Inspection on 10/07/07 for Parklands Nursing Home

This inspection was carried out on 10th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Parklands Nursing Home 12/07/06

Parklands Nursing Home 26/01/06

Parklands Nursing Home 16/12/04

Parklands Nursing Home 04/05/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Parklands Nursing Home 26 Ellison St Thorne Doncaster South Yorkshire DN8 5LD Lead Inspector Janet McBride Key Unannounced Inspection 10th July 2007 10:30 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 Parklands Nursing Home DS0000048417.V338672.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. Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parklands Nursing Home Address 26 Ellison St Thorne Doncaster South Yorkshire DN8 5LD 01405 812233 01405 818168 the.parklands@fshc.co.uk www.fshc.co.uk Four Seasons Homes (No 6) Limited (A wholly owned subsidiary of Four Seasons Healthcare) Post Vacant Care Home 40 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) Category(ies) of Old age, not falling within any other category registration, with number (40) of places Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2006 Brief Description of the Service: Parklands is a care home providing residential care and accommodation for older people. The home is part of the Four Seasons healthcare group, and is located in Thorne on the outskirts of Doncaster. Adjacent to the local park and within easy reach of local shopping centre and is well placed for community facilities, including local primary health services. The building is a converted and extended property with two units. High proportions of the bedrooms are single with en suite facilities. Fees range from £380:00 to £425:00 per week, as at July 2007,and additional charges are made for hairdressing, toiletries, magazine, newspapers and private phones. Further information relating to these charges may be obtained from the homes manager. Information about the home is provided to people who use the service and their representatives in the form of a statement of purpose and service user guide. Leaflets and other general written information were available at the homes reception area. Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this Key Unannounced Inspection, which took place on the 10th July 2007 for 6:30 hours. An additional inspection was carried out on 12/02/07. This inspection was to check on some of the requirements made in the report of the 12/07/06. The home is registered for 40 places, at the time of inspection 28 people were receiving services at the home. Prior to the inspection the manager submitted an Annual Quality Assurance Assessment giving information regarding the home and services provided. Preinspection work was carried out on the information received and other relevant documentation, for example analysis of statutory notifications and complaint records. During the inspection documentation and records were examined, for example medication, complaints, accident records, staff rotas and staff training files. Case tracking of three care plans which were cross-referenced with other relevant documentation relating to those people who use the service. A tour of the premises and direct observation of staff interaction with people who use the service was carried out throughout the visit. Information was gathered from as many different individuals as possible, including individual interviews with the manager, members of staff and any visitors seen on the day. Surveys were sent out prior to the inspection from the Commission for Social Care Inspection (CSCI). Thirteen were sent to people who use the service within the home, four were received back. Three were sent to relatives, two were received back, and three were sent to professionals who had contact with the home and none were received back. They were asked to comment on the standard of care, staff skills, attitude, and how the needs of people using the service needs were met. All the comments made on the surveys are included in this report. The inspector would like to thank all the staff, relatives and people receiving services within the home for their co-operation in the inspection process. Any issues or concerns that were raised were discussed with the manager at the end of the inspection. What the service does well: Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 6 People that use the service were individually assessed prior to admission to the home and care plans were in place, this ensured their needs would be met. A number of people said they were happy with the home and the care provided by staff, they also said staff worked really hard to make it a nice place to live. Comments on the surveys from relatives said they were kept up to date with information relating to care needs, and felt that people were well cared for within the home. Regular opportunities were available for people to participate in a wide range of activities in the home, and in the wider community. Examples were given of the kind of activities that take place at the home, lot of people said they enjoy “bingo” and “quizzes”. Trips out included shopping trip to Cleethorpes. Observation of staff interacting with people who use the service was carried out throughout the visit, and examples of good practice were seen from the staff on duty. Comments from surveys and a group of people spoken to at lunchtime said, “they had enjoyed their meal and liked the food at the home” “they had choices every day”. Likes and dislikes were catered for within the menus offered. People using the service and relatives were provided with information to enable them to raise concerns or complaints about the home and the care provided. Information about local advocacy services was available and could be used for any person who required assistance in exercising their rights and do not have any relatives or friends for support. What has improved since the last inspection? What they could do better: Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 7 Continue with the refurbishment of the home, ensure there is a maintenance and renewal programme with specific timescales that show when carpets and décor are maintained and items replaced. Fitting of a ventilation system to the designated smoke room to ensure smoke drift does not affect other communal areas of the premises. 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. Parklands Nursing Home DS0000048417.V338672.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 Parklands Nursing Home DS0000048417.V338672.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): 2 and 3. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People that use the service were individually assessed prior to admission to ensure their needs would be met. EVIDENCE: Three care plans were case tracked and a number of staff spoken to. Records showed that people that use the service were fully assessed prior to moving into the home, with other professionals involved where required. Surveys received from people within the home said they had received information before moving into the home and were able to visit the home before moving in. The manager said that people using the service were issued with a contract/statement of terms and conditions these contain a scale of charges and any extras that people had to pay for, all of which is documented Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 10 in this report. The registration certificate was displayed in the home and found up to date with the current services provided. Parklands Nursing Home DS0000048417.V338672.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. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. Care plans provided staff with the information they needed to meet the care needs of people that use the service, this ensured that people’s needs were identified and met. Staff ensured that all policies and practices were followed when medicines were administered. EVIDENCE: Three care plans were case tracked of people that use the service, these care plans were cross-referenced with medication records, accident records and any other relevant information. Care plans were developed shortly after the admission, using the initial assessment of need and any other relevant information gathered by professionals, family and friends. Care plans seen were generally found to be comprehensive concise and easy to follow, with legible records kept. Various assessments had been completed for example nutrition, personal and oral hygiene. Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 12 The District Nurse provided the main link to all medical services including pressure area care, continence advice and general health checks as required by the G.P. Records showed when people using the service were seen by GP, district nurse or attended hospital. Accident records documentation were completed with the manager completing monthly analysis reports. Medication policy and procedure were discussed with the manager and records checked. The manager said she completes medication audits on a weekly basis. Staff responsible for the administration of medication had completed the accredited medication training. Examination of records, storage, recording and observation of a member of staff administering medicines to people within the home were found to be satisfactory. Comments from people living in the home said, “Its nice here and staff are kind”. All people in the home that were spoken to said they were happy and felt they were well cared for. Comments from relatives mother looks clean and well dressed”. “My mother always looks neat and tidy and has her hair done every week. Comments on the surveys from relatives said they were kept up to date with information relating to care needs, and felt that people were well cared for within the home. Parklands Nursing Home DS0000048417.V338672.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. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. Regular opportunities were available for people to participate in a wide range of activities in the home, and in the wider community. Meals offered were healthy and nutritionally balanced. Likes and dislikes were catered for within the menus offered. EVIDENCE: For stimulation and enjoyment the home provided a range of activities both in and out of the home. Activites were organised on a weekly basis by the activities coordinator, this was confirmed in survey received from people within the home and people spoken to on the day. Some examples were given of the kind of activities that take place at the home, lot of the ladies said they enjoy “bingo” and some enjoyed “quizzes”. One person said they had enjoyed the recent BBQ and were looking forward to a trip to Cleethorpes within the next week. Many examples of good practice were seen from the staff on duty while observing the general routines of the home. They were observed to knock on Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 14 doors before entering, and interacted with people within the home with respect, addressing people by their preferred name. Although staff were very busy in the mornings they spent some time in the afternoons sitting and talking to people. Staff confirmed that they encouraged people to make choices and to have control over their lives whenever possible, external advocates were available for people within the home if required. Comments on surveys received from relatives confirmed they could visit at most times and said “visitors were always made welcome” and that they could see their relative in private if they wished. Food and mealtimes were discussed with the cook, who gave examples of food available, times of meals and confirmed that people had access to food and drinks 24 hours a day. Menus were available and people were asked what they wanted. Observations during mealtimes, confirmed the food was well presented, lunch was unhurried and assistance was given to people if required. Comments on surveys and a group of people spoken to at lunchtime said, “they had enjoyed their meal and liked the food at the home” “they had choices every day”. Parklands Nursing Home DS0000048417.V338672.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. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People using the service and relatives were provided with information to enable them to raise concerns or complaints about the home and their care. Staff had knowledge and understanding of adult protection issues, which promoted protection of people within the home from abuse. EVIDENCE: The home had a written complaints procedure, which was displayed in the reception area of the home. There was an appropriate system for recording complaints the outcome and the action taken. Record showed no complaints since the last inspection, which the manager confirmed. Surveys and people spoken to confirm they were aware of the complaints procedure, but feel the manager is very approachable and when issues or concerns arise they were happy to speak to her first. Policies and procedures were in place regarding the protection of vulnerable adults. Surveys and discussion with staff confirmed they were aware of abuse policies and procedures for adult protection, including whistle blowing policy. Most staff had received training, and those spoken to were able to verbalise the action they would take on receiving any allegations. Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26. People who use the service experience Adequate outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. The home was clean and tidy, but did not home should have maintenance and renewal programme to show décor was being regularly maintained and replaced. However people who use the service felt they lived in a comfortable and accessible environment. EVIDENCE: A tour of the premises looking at the homes accommodation, assessing the general fabric, furniture and fittings at the home found that a number of requirements made on the last random inspection (February 2007) had been addressed. During a tour of the premises it was seen that the company had fitted the required radiator guards and the electrical sockets in the identified bedrooms. Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 17 All communal facilities were clean and tidy but the general fabric of some communal areas were still showing signs of wear and tear for example paintwork chipped and scuffed on doors and skirting boards. The areas that had been redecorated created a more pleasant and welcoming environment. The home had a business plan but no evidence of a maintenance and renewal plan, with specific timescales to show that carpets and décor were being regularly maintained and replaced. Since the new smoking laws the home had changed the designated area of the smoking lounge for people within the home. The designated room was clearly signposted as a smoke room and although this was a more suitable environment it required a ventilation system to prevent smoke drifting into the communal areas of the premises. Those bedrooms seen were clean, tidy and homely. People in the home said they were encouraged to bring personal items, most bedrooms had been personalised with pictures, photos and ornaments. Since the last inspection some of the bedrooms had been upgraded and refurbished some with new carpets, curtains and bedding. New beds and furniture had been purchased for some other bedrooms. A number of bedrooms still require new carpets, curtains and bedding. The home had an on site laundry which was found to have appropriate facilities e.g. washing machines with sluicing facilities and colour coded skips in use. Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. Staff had undertaken basic and induction training, which ensured that they were skilled and knowledgeable. This ensured people at the home were supported and protected. EVIDENCE: Staffing was discussed with the manager and duty rota examined. Which clearly identified staff within the home and their role, including domestic kitchen and laundry staff. All staff that provided personal care were over eighteen years old. Observation on the day, examination of duty rotas demonstrated there were sufficient staff to meet the needs of people who use the service. Staff appeared to be highly regarded by people within the home and relatives. The homes recruitment procedure was discussed with the manager and records of three new members staff files were checked. This established that the homes process for recruitment meets all the requirements of legislation and employment law. Two references, Criminal Record Bureau (CRB) Protection Of Vulnerable Adults (POVA) checks were made prior to being employed. Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 19 Each member of staff had an individual training file, these were examined and training opportunities were discussed with the manager and staff. One new staff member was spoken to who confirmed she had received three days induction to the home. An improvement in staff training, records showed that a number of staff had received updates and undertaken various training courses since the last inspection, this was confirmed when speaking to staff members. Records indicated that a number of the staff team had achieved National Vocational Qualification level 2 in care (NVQ) with other members of staff continuing to work towards attaining NVQ level 3 in care. Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. People who use the service experience Good outcomes in this area. This judgement has been made from evidence gathered during the inspection. This included a visit to this service and seeking the views and experiences of people who use the service. People who use the service were protected by sound management practises. Policies, procedures and training practices ensured that people using the service were safeguarded and protected. EVIDENCE: Although the registration certificate stated the manager’s post as vacant, the homes manager had recently been successful and passed the CSCI registration process. A new certificate will be sent to the home with the name of the registered manager. The manager as also commenced an NVQ level 4 course in management. Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 21 The manager said she operated an open door policy, to ensure she was accessible to staff, relatives and people that use the service. Comments on surveys suggested that the manager was very approachable, and stated their satisfaction with the home and care provided. Quality assurance systems were in place, the home used these surveys to gain the views of people who lived at the home, relatives and visitors. A number of audits were completed by the manager or regional manager on a regular basis for example, yearly audit that covers most issues from training to maintenance within the home. Monthly audits were also completed on medication records, bed rail audit, accident reports and regulation 26 visits were completed with reports available. All these were available to read. The financial interests of people were discussed with the manager, administrator and records checked. Some people within the home had their own bank accounts these people were assisted with their finances by relatives. Other monies were in a non-interest account, with records of accounts and receipts available for each individual person. The administrator completed a monthly audit, which is sent to the company, who also complete an unannounced audit on finances every six months. Supervision of staff was discussed with the manager, staff on duty and records checked, which showed staff received formal supervision, and yearly appraisal on a regular basis. There were policies and procedures, which promoted the health, safety and welfare of people within the home. Staff and the providers undertook all necessary health and safety checks, which promoted the health and well being of people who use the service. Health and safety was discussed with the staff on duty and various records were examined. The home was maintained, checks were undertaken for example fire prevention, all records were up to date and satisfactory. Any issues raised on the last inspection relating to these standards had been addressed. Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP19 Regulation 23(2)(b) Requirement There must be a maintenance and renewal programme to ensure that carpets and décor are regularly maintained and replaced with specific timescales. (Timescale of 31/03/07 not being met) The designated smoke room must have a ventilation system to ensure smoke drift does not affect other communal areas of the premises. Timescale for action 31/08/07 2 OP19 23(2)(p) 31/08/07 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 OP31 Good Practice Recommendations The registered manager to continue with on going NVQ 4 in management. Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Parklands Nursing Home DS0000048417.V338672.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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