Inspection on 10/01/08 for Pendlebury Manor Care Home

This inspection was carried out on 10th January 2008.

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

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

Other inspections for this house

Pendlebury Manor Care Home 27/01/10

Pendlebury Manor Care Home 04/08/09

Pendlebury Manor Care Home 05/08/08

Pendlebury Manor Care Home 03/07/07

Pendlebury Manor Care Home 09/05/06

Pendlebury Manor Care Home 10/01/06

Pendlebury Manor Care Home 07/06/05

Pendlebury Manor Care Home 16/12/04

Pendlebury Manor Care Home 30/07/04

Pendlebury Manor Care Home 24/05/04

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

CARE HOMES FOR OLDER PEOPLE Pendlebury Manor Care Home Pendlebury Manor Care Home, Lyme Green Park London Road Lyme Green Macclesfield Cheshire SK11 0LD Lead Inspector Helena Dennett Unannounced Inspection 10 January 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Pendlebury Manor Care Home DS0000018805.V352601.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. Pendlebury Manor Care Home DS0000018805.V352601.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pendlebury Manor Care Home Address Pendlebury Manor Care Home, Lyme Green Park London Road Lyme Green Macclesfield Cheshire SK11 0LD 01260 253555 01260 251641 manager@pendlebury-manor.wanadoo.co.uk 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) Pendlebury Care Homes Ltd Susan Ann Bellamy Care Home 61 Category(ies) of Dementia (5), Dementia - over 65 years of age registration, with number (61) of places Pendlebury Manor Care Home DS0000018805.V352601.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 61 service users to include * Up to 61 service users in the category of DE(E) (dementia over the age of 65 years) requiring personal care only * Up to 5 service users in the category of DE (dementia, aged between 50 and 65 years) requiring personal care only Date of last inspection 3rd July 2007 Brief Description of the Service: Pendlebury Manor provides care for up to 61 people with dementia who require personal care only. The premises are divided into two units: the Villa and the Manor. Accommodation comprises of 53 single rooms and 4 shared rooms. There are dining and lounge areas in each unit and two passenger lifts for access to the first floor. The weekly fee charged to the residents is from £462.24 to £515.16. Additional costs may be charged depending on the bedroom occupied. The home manager provided this information on 25 June 2007. Information regarding the fees can be obtained by telephoning the home. Pendlebury Manor Care Home DS0000018805.V352601.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This unannounced inspection visit, which is part of the key inspection, took place over 6 hours. Two inspectors visited the home. Before the visit the manager was invited to provide evidence as part of this inspection process. The views of residents and relatives were also sought and their comments are incorporated into this report. During the visit inspectors spoke to the manager, some staff members and residents and relatives. Three residents’ records were examined as part of the inspection process, in respect of the care they receive. Records of medication, care plans and training was also examined as were policies, procedures and paperwork used at the home. What the service does well: Except for emergency situations all prospective residents have an assessment before they move into the home so they can be confident that staff at Pendlebury Manor care home will be able to meet their needs. There is a good range of social and leisure activities for the people who live at the home to take part in so they stay active and stimulated. Staff were seen to be supportive and to provide personal care in a sensitive way so that the privacy and dignity of people being cared for was protected. Accurate complaint records are kept so staff can show how concerns and complaints have been listened to and acted upon. There are good recruitment procedures, which means that only people suitable to work in the care industry are employed A range of training opportunities has been provided for staff to enable them to increase their skills and knowledge. Many of the staff have a National Vocational Qualification (NVQ), which means they have the knowledge and skills to care for the people living in the home. Pendlebury Manor Care Home DS0000018805.V352601.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Pendlebury Manor Care Home DS0000018805.V352601.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 Pendlebury Manor Care Home DS0000018805.V352601.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&3 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Prospective residents’ have a full assessment of needs before moving into the home to ensure there are the right resources available at the home to meet their needs. EVIDENCE: We were told that everyone who lives at the home is given a contract and terms and conditions as they move in so that they know what is included in the charges. The contract for one person recently moved into the home was looked at and was satisfactory. Except for emergency situations, the manager or a senior member of staff visit the person in their own home or hospital to do an assessment of their needs before they move into the home. This ensures that staff at the home can meet that person’s needs. Pendlebury Manor Care Home DS0000018805.V352601.R01.S.doc Version 5.2 Page 9 Intermediate care is not provided at Pendlebury Manor Care Home so standard 6 does not apply. Pendlebury Manor Care Home DS0000018805.V352601.