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Inspection on 20/08/07 for Parkside Residential Home

Also see our care home review for Parkside Residential Home for more information

This inspection was carried out on 20th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a long standing very experienced manager and a group of staff who have worked at the home for a long time. The staff know the residents very well and work hard to give them a very high standard of care. The residents spoken to said they had a very good relationship with the staff and felt satisfied that their individual needs were being met. The residents also said that if they bring a problem to the attention of the staff that this is addressed quickly especially in relation to their health care needs. One resident said "They are so good to me". The home has a very homely and friendly atmosphere with residents enjoying each other`s company and the company and support of the staff.

What has improved since the last inspection?

Five requirements were issued at the last inspection and the registered person has now complied with all of these. Residents are protected by a more robust staff recruitment procedure and there are sufficient staff on duty to meet the needs of the people living there. Residents can be reassured that the business is financially viable. The owner of the home visits regularly and asks residents how they feel about their care at the home. The results of quality monitoring questionnaires are made available to existing residents and their representatives and well as potential residents to the home.

What the care home could do better:

No new requirements have been issued as a result of this inspection or from any other information received by the CSCI. One good practice recommendation has been made by the CSCI. This relates to the home`s "Service User Guide" and suggests that the home looks at ways of encouraging potential residents from different cultures and backgrounds to feel welcomed.

