Inspection on 18/05/06 for Priestley Care Home

This inspection was carried out on 18th May 2006.

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.

Other inspections for this house

Priestley Care Home 16/05/07

Priestley Care Home 10/10/05

Priestley Care Home 18/05/05

Priestley Care Home 03/02/05

Priestley Care Home 02/08/04

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 Priestley Care Home Market Street Birstall West Yorkshire WF17 9EN Lead Inspector Stephen French Unannounced Inspection 18th May 2006 09:00 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 Priestley Care Home DS0000029924.V297151.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. Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Priestley Care Home Address Market Street Birstall West Yorkshire WF17 9EN 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) 01924 440266 01924 440268 Tri-Care Limited Mrs Diane Julie Waite Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th October 2005 Brief Description of the Service: Priestley Care Home provides accommodation and personal care for up to 40 older people. It is owned by Tri-Care Ltd, a company, which has a small number of care, homes in the area. The home is situated in the centre of Birstall, close to local shops and amenities. The home was purpose built and registered almost four years ago. Accommodation is provided over two floors and there is a passenger lift. Both floors have a lounge and dining area and all bedrooms have en-suite facilities. There is a garden on two sides of the home, to which residents have access. There is adequate car parking at the front of the building. The provider informed the Commission for Social Care Inspection on 18/05/06 that fees range from £450.00 to £500.00 per week. Additional charges include hairdressing, private chiropody, newspapers and some selected activities. Information about the home and the services provided are available from the home in the statement of purpose and service user’s guide Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out on the 18th May 2006. The inspector arrived at the home at 9:05 am and left 4:00pm. Since the last inspection, which was carried out on the 10th October 2005 a further additional visit has been carried out by the Commission for Social Care Inspection to investigate a complaint surrounding concerns about the standard of care a service user received following an accident at the home. During this visit the inspector spoke to some of the service users, visiting professionals, some of the staff and the home’s management. The inspector read care records, audited a sample of medication records, reviewed staff recruitment and training records and carried out a brief tour of the building. Prior to the inspection 10-service user questionnaires were sent to the home to obtain service users’ views about living at the home. Three completed questionnaires were returned. Some service users in the home are very frail and would not be able to complete a questionnaire. There were thirty-nine service users resident in the home on the day of this visit. Relative surveys were also sent out and three were returned. Other information used in the inspection process included notifications from the provider to the Commission for Social Care Inspection about deaths, illnesses, accidents and incidents at the home, copies of the monthly management visit reports produced by the provider. and a pre inspection questionnaire completed by the manager. What the service does well: Service users needs are assessed prior to them moving into the home to ensure the home is able to meet those needs. The home offers a safe comfortable friendly environment in which the service users can live. There is a committed staff team who are aware of the needs of the service users. The manager has been in post since December 2005 and has made a lot of improvements to ensure service users receive a satisfactory Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 6 standard of care. Service users said that the meals were very nice and that there was plenty of choice on offer. They also said that they were very happy with the social activities which were on offer and that they enjoyed the trips out that they had. Service users’ personal appearance had been attended to and those spoken to gave positive feedback on the way the home is run and the attitude of staff. What has improved since the last inspection? What they could do better: The registered provider should have a separate duty rota for kitchen and laundry staff. this will prevent care staff having to share their duties between personal care and domestic duties enabling them to spend more time with the service users. Staff must receive training in what their responsibilities are should a fire be discovered in the home, particularly surrounding the evacuation of service users. The manager should ensure that those service users who wish to be involved in the monthly review of their care plans have the opportunity to do so. Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 7 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. Priestley Care Home DS0000029924.V297151.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 Priestley Care Home DS0000029924.V297151.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 No service user moves into the home without having their needs assessed to ensure these needs can be met by the home. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Prior to a service user being admitted to the home the manager receives a community care assessment, which has been completed by the service users social worker. The manager or her deputy then goes out to visit the service user and completes a pre admission assessment. This assessment determines if the home will be able to meet the needs of the service user. Evidence was seen in five care files examined that a community care and pre admission assessment had been completed prior to the service user being admitted to the home. One service user spoken to said that the manager had visited her in hospital before she was admitted to the home. Four service user questionnaires received stated that they had been given information about the Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 10 home prior to their admission. Service users seen on the day of the visit appeared to be appropriately placed. The manager stated the home does not offer Intermediate care. Priestley Care Home DS0000029924.V297151.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Service users health, personal and social care needs are set out in an individual plan of care. Suitable risk assessments are carried out and are being monitored. Service users are able to make decisions about their lives with the support of staff. Medications are managed safely. Service users are treated with respect and their privacy and dignity is maintained by the staff in the home. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Each service user has a care plan, which has been developed following information gathered from the community care and pre admission assessment. Information is also gathered from discussions with the service user and their family. The care plan identifies areas in which the service user requires assistance in personal or health care. Five service users care files were examined along with the pre admission assessments. Care plans were in place for problems identified during the assessment. Risk assessments were in place for nutrition, skin integrity and moving and handling. There were Care plans for those service users who had developed mental health problems. Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 12 Care plans and risk assessments were reviewed monthly, two care plans had evidence that the service user had been involved in the reviews of their care. Some service users where aware of their care plan. Relatives advised that staff keep them updated about any changes to service users health and welfare needs. Staff, when asked, were familiar with the service users’ needs and how they were to be met. The home has recently introduced new care documentation and staff should ensure that previous information is transferred onto the new documentation. This will ensure that the service users past medical history is easily available and risk assessments are completed fully to ensure care staff understand the actions they are required to take to minimise the identified risk. Within the care files examined there was information on the service users preferred times of rising and retiring. Service users spoken to all said that they were able to rise and retire whenever they wished. They also said that the care staff would assist them with personal care if it were required. Care Staff seek the assistance and advise of members of the multidisciplinary team for such things as tissue viability, continence and mental health, evidence of this was seen in the files examined. The district nursing team visit the home at regular intervals and one district nurse spoken to spoke highly of the staff, she said that they always contact her if they are worried about a service user, they carry out any instructions which are given to them, and she stated that service users who she visits all speak highly of the staff and the care that they receive. Senior care staff are responsible for the administration of medication. They have received training in this from the pharmacist and the manager of the home. A number of staff have completed an accredited course on medication. Service users are able to self medicate if they wish following completion of a risk assessment. A senior carer was observed administering medication to service users on the first floor and was questioned about some of the medication that was being administered, although her answers were adequate it was advised that she refreshers her knowledge on some of the medication she was administering. The stock balances of five service users medication was checked against the medication administration records held by the home and the balances tallied. Medication seen was stored correctly. Priestley Care Home DS0000029924.V297151.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Service users’ social, cultural, religious and recreational needs are being met and they are helped to maintain contact with their families and the local community. Service users are able to exercise choice and control over their lives. Meals provided are varied, wholesome and appealing. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The home employs an activities co coordinator who works five days a week. She is responsible for organising group and one to one social activities within the home. On the day of the visit service users were observed playing a game of dominoes on the morning and movement to music on the afternoon. A church service is conducted every second Sunday and there is a variety of social events arranged, such as pub trips, trips to garden centres and a trip to Blackpool. Service users spoken to said they were happy with the activities on offer and that they could join in if they wish, comment cards received also Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 14 confirmed this. Service users confirmed that visitors to the home are welcomed at anytime and during the visit relatives were observed coming and going throughout the day. Meals can be eaten in either the dining room or the service users own room. On the day of the visit the tables were set with appropriate cutlery and condiments, there were flowers on the tables. The home has recently reviewed its menus and now offers five different choices for lunch. Service users all said how nice the food was, and on the day of the visit the meal choice consisted of, Hot Pot, Spaghetti Bolognaise, omelette, salad or baked potatoes with various fillings. During discussions with staff and the manager it was stated that care staff, who work on night duty are responsible for preparing the vegetables and cooking the meat the night before as the home does not employ a kitchen assistant to assist the cook. Due to the size of the home the registered provider should consider employing kitchen staff on a separate rota, this will enable care staff to concentrate on providing care to service users during the night. Priestley Care Home DS0000029924.V297151.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Service users and their relatives are confident that complaint will be handled appropriately. Service users are protected from abuse. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The home displays its complaints policy in the reception area of the home. Service users also receive a copy of the policy within the service users guide and there is a copy in each service users bedroom. The manager investigates and records all complaints and these are audited on a monthly basis. Service users spoken to, and comment cards received, all said that they were aware of the policy and were confident that any issues raised would be addressed by the home manager. Staff receive training in the protection of vulnerable adults as part of their induction and it is also discussed as part of the staffs supervision. The manager showed the inspector a new training pack on this subject, which all staff will complete. Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 16 Staff interviewed by the inspector at the time of the visit gave good responses to questions asked on this subject and discussed the actions they would take if they had any concerns or suspicions that any service user was being abused. Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,22,23,24,25,26 Service users live in a safe, well-maintained environment. The home is clean and pleasant. Quality in the outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: During the visit a tour of the home was conducted this included a number of service users bedrooms, communal lounges and dining rooms and bathrooms. Service users bedrooms were personalised with their own pictures, ornaments and small pieces of furniture. Bathrooms contained assisted baths to enable service users who have mobility problems safely get in and out of the bath. There is a laundry within the home which is responsible for the laundering of service users personal clothing as well as bedding. It was noted that care staff are responsible for operating the laundry and night staff iron service user clothing during the night. By having to complete these tasks care staff could be Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 18 prevented from delivering personal care to service users or having time to sit and chat with service users. The laundry is situated on the first floor and if one member of the night staff is responsible for ironing during the night this may prevent them from supervising service users. A recommendation to have dedicated laundry staff made during the last inspection has not been actioned. A relatives meeting held on 14/5/06 raised concerns about the laundering of clothes. Results from a recent relative and service user survey carried out by the home also raised concerns about the laundering of cloths. The standard of décor and furniture throughout the home is of a very high standard and there were no unpleasant odours detected in any part of the home. Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The home is staffed by qualified competent staff in sufficient numbers to meet the service users needs. Kitchen and laundry staff should be identified on a separate duty rota. The home has robust recruitment procedures, which protect the service users from abuse. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: In the past the home has had problems with retention of staff but this appears to have settled down and the home has a stable staff complement. The duty rota was checked for the month of May and confirmed the staffing levels to be; AM, 1 senior carer and four care staff plus the manager. PM; 1 senior carer and four care staff, and during the night 1 senior carer and two care staff. It was noted that there had been Twenty hours of agency staff used over the last week. The manager stated that this was due to the home waiting for appropriate checks to be completed for a new member of staff before they commenced employment. Service users and staff spoken to, and comment cards received confirmed that there were sufficient numbers of staff on duty Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 20 Four staff details were checked for care staff that has recently been employed by the home. The files contained application forms, interview assessments, two written references and a health questionnaire. Before any new staff are employed checks are made to ensure that the employee does not have a criminal record or appear on the protection of vulnerable adults register. Evidence was seen that the home had undertaken these checks. Currently there are eight staff who have an N.V.Q level 2 qualification the remaining staff are working towards the award. New staff complete an induction program, which covers, amongst other things, moving and handling, fire training and health and safety. One carer who had been employed at the home for three weeks informed the inspector that she had commenced her induction training and had worked alongside a senior member of staff for the first week until she felt confident. She stated she felt well supported by the manager and other care staff. Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 The home has a stable management team and is run in the best interest of service users. Service users’ financial interests are safe guarded. The health, safety and welfare of service users and staff are promoted but are not always being fully protected. Quality in the outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The registered manager has completed the registered managers award and is aware of the aims and objectives of the home. Service users and staff spoken to said she was very nice and was always approachable. She has worked hard Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 22 to improve the standards within the home and should be commended for the progress she has made. The company who owns the home has introduced formal quality audits, which are completed by the manager on a monthly basis. The areas, which are audited, include, amongst other things, accidents, complaints, staffing and care, evidence was seen that action plans are produced and acted upon. Service user and relatives are asked for their comments on the home and the care that they receive on an annual basis. The last homes service user survey was completed in February 2006 and the results of the survey gave some positive comments regarding staff and the care that the service users receive. The manager should make the results of the survey available to the service users and their relatives. Service users are able to keep small amounts of personal monies within the homes safe for purchases of small items such as sweets clothing and paying for hairdressing. Three amounts of service users personal allowances were checked against the records held by the home and the balances tallied. Movement and handling training has been provided to the majority of staff members this year. Staff confirmed this when interviewed. There are policies and procedures in place surrounding health and safety and the manager is aware of her responsibilities towards service users and staff. Regular fire safety checks are carried out and recorded. Staff receive training in fire prevention, a number of staff questioned on this subject gave different answers to what they would do if the home had to evacuate the service users in the event of a fire. Some staff said they would evacuate if there were a fire and others said they would wait for the fire brigade. The homes fire risk assessment and fire policy was examined and was found to be in need of updating. More information is required within the policy on evacuation to ensure all staff are aware of their responsibilities. Certification in relation to servicing of gas electricity and electrical equipment was not examined as the manager stated there were all in place and up to date. Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 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 4 X X 3 4 4 4 3 STAFFING Standard No Score 27 2 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 X X 2 Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 24 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 OP27 Regulation 18 (1) a Requirement Timescale for action 31/08/06 2 OP38 23 (4) e The service provider must ensure that care staff are not taken from care duties in order to undertake work in the laundry and Kitchen. The registered provider must 31/08/06 ensure that staff are aware of their responsibilities and the procedures to be followed in case of fire. The fire policy and risk assessment must be updated. 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 OP7 Good Practice Recommendations Staff should ensure that all relevant service users information is transferred to the new documentation. DS0000029924.V297151.R01.S.doc Version 5.2 Page 25 Priestley Care Home Evidence must be recorded that the service user or their representative has been given the choice to be involved in the monthly review of their care. 2 OP9 Care staff who bear responsible for administering medication should have a periodic update to ensure they remain competent in this area. Running totals of Temazepam tablets should be recorded Service users and their relatives should be made aware of the results of the annual questionnaire Staff should receive an update on moving and handling 3 4 OP33 OP38 Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 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 Priestley Care Home DS0000029924.V297151.R01.S.doc Version 5.2 Page 27 - 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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