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 & 10 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. Although the health of the people living in the home is maintained there are still some problems with care plans and record keeping that could put them at risk of their needs not being met. EVIDENCE: Three people’s records were looked at during the inspection visit. All contained an assessment of needs, which forms the basis of the care plans. Two of the care plans looked at were written in 2005 and although they had been added to as the person’s needs changed, they should be rewritten to ensure that all of the information contained in the plan is up to date and accurate. For example; one person’s condition had changed over a period of time. Although the district nurse had written care plans for the care staff to follow, the original care plans (written in 2005) were also in place, which could lead to confusion. The original care plans should have been rewritten or cross referenced to the new care plans so staff are fully aware of the most up to date care to be Pendlebury Manor Care Home DS0000018805.V352601.R01.S.doc Version 5.2 Page 11 provided for that person. There was evidence, however, to show that staff at the home were meeting this person’s needs. The care plan for one person who has recently moved into the home was found to be very comprehensive and was based on their individual needs. All care plans were reviewed monthly and these were written in terms of outcomes so it was easier to track the health of that person. People living in the home have their weight checked regularly. This is recorded in their care plan. There was evidence that one person had lost a considerable amount of weight over a period of time. Although this had been recorded in the care plan, it was difficult to see what action had been taken. We were told that the nurse assessor had been contacted and had advised that the resident’s body mass index (BMI) was within normal range so there was no need for any additional intervention. Three people were spoken with during the site visit. They were very positive about the staff and the care provided. They said that staff were ‘very good’ and looked after them well. The following comments were made on survey forms returned to us: ‘We are extremely happy with every aspect of my relatives care’ ‘I feel that Pendlebury Manor staff do a very good job I have been dealing with this care home for over three years and now trust the home to care for my relative with the respect and dignity they deserve’ ‘I am satisfied that my relatives needs are being well provided by the home’ There care records showed that healthcare professionals such as the nurse assessor, district nurse and chiropodist visit residents regularly. The management of medicines in the home was found to be satisfactory in the main. People living in the home receive their medicines as prescribed by the doctor. There were two instances where correction fluid had been used on the medicine administration record (MAR) sheet. This is considered poor practice. The manager agreed to address this. The privacy and dignity of people living in the home was maintained. Staff were seen treating people with respect and appeared to know them well. Bedroom and bathroom doors were shut before any personal care was carried out. Pendlebury Manor Care Home DS0000018805.V352601.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 & 15 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There are activities available for the people who live at the home to take part in as they choose, so they can stay active and stimulated. EVIDENCE: An activity co-ordinator is employed to work 32 hours in the home. There is an activities programme in place, although we were told that this is sometimes changed in accordance with the wishes of the residents. On the day of the inspection visit, the activity co-ordinator was working as a carer to cover for a member of staff who was off sick that day. We were told the following activities are provided in the home: visiting entertainers, carpet boules, card games, dominoes, crafts including making flash cards for residents to use, magnetic darts, knitting and flower arranging. The information we were sent before the inspection visit confirmed this. There is a photograph album in the reception area of the home with photographs of recent events and some of the activities residents have taken part in. Pendlebury Manor Care Home DS0000018805.V352601.R01.S.doc Version 5.2 Page 13 Two residents told us that they don’t take part in planned activities but they enjoy walking outside in the gardens in better weather. The following comments regarding activities were made on survey forms received back to us: ‘This is an area I feel is sometimes not quite right. My relative is now too ill to take part in activities, but I felt when they were able there was not enough to do. They had no outside visits unless family took them out which was not always possible’ ‘Nobody does anything any more so the patients are just sat around with nothing to do but sleep or sit fixated at something’ Paintings and crafts done by people who live in the home were displayed in the Villa unit. Visitors can come and go at any reasonable time. A weekly religious service is held at the home, and peoples’ religious beliefs are identified in their care records. There has been a new head chef appointed since the last inspection. The kitchen was clean, tidy and well organised. A two week cycle of menus was in place. Discussion took place with the manager about the possibility of extending this to a three week cycle so that residents don’t become bored with the menu. Lunch on the day of the inspection was well presented and consisted of shepherd’s pie, potatoes and vegetables followed by a desert of ginger sponge and custard. People were seen to eat their food in a dignified way and staff appeared attentive at this time. Pendlebury Manor Care Home DS0000018805.V352601.