CARE HOMES FOR OLDER PEOPLE Parkside Residential Home 74-76 Village Road Enfield Middlesex EN1 2EU Lead Inspector Mr David Hastings Key Unannounced Inspection 09:30 20th August 2007 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 Parkside Residential Home DS0000010677.V341828.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. Parkside Residential Home DS0000010677.V341828.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkside Residential Home Address 74-76 Village Road Enfield Middlesex EN1 2EU 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) 020 8360 1519 020 8366 1889 Mr Teen Fook Chon Mrs J S Y Chon Mrs Eileen Morris Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Parkside Residential Home DS0000010677.V341828.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th July 2006 Brief Description of the Service: Parkside is a home registered to provide personal care for 24 older people. The home is located near to Bush Hill Park. The home is owned by Mr & Mrs Teen Fook Chon. There is a registered manager, Eileen Morris who has worked at the home for a number of years. The older people in the service have a wide range of care needs. Some are very alert, many are physically frail and others have developed dementia since moving to the home. The home consists of two houses that have been joined together. The building is on three storeys and has a lift. There are two double rooms and the other bedrooms are all single. Nine of the bedrooms have en-suite facilities. There are bathrooms and shower rooms designed for disabled access on the ground and first floor. On the ground floor there is a large lounge and dining area and a second smaller lounge. The house has a lovely large garden to the rear and this is accessible to all residents. The staffing structure consists of a manager, six senior care assistants and team of carers. The home also employs a cook, kitchen assistant and cleaners/ laundry assistants. During the morning there are four staff on duty, in the afternoon there are three and at night there are two waking night staff. The aim of the home is, “To help residents lead a comfortable life and maintain their independence in a homely and friendly atmosphere”. The current scale of charges is £399 to £450 per week. Copies of this report are available from the home or from the CSCI website. Parkside Residential Home DS0000010677.V341828.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on 20th August 2007 and lasted six hours. We were assisted throughout the inspection by the senior carer on duty and later by the registered manager who were both very open and helpful. We spoke with four staff on duty during the inspection. We spoke with eight residents of the home and observed the interactions between staff and residents. We also spoke with two visitors to the home. We inspected the building and examined various care records as well as a number of policies and procedures. The residents we spoke with said they were happy with the care and support they received. One resident told us, “I’m quite happy here”. What the service does well: What has improved since the last inspection? What they could do better: No new requirements have been issued as a result of this inspection or from any other information received by the CSCI. One good practice recommendation has been made by the CSCI. This relates to the home’s “Service User Guide” and suggests that the home looks at ways of encouraging potential residents from different cultures and backgrounds to feel welcomed. Parkside Residential Home DS0000010677.V341828.R01.S.doc Version 5.2 Page 6 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. Parkside Residential Home DS0000010677.V341828.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 Parkside Residential Home DS0000010677.V341828.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): 1 and 3 (6 not applicable) People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good information is available to prospective users of the service about the home. Assessments are completed before people move in to make sure that their individual needs can be met. EVIDENCE: We looked at the “Service User Guide”. This gives people information about the home and services and facilities available. Although the information was satisfactory it would be helpful to include a statement about how the home encourages people from different backgrounds to use this service. A good practice recommendation has been issued that the home reviews the service user guide to include an equal opportunities statement. Two assessments were examined from people who had recently moved into the home. The manager told us that someone from the home would visit a prospective resident and carry out an assessment of their needs before they Parkside Residential Home DS0000010677.V341828.R01.S.doc Version 5.2 Page 9 moved in. One resident confirmed that the manager had visited her in hospital and, “Told me all the details”. These assessments were detailed and covered all the elements required by this Standard including the assessment of physical, emotional, social and cultural needs. We also found that the information from these assessments was being recorded on peoples’ care plans as well. There was evidence that people moving into the home have a review of their placement after four to six weeks to see if they are happy at the home and whether they decide to move in on a permanent basis. This was also confirmed by residents at the home. All the residents we spoke with said they were happy with the care they received. One person commented, “ They are good to me” and that the staff are, “Very friendly”. Parkside Residential Home DS0000010677.V341828.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans clearly set out residents’ health, personal and social care needs so that staff know how best to support everyone at the home. Residents have good access to health care professionals and they are treated with respect. Residents get the medication they require, at the right times and by appropriately trained staff. EVIDENCE: We examined the individual plans of care for five people living at the home. These plans gave staff detailed information about how best to care for each person. People’s health, personal and social care needs were recorded on each plan. Care plans seen were “Person centred” in approach and contained information about how to maintain an individual’s privacy and dignity. Care plans also detailed people’s cultural needs. Risk assessments had been completed on all care plans for pressure care, moving and handling and nutrition. Where a risk had been highlighted there was clear instruction for staff about reducing this risk. Two people at the home have very complex needs. Pressure relieving equipment was in place and no one at the home has Parkside Residential Home DS0000010677.V341828.R01.S.doc Version 5.2 Page 11 any pressure sores. Records were