance of the home. The recruitment procedure is robust and protects people from the employment of inappropriate staff. 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. Oldbury Grange Nursing And Residential Home DS0000022259.V362610.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 Oldbury Grange Nursing And Residential Home DS0000022259.V362610.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. This judgement has been made using available evidence including a visit to this service. Oldbury Grange has a satisfactory admission procedure, which ensures that the home is able to meet people’s needs. EVIDENCE: Observation of a selection of care files shows that people have their needs assessed prior to and on admission to the home. The assessments show that the home seeks information about the individual’s care needs and any other matters that are important to them such as their significant others and religious needs. Care plans and risk assessments were present on care files and had been developed soon after people’s admission to the home. Oldbury Grange Nursing And Residential Home DS0000022259.V362610.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 and 10. Quality in this outcome area is on balance good. This judgement has been made using available evidence including a visit to this service. People are happy with the care they receive, however care plans currently do not always provide staff with the information they need to meet individual needs. The new management team intend to introduce planned improvements so that care plans will set out in detail how people want their needs met and the action needed by staff to meet those needs. EVIDENCE: People living at the home who were able to communicate their views spoke positively about the care they receive and comments during the inspection included; ‘staff are very good’, ‘good food, good staff-no complaints’. We received similar comments in questionnaires from people and their significant others such as ‘ I am extremely satisfied with the level of care given to my relative’, ‘staff are always willing to talk when we visit’, ‘staff are always willing to drop paperwork to discuss any concerns’ ‘staff are pleasant and attentive’. Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 10 Time was spent observing staff interactions with people who were less able to communicate their views and it was seen that the staff group responded to people appropriately and with kindness. Staff were seen to promote people’s dignity, and during meals staff provided sensitive assistance to people who needed help with eating. Observation of the care files for people show that staff complete risk assessments in respect of the person’s risk of falls, pressure sore formation, moving and handling and nutritional risk and, in most cases, document information on people’s likes, dislikes and preferences. Records show that medical advice is sought when necessary and visits by GP’s to the home were recorded well. Pre-written ‘core’ care plans are currently used by the home with staff adding written comments to make them more ‘individualised’. Some care plans were good and provided information to staff on how to meet the person’s needs, an example of this a care plan which had been drawn up to show how to care for an individual if they did not want to sleep in their bed. However other care plans were not clear and lacked information on how to meet people’s needs and improve outcomes. The care records for one person noted that different creams needed to be applied but the care plan did not say where to or how often. The care records for a person with a wound did not provide information on how the wound is monitored, such as through regular measurements to establish whether healing is taking place and the required frequency of changing the wound dressing was not clear. Care plans for people with memory related difficulties contained little information on how to enhance mental health and well-being. Staff review people’s care plans on a daily basis although the information that is written does not always provide a clear account of the care, for example in one person’s plan for caring for their hygiene needs, staff had written daily for one month ‘assisted by night staff’ –which does not describe how the person’s hygiene needs were met. A discussion took place with the new manager and nurse support manager which confirmed they have already identified where improvements need to be made to care planning processes and they spoke of their intention to introduce a more ‘person-centred’ approach to care planning and provide training for staff in record-keeping. We looked at a selection of medication administration records (MAR) charts, these showed that medication had been recorded accurately with all medication signed and accounted for. Observation of the home’s medication room shows that medication is stored appropriately and at the correct temperature. Oldbury Grange Nursing And Residential Home DS0000022259.V362610.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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are provided with recreational and social activities and meals at the home are of good quality. EVIDENCE: During the inspection a singer visited, which appeared to be enjoyed by many people and staff were assisting people who wanted to dance. An activities ‘timetable’ provides an overview of activities, which take place at the home and one of the home’s two activity organisers discussed some of the activities, which may be group based or provided on a ‘one to one’ basis depending on the person’s abilities and needs. One person living at the home spoke of how he has been supported to use a computer and another person spoke of how they enjoy board games and musical activities. People also confirmed that the home supports their religious needs and representatives of the local church visit on a regular basis. Discussions with people about their involvement in activities did not always correspond with what was recorded within their care records so it gave the Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 12 impression that very little had taken place, which shows that staff need to be more careful in their record keeping. We received a range of comments about activities at the home, which indicates that people have different views of the activities provided. For example four people living at the home who responded to a question “Are there activities arranged by the home that you can take part in?’ two people responded ‘always’ and two responded ‘usually’. Comments received from relatives reflected similar views, with comments such as ‘food excellent, plenty of activities to join in’, ‘my relative lives an active life as it is possible with her disabilities, with generous help from staff’, ‘could possibly improve on stimulation for the residents’ and ‘more staff on each shift and the staff encouraged to socialise/talk/hold hands/play games’. All people spoken with during the inspection confirmed that meals provided by the home are good, with a range of choices available to meet individual needs. People confirmed that they can choose whether to eat in their own rooms or in the dining areas and throughout the day staff were seen to provide prompt and sensitive assistance to people who needed help with their eating and drinking. The lunchtime meal was observed, which was well-presented and appeared to be enjoyed by all the people present. Oldbury Grange Nursing And Residential Home DS0000022259.V362610.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that people have access to a complaints procedure, which enables concerns or complaints to be dealt with promptly and professionally. Appropriate procedures are in place to safeguard people from potential abuse and planned staff training in adult protection procedures will ensure that all staff are familiar with the process of recognising potential abuse and the formal referral process. EVIDENCE: The home has a complaints procedure and people spoken with during the inspection commented that they would feel comfortable with raising any issues with the manager or other staff. It was noted that the complaints procedure needed amending to bring it up to date and this was brought to the attention of the management team. Appropriate procedures are in place to safeguard people from potential abuse however it could not be established whether staff have received training in local adult protection procedures-three staff could not recall ever having training in adult protection/abuse awareness. The new management team were in agreement that staff need to be familiar with the process of recognising potential abuse and the formal referral process and immediately Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 14 after the inspection we received confirmation that training in the protection of vulnerable adults will be provided. In the past twelve months two referrals have been made by the home to the local safeguarding adults team for investigation under their procedures, the outcome of these investigations has now been concluded. It is considered that the previous management team responded appropriately and put in place relevant action plans such as additional dementia training and monitoring and supervision of staff working at night. Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 15 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 good. This judgement has been made using available evidence including a visit to this service. The home provides people with an attractive and clean place to live and further planned redecoration will enhance the appearance of the home. EVIDENCE: Observation of a selection of bedrooms shows that the home encourages people to personalise their bedrooms and people spoke of their satisfaction with their rooms. A requirement from the last inspection was regarding the provision of door locks and we received information from the home confirming that if people wish to have a key to their room then a suitable lock will be fitted within 48 hours. People spoken with at the time of this inspection were happy with this arrangement. Individual bedrooms and communal areas were observed to be clean although the décor was noted to be a little dull and the environment requiring redecoration and refurbishment in places. An audit of the environment by the Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 16 new providers was in progress at the time of this inspection and the development plan we received includes reference to a programme of proposed work. There are large well-maintained gardens at the rear of the property and gated entrances ensure that people are kept safe when they are outside. Observation of bedrooms, bathrooms and en-suite facilities shows that staff have a good approach to ensuring that the home is kept clean and tidy and staff confirmed training in infection control has been provided. Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 17 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, and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The new provider’s have shown that they are committed to ensuring staff are provided with an ongoing training and development programme to meet the needs of people living at the home. The recruitment procedure is robust and protects people from the employment of inappropriate staff EVIDENCE: At the start of the inspection it was observed on both the nursing and ‘dementia care’ areas, that a large number of people were still eating breakfast at 10.15am with staff appearing to be struggling to meet people’s needs. One member of staff spoke of how short notice sickness absence that morning had resulted in less staff on duty, this individual viewed that staffing levels in the dementia care area were generally sufficient. Staff working on the nursing unit spoke of concerns that staffing levels are not always sufficient to meet people’s needs and people on this unit were observed to need many interventions from staff-such as assistance with feeding, moving and general care. We received comments about staffing in the questionnaires we sent out before the inspection, most people and staff had indicated that they felt staffing levels were usually sufficient, one relative had provided a comment about ‘ the small Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 18 number of staff’ and a member of staff had commented “not enough time I feel that I can give to each resident due to lack of staff”. People who were able to communicate their views during the inspection spoke of how they feel there are generally sufficient staff on duty to meet their care needs. The concerns raised about staffing levels were discussed with the new management team who provided confirmation that they have already looked at both staffing levels and staff roles and are keen to introduce changes, such as through the appointment of ‘ancillary staff’, with the intention of relieving care staff of domestic chores so that they have “more time to care”. Staff were aware of and were generally positive about proposed changes to their roles. The management team are aware that staffing levels need to be kept under review and calculated according to the dependency and needs of the people living at the home. Observation of a selection of staff files and discussions with staff indicates that staff have received training in most ‘safe working practice topics’, although it was difficult to establish exact numbers of staff who have received training. Some staff have been provided with training in dementia care and staff confirmed access to a nationally recognised qualification in care (NVQ). Comments received from staff prior to the inspection indicated that some staff felt they would benefit from increased training opportunities, providing comments including:- ‘ It could ensure that training is given promptly to new staff and more training courses made available’, ‘I could have done with more in depth induction on each shift’ and ‘It would be beneficial to be offered more advanced training from time to time’ Staff were positive about proposed training opportunities with the new provider and we received information which confirms that a training analysis has been completed and training will be implemented, including any necessary updates. The new management team are auditing all staff personnel files to ensure they contain all the necessary information regarding employment checks. Three files, which have been audited, contained the required pre-employment checks. Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 19 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 manager has the skills and knowledge to manage the home and lead a staff team who are committed to ensuring people receive good care. EVIDENCE: A new manager, Ms Lydia Tyanase has recently been appointed to lead and manage the home and discussions with Ms Tyanase during the inspection confirmed an enthusiasm to develop the home. We were informed that Ms Tyanase is due to complete a recognised management qualification soon, which will supplement management experience. Ms Tyanase demonstrated an up to date knowledge of current nursing and care issues. Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 20 This inspection also finds a change in the structure of the organisation with new provider’s Morris Care taking an active role. Meetings have been held for people living at the home and their relatives to discuss the changes with the provider and for people to raise any issues concerning them. Minutes were also available of a recent staff meeting. We looked at questionnaires which had been distributed by Oldbury Grange to people living at the home and/or their relatives in 2007 and this showed that people were satisfied with the care they were receiving at that time, providing positive comments about staff and their caring attitude. Questionnaires we received as part of the preparation for this inspection also provides confirmation that people are satisfied with the care they receive. The process used for safekeeping of peoples’ personal money is supported by records of all transactions and regular audits to ensure ongoing accuracy. We looked at a selection of maintenance and servicing records, which shows that systems are in place to help keep people safe. We received information from the new providers, which places emphasis on ensuring all health and safety issues are adhered to and monitored. Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 21 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 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 22 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 Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection West Midlands Office West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Oldbury Grange Nursing And Residential Home DS0000022259.V362610.R01.S.doc Version 5.2 Page 24 - 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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