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 & 18 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Complaints are dealt with effectively so people living in the home know that their concerns will be taken seriously and staff have received training on safeguarding adults so residents are protected from possible harm. EVIDENCE: There is a complaints procedure; this is included in the service user guide and displayed on the wall in the reception area. One complaint has been logged since the last inspection; it had been upheld and dealt with by the manager All staff have had training on adult protection issues and were able to confirm the action they would take they were aware of an incident or an allegation of abuse were made. Pendlebury Manor Care Home DS0000018805.V352601.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 & 26 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to this service. Although improvements have been made around the building, more needs to be done to ensure that people live in pleasant and safe surroundings. EVIDENCE: Improvements have been made to the environment since the last inspection. The outside windows have been painted so enhancing the appearance of the building. Most of the problems raised at the last inspection have been dealt with. New carpets and flooring have been laid in the communal areas in the Manor. New carpets have been laid in the communal areas in the Villa. In addition, the following improvements have been made. Manor Unit: new flooring and a handrail have been fitted in the downstairs toilet; we were told that this work is not yet complete as the floor is not Pendlebury Manor Care Home DS0000018805.V352601.R01.S.doc Version 5.2 Page 16 sealed, a wider plinth needs to be purchased and the wood next to the hand rail requires painting. The cabinet in the bathroom off the main lounge needs to be removed, as it is an infection control hazard. Upstairs corridor doors are chipped and need revarnishing. The wallpaper upstairs needs to be improved. Some of the sinks in resident’s rooms did not have plugs. Members of staff said they have a store of plugs but in some instances have to take them away after helping residents to wash as some residents sometimes overfill the sinks. Some of the dining room furniture is showing signs of wear and tear and needs replacing or repairing. In particular, some of the tables are chipped and considered an infection control hazard. Villa Unit: the plaster is coming away from the area outside to en-suite rooms. We thought some pipes running to the radiators were hot and there could be a risk of burns to people living in the home if they fell against them. This needs to be addressed. The new houses at the back of the home overlook some of the rooms. Consideration should be given to putting privacy curtains/blinds over the windows. The flooring near the patio door in the main lounge and the flooring in the dining room near the door are lifting and require attention. The flooring in the kitchen/store area requires replacing. Staff facilities are poor; they consist of a spare bedroom, with a toilet, that contains a wardrobe and small table. It is also used as a storeroom for flooring etc and does not provide a relaxing place for staff to sit in. Staff were seen using the Manor dining area to have a cup of tea in the afternoon – this is not acceptable as it is the residents’ area. The home was clean and tidy and free from offensive odours. The kitchen was clean and well organised. The laundry was also organised with no issues noted. Pendlebury Manor Care Home DS0000018805.V352601.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 & 30 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There are enough care staff on duty to meet the needs of the people who live at the home. Good recruitment procedures mean that people living in the home can be confident that only staff who are suitable to work in care are employed to care for them. EVIDENCE: On the morning of the inspection visit a member of staff had rung in ill so the activity co-ordinator worked as a carer to cover the duty. She told us she has previously worked as a carer and has had up to date moving and handling training. The rotas for the care staff showed that for most of the time there were six care staff on duty in the morning, and six in the afternoon. The rotas also showed that there were four staff on duty at night, and that there is a senior carer on duty at all times. The manager confirmed that this is enough to meet the dependency needs of the residents. Residents spoken with were positive about the staff and appeared to have good relationships with them. The following comments were made on survey forms returned to us: Pendlebury Manor Care Home DS0000018805.V352601.R01.S.doc Version 5.2 Page 18 ‘They treat each person as an individual. Always the staff are very friendly and happy to talk to my relative and us when we visit. They act quickly if there are any problems’ ‘My relative has been ill several times and needed to go into hospital. On all occasions it has been dealt with very well and support when returning to the home was very good.’ We looked at three staff files during the inspection visit. These all showed that all of the necessary checks had been carried out before the person started working in the home. Staff training files were also available. All of the staff who spoke with us during the inspection visit said they felt supported in their training. 56 of staff have a national vocational qualification (NVQ) or equivalent; this means that they have the knowledge and skills to carry out their role. There was evidence of other staff training being provided such as health and safety, moving and handling, dementia care, safeguarding adults and diabetes care. The records showed that some staff supervision was taking place and we were told that although this is not yet up to date, there are plans in place to make sure that all staff receive regular one-to-one supervision this year. Pendlebury Manor Care Home DS0000018805.V352601.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The home is well managed which means the health safety and welfare of service users is protected. EVIDENCE: The manager of the home is registered with us. A deputy manager and senior carers support her. Staff at the home returned survey forms to us; most of them indicated that they felt they had the right support to meet the different needs of the people living there. One person felt they only received support sometimes and that they were not given enough information. Pendlebury Manor Care Home DS0000018805.V352601.R01.S.doc Version 5.2 Page 20 Three members of staff spoken with us during the inspection visit and said they would approach the deputy manager if they had a problem. They did not feel they would approach the manager in the first instance. There is a quality assurance system for the home. Satisfaction surveys are sent out periodically to relatives to gain their opinion of the service. Several had been returned to the home since the last inspections. Those we saw were positive about the care provided and said they felt that the manager and staff were approachable. We were told that any issues that arise are addressed immediately. However there is no system in place to collate the findings of the surveys and give them out to interested parties. We were told that in-house meetings are held with residents. Discussions take place about various issues in the home and residents are encouraged to say what they think so changes can be made as necessary. A representative from the company should visit monthly and produce a report on the quality of the service provided. After the last inspection it was agreed that this report would be sent to us. However, the records revealed that a visit in October did not take place. There was no report available for December although the manager said that a visit had been made during December. At the last inspection residents’ monies were found to be managed well. A sample of the maintenance records for the home was checked and found to be satisfactory. There were records to show that fire safety tests had been carried out and that staff has taken part in fire drills. Pendlebury Manor Care Home DS0000018805.V352601.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 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 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 2 X 3 X X 3 Pendlebury Manor Care Home DS0000018805.V352601.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. 1 Standard OP19 Regulation 23 (2) (b) Requirement The work to the physical environment must be completed so residents are enabled to live in a comfortable and safe environment. Reports of the monthly unannounced visits undertaken by the company representative must be provided to the manager and be available for the inspector to view. Timescale for action 01/04/08 2 OP33 26 (3) 31/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP8 OP9 OP12 Good Practice Recommendations Staff should ensure that accurate up to date records are kept of any action taken or decisions made when a person loses weight. Consideration should be given to providing enough facilities to store controlled drugs to the correct specification Residents’ views about the activities programme should be DS0000018805.V352601.R01.S.doc Version 5.2 Page 23 Pendlebury Manor Care Home 4 5 OP19 OP33 sought to make sure that it meets their needs and preferences. Consideration should be given to improving staff facilities to providing staff with a more suitable area to have their break and so residents communal areas will not be used. The comments and views obtained from the customer satisfaction surveys should be collated and made available to interested parties so they can see that their views are being taken into account and acted upon as appropriate. Pendlebury Manor Care Home DS0000018805.V352601.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Pendlebury Manor Care Home DS0000018805.V352601.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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