being maintained of contact with family and friends. This also included comments from relatives about the quality of care provided. Care plans and risk assessments were being reviewed on a regular basis and changes made to care plans as required. People who use the service said that the staff were able to meet their needs and one person said, “They know their job”. There were records on peoples’ files of hospital appointments and input from other health care professionals. These included opticians, chiropodists and dentists. There was evidence of regular input from doctors including evidence of their attendance at the home. A district nurse, who was visiting the home on the day of the inspection, confirmed that staff monitored the residents’ health and that they communicated well with the district nurse team. Residents said that they were satisfied with the arrangements for health care provision at the home. Two residents said that they were unhappy that the local PCT no longer undertakes the taking of blood samples at the home. Residents said it was difficult and time consuming to go to the hospital just for a blood sample to be taken. The manager agreed that this was a problem and that she would look into this issue. Satisfactory records were examined in relation to the receipt, administration and disposal of medication. Records indicated that staff have undertaken medication training and only qualified staff administer medication at the home. Each person’s medication chart has a picture of them attached to it so that staff can double check who is receiving the right medication. Files examined indicated that the doctor is reviewing people’s medication on a regular basis. We saw a number of examples of good staff interactions with people and staff were able to give practical examples of how they ensure the privacy of people they support. We saw staff knocking on resident’s bedroom doors before entering. People we spoke with told us that the staff were respectful and kind towards them. Parkside Residential Home DS0000010677.V341828.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides varied activities for people who use the service in order to keep them suitably occupied and engaged. The home encourages visitors, which ensures an interesting and lively atmosphere. Residents are able to exercise choice and control over their lives. The home provides people with a wholesome appealing balanced diet. EVIDENCE: During the inspection staff were observed sitting and chatting with residents, which made for a friendly and relaxed atmosphere. It was clear that the residents and staff were enjoying each other’s company. People told us they enjoyed the activities put on at the home and during the inspection residents were playing “Music Bingo” with staff. Some residents said they enjoyed singing, reading and watching television with staff. Staff were able to give examples of how they engage residents with visual or cognitive impairment and one resident enjoys staff reading to him. Social and recreational interests were being recorded on individual care plans. Care plans also described how staff are to meet the cultural and religious needs of people living at the home. One resident commented that her local church minister visits regularly. Parkside Residential Home DS0000010677.V341828.R01.S.doc Version 5.2 Page 13 Visitors to the home told us that they felt welcomed by staff and were offered tea or coffee when they visited. Residents told us that they could have visitors at any time. The home has an open visiting policy and the record of visitors that was examined indicated that there were regular visitors to the home throughout the day and evening. On the day of the inspection a number of friends and family were visiting people at the home. The home has regular residents’ meetings and minutes examined indicated that residents have a say in how the home is run. The minutes also provided evidence that residents are consulted about the menus in the home. Staff we interviewed were able to give us practical examples of how they offer choice to people living at the home. One person commented that the manager had told her when she moved in that, “This is your home, you do what you like”. She confirmed that she could choose what to do and where to take her meals. The kitchen was inspected. The kitchen was clean, fridge and freezer temperatures were being recorded and there were sufficient amounts of fresh fruit and vegetables available. The chef was interviewed and had a good knowledge of individual resident’s dietary needs and preferences. People who use the service confirmed that the food was good at the home and that they always get enough to eat. On the day of the inspection the lunch was corn beef hash or ham salad. One person did not appear to like the meal she had chosen the day before and was offered a salad, which she seemed to enjoy. Parkside Residential Home DS0000010677.V341828.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints are taken seriously and responded to in a professional manner. People at the home are protected from abuse by clear policies and procedures and by an appropriately trained staff team. EVIDENCE: A satisfactory complaints policy was seen on display in the home. People we spoke to said they had no complaints about the service. Three complaints were recorded in the last twelve months and records seen indicated that these were dealt with appropriately and according to the policies and procedures in place. The home has a policy and procedure in relation to safeguarding adults from abuse. One of the complaints received became an adult protection issue and the local authority was involved. The matter concerned the giving of gifts to a staff member. The home’s policy clearly says that gifts are not to be accepted by any staff. The staff member was dismissed and the home’s adult protection procedure was followed properly. Staff we interviewed were able to give us examples of how people could be at risk from abuse and their responsibilities in relation to reporting any suspicions of abuse at the home. Training in the protection of vulnerable adults had taken place for staff and further training had been booked. People who use the service told us that they felt safe at the home. Parkside Residential Home DS0000010677.V341828.