CARE HOMES FOR OLDER PEOPLE
Primrose Villa Rest Home 258 Preston Road Standish Wigan Greater Manchester WN6 0NY Lead Inspector
Judith Stanley Unannounced Inspection 2nd February 2007 09:15 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 Primrose Villa Rest Home DS0000067897.V319828.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. Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Primrose Villa Rest Home Address 258 Preston Road Standish Wigan Greater Manchester WN6 0NY 01257 421737 01257 400003 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) Diamond Healthcare Limited Susan Burgess Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. This home is registered for a maximum of 15 service users to include *up to 15 service users in the category of OP (Old Age not falling within any other category). New registration Date of last inspection Brief Description of the Service: Primrose Villa Care Home has recently been purchased by Diamond Healthcare Ltd. The home is registered for 15 residents over the age of 65 years. The home is situated on the outskirts of Standish in Wigan and is close to local shops and amenities. The home has a garden to the rear and limited car parking at the side of the home or on the main road. The home is a two -storey building with bedrooms on both floors. There is a lounge and dining room on the first floor and toilets are close by. Bedrooms, bathrooms and toilets are situated on the first floor and are accessible by passenger lift. Accommodation consists thirteen single rooms and one shared room. One room on the ground floor has an en suite facility. The current scale of fees ranges from £353.44 to £355.00. Additional charges are made for hairdressing. Primrose Villa Rest Home DS0000067897.V319828.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 to Primrose Villa took place on 2nd February 2007 and included a site visit. The inspection was carried out from 09.15 am until 2.45 pm. The inspector looked at records the home holds on residents (care plans) and other records the home needs to keep to ensure the home is being run properly. The inspector looked around the building and checked the bedrooms, bathrooms and communal areas. To find out more information the inspector spoke at length to two residents, two visitors, the manager and deputy manager and all the staff were spoken with. All staff were very complementary of the new owners of the home and said that they gave them good support and were very approachable. Comment cards, asking residents and relatives, health care professionals and doctors who visit what they thought about the home had been sent out prior to the inspection. Eight questionnaires were returned from residents, eight from relatives, and one from a doctor and two from other health care professionals. One resident said, “ I a very happy living here and I am really well looked after”, another said, “staff see to my needs”. Another resident stated, “ Staff are wonderful and look after all my needs. I would tell my friends this is a wonderful home, I am able to talk with the manager if I am concerned about anything”. The returned relatives questionnaires indicated that they were satisfied with the care given to their relatives living at the home. One card returned from a doctor confirmed that he was pleased with the care his patients receive. The manager confirmed that there had been no complaints made to the manager since the last inspection and no complaints have been forwarded to the CSCI. What the service does well:
Several of the staff had worked at the home for a number of years. This provides residents with consistent and reliable care by people they know and are familiar with. The food at the home is good, well cooked and nicely presented and offers residents with a well - balanced and nutritious diet. There are no restrictions on visiting times and relatives confirmed that they are always made to feel welcome when they visit.
Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better:
Lighting in bedrooms and on the corridor needs to be improved, as currently the lighting is poor and creates an overall dismal effect. Several bedrooms are in need of decoration and refurbishment. Information provided by the manager during the inspection indicated that the owners are planning to decorate two bedrooms a month. The hairdressing room should not be used for the storage of wheelchairs, as this looks unsightly. Resident’s underwear and continence products should not be stored and on display on the shelf in the downstairs toilet. This does not maintain the resident dignity.
Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 7 The odour in one resident’s room must be eradicated. This was discussed with the manager who may have to consider, after consultation with the resident and family some alternative flooring. All communal toiletries and sponges must be removed. Residents should have toiletries in their own rooms and brought into the bathroom when they wish to bathe. Bathrooms are in need of decorating as these are looking tired and are in need of modernising. Residents prescribed creams must not be stored in the bathroom, these should be suitably stored in either residents own rooms or treatment room or medical cupboard. 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. Primrose Villa Rest Home DS0000067897.V319828.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 Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 were assessed. Standard 6 does not apply as Primrose Villa does not provide intermediate care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to provide prospective residents and their supporters with current information to help them make an informed choice about moving into the home. EVIDENCE: The statement of purpose and the service user guide had recently been amended to ensure prospective residents and their supporters have current information about the owners of the home and their background. Details and qualifications about the manager and staff are included. The home also has a welcome letter, which is given to all prospective residents. The letter is written very informally and informs people about the services and facilities offered at the home. One resident confirmed on a returned questionnaire, “ I received a
Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 10 welcome pack and looked around the home and stayed for tea before moving into the home, I had only heard good reports about this home”. The inspector looked at two care plans and in both care plans there was evidence that pre admission assessments had been carried out prior to residents moving into the home. Assessments are carried out at the most convenient place for the residents, this could be at their own home, or in hospital or the prospective resident can be assessed at Primrose Villa if they wish. The pre admission assessment covers personal and physical well – being, diet, including likes and dislikes, weight, mobility, social history and interests, history of falls, medication, personal safety and risk. Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 were assessed Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans were satisfactory and reflected the care needed to ensure the resident’s needs are met. Satisfactory systems are in place for the administration, storage and recording of medication ensuring residents get their medication as required. EVIDENCE: Two care plans were looked at and were found to contain satisfactory information about individual residents and how staff can meet their care needs. The care plans included a personal profile which provides staff with some background information on the residents they are caring for, such as, where the resident had worked, family members, interests and likes and dislikes. Details of medication were also included. The care plans had been reviewed monthly and any changes to the plans were made as required. There is a residents risk assessment file maintained for each resident which covers eating
Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 12 and drinking, bathing, toileting, involvement in activities, behavioural matters, and movement and mobility both in and out of the home. Some of the paperwork is duplicated in other files, however the information on residents is readily available and staff know the systems. There is a separate file to monitor the resident’s weight. Where possible residents are weighed on a monthly basis and information is recorded, this enables staff to monitor weight loss and gain and take any action needed. There was evidence to demonstrate that residents have access to health care services as required. This included access to doctors, district nurse, chiropodist and sight test. There are satisfactory systems in place for the storage, administration and recording of medication. The morning medication round was observed and residents were seen receiving their medication in an appropriate manner. The medication was recorded immediately after it had been given on the individual’s drug sheet. Staff who had administer medication had undertaken training in medication awareness and further training for all staff is booked, the manager is awaiting confirmation of dates for this training. Staff were observed throughout the inspection and were seen and heard speaking with residents in a respectful and friendly manner. It was evident that good relationships between staff and residents had been made. Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a range of activities that suits the expectations and capabilities of the residents living at the home. The food at this home is good providing residents with a well – balanced and nutritional diet. EVIDENCE: The staff at the home provides a range of activities which includes quizzes, puzzles, craft work, moving more often, dominoes, and reminiscence. Trips and outings are planned of which one includes shopping trips to a nearby retail park. On the day of the inspection an entertainer had been booked. The entertainer confirmed he was regular visitor to the home, he gets asked to appear at resident’s birthday parties and other special events. The inspector observed
Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 14 the afternoons entertainment and residents appeared to be having a good time and were joining in singing and playing musical instruments. The home gets regular visits from the local clergy who administer communion to those residents who wish to partake. The home welcomes and encourages visitors to the home. There are no restrictions on visiting times. Two visitors were spoken with and confirmed they were always made welcome by the staff when visiting and that staff were very friendly and approachable, and that they were very happy with the overall care provided at the home. Residents living at the home exercise choice and control over their lives. Residents were seen arriving down for breakfast late into the morning after having a lie in and confirmed they go to bed when they are ready to do so. The manager confirmed that a group of residents like to sit in the lounge together a watch a late film enjoying a glass of sherry and some nibbles. Residents spoken with confirmed that they selected their choice of clothes they wanted to wear that day. All residents were seen to be clean, nicely dressed and their hair was neat and tidy. It was noted that, on a tour of the home in one downstairs toilet that on a shelf was one resident’s underwear and a supply of continence pads. The inspector discussed this with the manager and deputy manager and asked them to remove these items to maintain the residents dignity. This was done immediately and the deputy manager said she would reiterate again to staff that personal items should not be on display. The meals at this home are very good, well – balanced and nicely presented. The cook has worked at the home for a number of years and knows the residents likes and dislikes exceptionally well. Residents have good choice of hot and cold dishes for breakfast. Breakfast is served on a flexible basis and one resident was seen still having breakfast at 10.30. Lunch is the main meal of the day and most residents had chosen the main meal of fish, chips and peas, bread and butter, followed by dessert. A lighter afternoon tea is served, on the day of the inspection; the main choice was homemade broth and a choice of sandwiches, followed by homemade cakes. An alternative is offered at every meal. Throughout the day hot and cold drinks are available and snacks, for example toasted teacakes and cake is served mid morning and afternoon. Suppers served include milk drinks and a range of snacks. The menus were available for inspection and a wide variety and range of food is provided. The cook provides lots of home cooking including home made soups and cakes. Residents spoken with confirmed that the food was very good. Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 15 The recently decorated dining room is light and airy. The tables were nicely set with table clothes, matching crockery and condiments. Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 16 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 were assessed Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to record and monitor any complaints or concerns to ensure that the residents are safeguarded and protected. EVIDENCE: A complaints procedure was in place to record any concerns or complaints that the home may receive. Information provided by the manager prior to the inspection states that no complaints had made to the manager, and the CSCI have had no complaints or concerns brought to their attention. The home has a vulnerable adults procedure in place. The manager confirmed that most of the staff had completed training on the protection of vulnerable adults. Three staff had still to undertake training in this area and manager confirmed the training had been booked. Primrose Villa Rest Home DS0000067897.V319828.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 25 and 26 were assessed. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the environment is satisfactory providing residents with a clean and homely place to live. EVIDENCE: From a tour of the premises it was evident that the home was warm, clean and tidy. The home is in need of modernising throughout and from discussion with the manger the owners are fully aware of this and have produced a maintenance plan for 2007 detailing the work that is to take place to improve the environmental standards within the home, for example in February the lounge and dining room are to be redecorated, and new blinds fitted at all windows. In March 2007 all the landings are to be decorated and from April 2007 a rolling programme of redecoration of all residents bedrooms will
Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 18 commence. All work on bedrooms will commence after consultation with the residents taking in to consideration of their choice of colours and furnishings. The bathrooms were seen to be functional and clean, however appeared a little stark and cold looking and in need of modernising. The lighting in the bedrooms and on the corridor was not bright enough and gives an overall dismal appearance. The manager confirmed that this would be looked into during the refurbishment. Policies and procedures with regard to infection control with in the home were good and staff were observed using protective aprons and gloves for different tasks. With the exception of one room the home was free from offensive odours. This was discussed with the manager who was aware of the problem and would address this immediately after consultation with the resident’s family. It is not acceptable for a resident to live in a room that is not free from odours. The home has suitable laundry facilities; these are sited away from food preparation and food storage areas. On the day of the inspection all the laundry equipment was in good working order. Primrose Villa Rest Home DS0000067897.V319828.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels at the home and the skill mix and training is good and ensures the needs of the residents are fully met. EVIDENCE: On the day of the inspection there were an adequate number of staff on duty caring for the residents. Ancillary staff included a cook, domestic and laundress. There is two waking night staff on duty. A senior member of staff is always on call for support and backup if needed. Up to date staff rotas were maintained and were available for inspection. Staff training is on going and staff confirmed that they are supported and encouraged by the manager to undertake as much training as possibly. Only two staff had not completed NVQ training out of the sixteen care staff employed. Information provided to the CSCI prior to the inspection indicted that staff training in the last twelve months included fire training, moving and handling, NVQ level 2, skills for care induction, food hygiene, continence training and medication training. Some staff certificates were available for the inspector to see. The manager confirmed that copies of certificates need to be
Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 20 put on staff files. Further training is planned and includes first aid, infection control, palliative care, and food hygiene (no dates were given). Recruitment and selection procedures were satisfactory. Two staff files were examined. One of the files look at was of the last member of staff to commence work at the home. The file contained an application form, two written references and one verbal reference, a job description, criminal records bureau check, and induction training. The other staff file contained an application form, references, contract, job description, criminal records bureau check, record of training and supervision. Primrose Villa Rest Home DS0000067897.V319828.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 were assessed. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well managed resulting in good, consistent, reliable and safe care for the residents living at the home. EVIDENCE: The manager has the necessary qualifications and experience to manage the care home. Staff were complementary about the manager and the leadership and support offered. The manager confirmed that the owners of the home are very approachable and that she can contact them at any time. The manager has a good understanding of the residents living at the home and how to meet their individual needs.
Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 22 Quality assurance systems have improved. The owners visit the home on a regular basis and complete a written report as required. Residents and their relatives are offered satisfaction questionnaires for their opinions and views on the home and the services provided. The home has a suitable accounting system in place to ensure that resident’s financial interests are safeguarded and protected. Any monies held of behalf of the residents, which is mainly for hairdressing, is kept separately and securely stored. Balance sheets and receipts of any transactions are maintained. Information provided by the manager prior to the inspection indicates that regular maintenance and servicing for the gas, electric, lift, legionella and other appliances had taken place. The manager could produce certificates to verify this. Accidents, injuries and incidents are reported and recorded and the CSCI informed as necessary. The deputy manager carries out and records regular fire drill and fire testing of break points weekly. Primrose Villa Rest Home DS0000067897.V319828.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 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 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 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 Primrose Villa Rest Home DS0000067897.V319828.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 OP9 Regulation 13 (2) Requirement Timescale for action 02/02/07 2. OP25 23 (2) (p) You must ensure that arrangements are made for the safekeeping of medicines in that: a) residents prescribed creams must not be stored in bathrooms. These should be suitably stored in either residents own rooms or in a medical cupboard 27/04/07 You must ensure that the home has suitable lighting for residents in all parts of the home, specifically: a)in residents rooms to allow them to allow them to read if they wish. b)on the corridors to avoid any risk of accidents to residents and staff. You must ensure that the home is free from offensive odours. Specifically: a) with regard to one residents room where there is a strong smell of urine. This must be eradicated to ensure the resident has a room that is free from any offensive odours.
DS0000067897.V319828.R01.S.doc 3. OP26 16 (k) 28/02/07 Primrose Villa Rest Home Version 5.2 Page 25 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 OP10 Good Practice Recommendations To maintain the dignity of residents living at the home, underwear and continence products should be kept in the individual/s own room and not on show in bathrooms or toilet cubicles. To ensure that residents have a choice of their preferred toiletries, residents own toiletries should be kept in their own rooms and brought in to the bathroom when the resident is ready to bathe. Communal toiletries should be removed from bathrooms. After consultation with residents all bedrooms should be decorated and refurbished as proposed in the owner maintenance plan commencing April 2007. All bathrooms are in need of decorating and modernising to ensure resident can bathe in a pleasant and relaxing environment. 2 OP14 3. 4. OP19 OP19 Primrose Villa Rest Home DS0000067897.V319828.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Primrose Villa Rest Home DS0000067897.V319828.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!