Inspection on 15/05/07 for Oxclose Lane Care Home

This inspection was carried out on 15th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oxclose Lane Care Home 15/04/08

Oxclose Lane Care Home 11/05/06

Oxclose Lane Care Home 23/02/06

Oxclose Lane Care Home 23/08/05

Oxclose Lane Care Home 09/12/04

Oxclose Lane Care Home 19/05/04

Similar services:

Hillside

Applegarth

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Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Oxclose Lane Care Home 154-156 Oxclose Lane Arnold Nottingham NG5 6FF Lead Inspector Rehana Rashid Unannounced Inspection 15 May 2007 10:30 Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 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 Oxclose Lane Care Home DS0000008731.V336686.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 Adults 18-65. 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. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oxclose Lane Care Home Address 154-156 Oxclose Lane Arnold Nottingham NG5 6FF 0115 967 0657 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) H2057@MENCAP.ORG.UK www.mencap.org.uk Royal Mencap Society Ms Catherine Kimbley Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th May 2006 Brief Description of the Service: Oxclose Lane Care Home provides support including personal care and accommodation for seven people. It is located within close proximity to all community amenities. There are two lounge areas and a large kitchen/diner. All service users are accommodated in single bedrooms. The ground floor bathroom offers assisted bathing facilities. The ground floor is accessible to wheelchair users and three of the bedrooms are on this floor. There is no lift to the other four bedrooms. The care provider is Mencap Homes Foundation, Metropolitan Housing Association own the premises. Information about the service is provided through the service user guide and statement of purpose. A copy of the most recent inspection report from the Commission for Social Care Inspection is kept at Oxclose Lane. On 18 May 2007 the Registered Manager stated that the current weekly fee range is between £352 to £480. She also said that there are no additional charges. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which was conducted on 15 May 2007. The inspection took approximately five hours. The main method of inspection was case tracking, which involved selecting two residents and examining their care records. Case tracking is used to establish if the needs of the residents are being appropriately assessed by the home and their needs are being catered for. Indirect and direct observation of practice and interaction between staff and residents was also carried out as part of the inspection methodology. The communal areas, shower room, bathrooms, kitchen, dinning area and garden were viewed during this site visit. Documentation including health and safety records were also examined. Three members of staff were spoken with. The two residents case tracked were out at day care whilst the inspection was taking place. One resident who was at home agreed to speak with the inspector. Prior to the inspection a pre-inspection questionnaire was sent out to Oxclose Lane Care Home, which asked questions around the service including staffing levels and number of service users. The Commission for Social Care Inspection did not receive the pre-inspection questionnaire. Surveys were sent out to service users and their relative’s representatives and advocates to gain their views about the service received. Three surveys from service users and five completed surveys from residents, relatives and their representatives were received by the Commission for Social Care Inspection. The Support Workers supplied much of the information provided for the inspection. The manager was not available as she was attending a training course but discussion and feedback took place with her after the inspection. On the day of the inspection there were seven residents in residence. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Following this inspection five requirements have been set. From the two residents case tracked, one residents support plan had not been reviewed at regular intervals. The registered person must ensure all care plans and risk assessments are reviewed and updated to reflect changing needs in respect of service users health and welfare. This will ensure that the identified needs of service users are met and staff are aware if there has been a change in service user needs. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 7 The registered person must ensure all staff receive training in safeguarding adults. Also for all staff to receive annual updates to ensure that they are aware of updates and best practice. This will ensure service users are safeguarded from all forms of abuse. Access to staff personnel files was not available at the inspection. The staff on duty stated that the registered manager only has access to the file. The Registered person must ensure that records are at all times available for inspection by the Commission for Social Care Inspection. During a part tour of the building radiators were not fitted with covers. The registered person must identify and take reasonable steps ensuring that any risks identified from radiators are eliminated. This will ensure residents health and safety is protected. 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. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents individual aspirations and needs are assessed prior to moving to the home and they are given information about the service. EVIDENCE: Information about Oxclose Lane Care Home is provided in the statement of purpose and service user guide. Information in the service user guide is provided in a pictorial format. Prospective residents needs are assessed prior to moving into Oxclose Lane Care Home, ensuring their needs can be met. Files viewed contained extensive community care assessments from Social Services. These covered personal care, health care and social care needs of the residents. The registered manager stated resident’s needs are assessed prior to them being offered a place at the Oxclose Care Home. Through discussion with the staff it is evident that the home can meet the assessed needs of individuals admitted to the home. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are reflected in individual care plans, these need to be kept under review. Residents are enabled to make decisions about their lives and assistance is given where needed to manage risks. EVIDENCE: Care files were examined for two residents. The support plans were detailed, clearly identifying resident’s individual needs including their personal and social care needs. Where individual risks have been identified risk assessments are in place, to minimise the risk. One resident’s records showed that their support plan review was overdue. Reviews should take place regularly ensuring that the information on the support plan is current. If there has been a change in a residents needs this must be reflected in the support plan and updated. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 11 Through observation and discussion with a resident it was evident that residents are able to make decisions about their own lives with support and assistance as needed. Residents are supported to take risks as part of an independent lifestyle. On the day of the inspection residents were observed to come and go from the home as they pleased. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Residents are given opportunities for personal development and are able to participate in appropriate activities. Residents at Oxclose Lane Care Home are encouraged to maintain appropriate relationships with family and friends. The home is committed to respecting resident’s rights. Residents are provided with a healthy and varied diet. EVIDENCE: During the inspection some residents were either carrying out at voluntary work or attending day care. Routines at the home are flexible, residents were observed carrying out individual tasks. For instance one resident returned from day care and briefly sat in the dining area having a conversation with the staff and later went to watch television. Comment written in the survey for relatives stated, “We are particularly happy about the flexibility Oxclose Lane Care Home offers.” Staff respects the rights of residents. A resident stated that staff knock on her bedroom door before entering. She also stated that she receives her mail unopened and has a key to her bedroom door. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 13 The same resident also said that she is able to go home and visit family and is also able to have visitors at the home. Interaction between staff and residents was positive, staff involved residents in discussions speaking to them in a caring manner. Residents are supported by staff to use local facilities including cinema, pubs and taking residents out to play pool. There were photographic displays, which evidenced that residents are involved in social activities. The resident’s notice board contained information about a forth-coming birthday celebration for a resident and a shopping trip. When asked in the residents survey whether the care provided supports residents to live the life they choose comments included “My relative is involved in many social activities now and has been encouraged to make new friends.” The menu is planned weekly with residents, a resident spoken with confirmed this. She also stated residents assist staff with the shopping. Food storage and preparation areas were clean and organised. One resident commented that the food is nice and she enjoyed the healthy eating options. The support worker stated that staff promote healthy eating options, which are welcomed by the residents. Staff knew about the likes and dislikes of the residents. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support in the way they prefer. Resident’s physical and emotional needs are met. Medication management needs to be improved ensuring residents are protected fully. EVIDENCE: Two support plans viewed contained details of the resident’s personal, emotional and health care needs. These also provided details of resident’s preferences. The care files also showed that residents receive support from external professionals. This included involvement from Dentist, Chiropody, and GP. A resident spoken with confirmed that staff support her to access health care when required. Medication was observed to be stored securely in a lockable cupboard. Oxclose Lane Care Homes use the monitored dosage system for the majority of the medicines. The home has policies and procedures in place with regard to administration and storage of medication. Whilst the inspector viewed the medication arrangements, eye drops, which specified a date when they needed to be disregarded by, remained with the Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 15 current medication for administration. This was pointed out to the support worker who immediately placed the eye drops with the medication returns. Procedures around medication need to improve ensuring medication are disposed of to ensure there is no mishandling. Certificates viewed showed that staff had received training in medication management. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are policies and procedures for dealing with complaints and adult protection issues. Residents are not fully protected from abuse. EVIDENCE: The complaints book was viewed which contained no recorded complaints since the last inspection. The Registered Manager spoken with stated the home have not received any complaints since the last inspection. Throughout the home there were two formants of the complaints procedure displayed. There is pictorial version of the complaints procedure. The complaints procedure was comprehensive detailing the stages of the complaints process and time scales for response. One resident spoken with stated that they were aware of how to make a complaint. There were policies and procedures for adult protection in the office. A copy of the Nottinghamshire Committee for the Protection of Vulnerable Adults (NCPVA) local procedure for dealing with allegations and suspicion of abuse. Three staff members spoken with stated that they had received training in safeguarding adults, they demonstrated a good knowledge of safeguarding adults and stated they would report any allegation immediately. Training records viewed evidenced that some staff had received training in safeguarding. The registered person must ensure all staff receive training in safeguarding adults. Also for all staff to receive annual updates to ensure that Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 17 they are aware of updates and best practice. This will ensure service users are safeguarded from all forms of abuse. Records for two resident’s finances were viewed, they were found to be satisfactory. Resident’s monies are held individually and records are kept of transactions made. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents generally live in a homely and comfortable environment, which is clean. EVIDENCE: Some improvements to décor in parts of the home are required including corridors. Staff spoken with stated that Metropolitan Housing Association who own the building will be redecorating the home, no work schedules were seen to evidence this. The home is not suitable for people with mobility problems as there is no lift to the first floor. Following a requirement set at the previous two inspections the bathroom on the first floor situated at the rear of the property has been fitted with a new bath. In addition to this the bathroom has under gone complete refurbishment. The laundry facilities are appropriate for the needs of the current residents they include a washer and industrial dryer. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 19 The communal areas of the premises viewed were clean and tidy. Staff carry out domestic tasks together with residents. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are sufficient to meet the needs of the residents. Improvements are needed to the training provision. EVIDENCE: The staff rota showed that two staff are on duty during the day. At night there is one person sleeping in, they are supported by the on call system so that the member of staff can contact the on call person in an emergency. Members of staff spoken with reported that staffing levels are adequate to meet the needs of the current seven residents. Comments included in the completed surveys from residents, relatives and their representatives were received included, “we are pleased with the wide range of skills staff have” and “it is clear that the levels of care and support are geared to meet each residents needs.” Access to staff personnel files was not available at this inspection. The registered manager only has access to the files. Due to this it was not possible to inspect Oxclose Close Care Homes recruitment policy and procedure. This has been raised further in standard 41. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 21 Three members of staff spoken with stated training provided by Royal Mencap is good. One staff member stated that he was currently working towards National Vocational Qualification (NVQ) level 2, whilst the other two had achieved NVQ Level 2. Two staff records showed that they had received infection control training 2002 and 2004. There was no evidence that all staff had undertaken training in infection control. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41,42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health, safety and welfare of residents are not fully protected. Not all records were fully available for the inspection. EVIDENCE: The manager at Oxclose Lane Care Home is registered with the Commission for Social Care Inspection. Three members of staff spoken with stated that the manager is supportive. A quality assurance monitoring system is in place to obtain the views and opinions of the residents about the service. The registered manager who was spoken with after the inspection stated that if necessary the questionnaire are completed with the assistance of a manager from another service within Royal Mencap or by the resident’s relative. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 23 Records relating to residents were kept securely in lockable cabinets. Access to staff personnel files is only available by the registered manager. These files were not accessible on the day of the inspection. The Registered person must ensure that records are at all times available for inspection by the Commission for Social Care Inspection (CSCI). Arrangements must be in place to ensure that in the absence of the registered manger all records required are available for inspection. A range of records relating to health and safety were examined. Records including fire testing and water temperatures were observed and found to be carried out at the required intervals. On the day of the inspection the current portable appliances testing was not seen, this was raised with the registered manager who at the time of writing the report sent an email to confirm portable appliances testing took place February 2007. During the partial tour of the premises it was noted that radiators were not guarded. Steps need to be taken by the registered provider to ensure that any risks identified from radiators are eliminated and to make sure that residents are not placed at risk from surface temperatures. Food probing temperatures are not documented; it is good practice to record these ensuring food is served to resident at the correct temperature. Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X X X 2 2 X Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA9 Regulation 14(2) Requirement The registered person must ensure all care plans and risk assessments are reviewed and updated to reflect changing needs in respect of service users health and welfare. This will ensure that the identified needs of service users are met and staff are aware if there has been a change in service user needs. Timescale for action 30/06/07 2. YA23 13.6 3. YA35 18 4. YA41 17 (3) The registered person must 31/08/07 ensure all staff receive training in safeguarding adults. Also for all staff to receive annual updates to ensure that they are aware of updates and best practice. This will ensure service users are safeguarded from all forms of abuse. The registered person should 31/08/07 ensure all staff receives training in Infection Control. This will protect staff and service users from harm. The Registered person must 30/06/07 ensure that records are at all times available for inspection by the Commission for Social Care Inspection. This will ensure that DS0000008731.V336686.R01.S.doc Version 5.2 Page 26 Oxclose Lane Care Home 5. YA42 13(4) staff personnel files are available for inspection even if the registered manager is not on the premises. The registered person must identify and take reasonable steps ensuring that any risks identified from radiators are eliminated. This will ensure residents health and safety. 30/06/07 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. Refer to Standard YA42 Good Practice Recommendations The registered person should ensure that food-probing temperatures are taken regularly and documented. To ensure food is served to residents at the correct temperature. The registered person should ensure results of service user surveys are published and made available to current and prospective service users and the Commission for Social Care Inspection. 2. YA39 Oxclose Lane Care Home DS0000008731.V336686.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. 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