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and cleaned and maintained to a good standard. EVIDENCE: We toured the home with the senior carer and visited a number of resident’s rooms. We also looked at the bathroom and toilet facilities in the home. The manager said that she has put in place an improvement plan for the home, which includes fitting new carpets and redecorating communal areas. Peoples’ rooms were individual and contained some of their personal possessions like furniture and photos. The home appeared safe and reasonably maintained. There are three assisted bathrooms available. The home has a lift, a call system and handrails as appropriate. All the rooms contain a lockable box for valuables. On the day of the inspection the washing machine was not working and the senior carer said that they were waiting for parts for the machine. People’s laundry was being taken to another home, owned by the registered provider Parkside Residential Home DS0000010677.V341828.R01.S.doc Version 5.2 Page 16 and although this was time consuming did not appear to be affecting residents too much. All toilets and bathrooms contained paper towels and anti bacterial soap to reduce the risk of cross infection. Training records indicated that staff have undertaken infection control training and people who use the service said that the home was always clean. There were no offensive odours detected throughout the home. One resident commented, “It’s a lovely clean place”. Parkside Residential Home DS0000010677.V341828.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, 29 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff at the home work very hard to meet the needs of the residents and are provided with good training opportunities to further enhance their knowledge and skills. Recruitment practices are sufficiently detailed in order to protect residents at the home. EVIDENCE: On the day of the inspection there were four care staff on duty including the senior carer. There were fourteen residents at the home. Currently the home has ten vacancies. The staff team is stable and a number of staff have worked at the home for many years. Names of staff working in the home matched the rota on the day of the inspection. Residents were very positive regarding the care and support they received from staff. One resident commented, “They know their job” and “They do that little bit extra”. A requirement was issued at the last inspection that there must always be enough staff to support the residents in the home. The rota indicated that staff cover has been available when staff are off sick or on holiday and residents said they were happy with the numbers of staff supporting them. 70 of care staff have completed their NVQ level 2 or equivalent and staff were positive about the training opportunities they have at the home. Training certificates seen indicated that staff have undertaken the training required to do their work effectively such as moving and handling, first aid, infection Parkside Residential Home DS0000010677.V341828.R01.S.doc Version 5.2 Page 18 control and food hygiene. There were also notices for staff in the office about planned training events in the next couple of months. Staff files were examined. These all contained the required information such as written references, proof of identity and CRB disclosures. A requirement issued at the last inspection about Criminal Records Bureau disclosures has now been complied with. This should ensure that no staff are employed at the home who may not be suitable to work with vulnerable people. Parkside Residential Home DS0000010677.V341828.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, 34, 35 and 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager of the home knows the residents very well and understands their needs. Residents do have opportunities to have a say in how the home is run. Residents’ financial interests are being safeguarded. The health and safety of residents and staff are promoted and protected. EVIDENCE: The registered manager has recently completed her Registered Managers Award qualification and has been the manager of the home for a number of years. Both staff and residents were positive about her management approach. One staff member commented that the manager was supportive. A resident commented that the manager makes time to sit and talk with her. Parkside Residential Home DS0000010677.V341828.R01.S.doc Version 5.2 Page 20 The home has a quality monitoring system in place to get the views of the residents and their representatives. Questionnaires are sent out on a regular basis and the manager has now collated this information so it is easier to read. This was a requirement from the last inspection that has now been complied with. The registered provider undertakes monthly visits to the home and provides the CSCI and the manager of the home with a copy of the report she writes. These reports include feedback from residents about their views on the quality of the care provided at the home. This was also a requirement from the last inspection that has now been complied with. Records indicated that residents have regular meetings and the manager said that any suggestions were acted upon. The last meeting minutes seen made reference to the need for more variety of sandwiches for supper. The manager said this has been put into practice and the menu did list a good selection of sandwiches. A requirement was restated at the last inspection that the registered provider of the service must produce written confirmation from the home’s accountant regarding the financial viability of the business. The CSCI has now received this information and the requirement has been complied with. The home does not keep money on behalf of residents and invoices are sent to residents or their representatives as required. No resident currently deals with their own finances but a lockable metal cupboard is provided in their rooms. Most residents’ finances are looked after by their relatives. The home has a policy for the management of residents’ money, valuables and financial affairs. Satisfactory invoices and receipts were seen for a number of residents. The maintenance certificates were checked for the water system, nurse call, lift, hoist, electrical systems, gas safety and fire appliances and these were all in place. Satisfactory records were also seen in relation to fire safety. Staff undertake fire drills on a regular basis. Records indicated that staff are undertaking the required health and safety training. Parkside Residential Home DS0000010677.V341828.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 3 X 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 3 X X X X X 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 3 3 X X 3 Parkside Residential Home DS0000010677.V341828.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. 1. Refer to Standard OP1 Good Practice Recommendations The registered person should ensure that the home’s “Statement of Purpose” includes an equal opportunities statement detailing how potential residents from diverse backgrounds are welcomed and encouraged by the home. Parkside Residential Home DS0000010677.V341828.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Harrow Area Office 4th Floor, Aspect Gate 166 College Road Harrow London HA1 1BH 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 Parkside Residential Home DS0000010677.V341828.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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