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Inspection on 17/06/08 for Probert Court Continuing Care Home

Also see our care home review for Probert Court Continuing Care Home for more information

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

What the care home does well

The atmosphere within the home is warm and friendly and the staff group communicate well with people and their visitors. During the inspection, people gave positive views about Probert Court and the care they receive providing comments including "good, helpful staff", "staff are wonderful". Staff working at the home have a good understanding of people`s different needs and capabilities and enable people to make choices as part of their daily livesPeople living at the service are able to enjoy a range of activities and the service places great emphasis on ensuring people receive well-balanced and nutritious meals Training opportunities for staff are good and the home ensures there are sufficient staff on duty to meet people`s needs.

What has improved since the last inspection?

People are happy with the way staff communicate with them and keep them informed. A person recently admitted to the home confirmed that staff had consulted with him to establish his needs. The home has made the complaints procedure more accessible to people by ensuring copies of the procedure are available in different locations in the home. Discussions with people confirmed their awareness of the procedure to follow if they have any concerns or complaints. The home has obtained a copy of the local area adult protection policy. Photographs are now available with Medication Administration Record sheets, which assist staff to ensure correct identification of people. People living at the home and staff view that staffing levels are currently sufficient to ensure individual needs are met. Staff appear happy in their work.

CARE HOMES FOR OLDER PEOPLE Probert Court Continuing Care Home Probert Road Oxley Wolverhampton West Midlands WV10 6UF Lead Inspector Rosalind Dennis Key Unannounced Inspection 17th June 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 Probert Court Continuing Care Home DS0000017198.V366426.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. Probert Court Continuing Care Home DS0000017198.V366426.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Probert Court Continuing Care Home Address Probert Road Oxley Wolverhampton West Midlands WV10 6UF 01902 444067 01902 444068 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) Heantun Care Housing Association Limited Jeanette Marie Jarvis Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Probert Court Continuing Care Home DS0000017198.V366426.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th July 2007 Brief Description of the Service: Probert Court is a care home providing accommodation, personal and nursing care to 25 older people. It provides a service to people who have continuing care needs. The home has two designated respite care beds. It is owned by Heantun care Housing Assocation Ltd and people are generally admitted to the home direct from a hospital setting with fees paid by the local Primary Care Trust. The home is situated in the Oxley area of Wolverhampton, a short distance away from local shops and amenities. The single storey building was purpose built, with twenty one single occupancy bedrooms and two double rooms. The communal areas inside the home are spacious and homely in character and the gardens are easily accessible for people. People can obtain information about this service from the home’s Statement of Purpose and Service User Guide. Inspection reports produced by CSCI can be obtained direct from the provider or are available on CSCI’s website at www.csci.org.uk. Probert Court Continuing Care Home DS0000017198.V366426.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was conducted by one inspector over a period of around 7 hours. All ‘key’ standards were assessed during the daythat is those areas of service delivery that are considered essential to the running of a care home. During the inspection we spoke with people living at the home, visitors, staff and the manager, Jeanette Jarvis who was on duty for the duration of the inspection. Time was spent observing and finding out how people spend their days and looking at the interactions between staff and people living at the home. We also looked at care records and other documentation and observed a selection of bedrooms and communal areas. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was sent to the home for completion. The AQAA is a selfassessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for providers to share with us areas that they believe they are doing well. It is a legal requirement that the AQAA is completed-Probert Court returned their completed AQAA to us within the given timescale. Information within this document gives a reasonable picture of the current situation within the service and shows that the manager has ideas for improving the service to benefit people living at the home The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. What the service does well: The atmosphere within the home is warm and friendly and the staff group communicate well with people and their visitors. During the inspection, people gave positive views about Probert Court and the care they receive providing comments including “good, helpful staff”, “staff are wonderful”. Staff working at the home have a good understanding of people’s different needs and capabilities and enable people to make choices as part of their daily lives Probert Court Continuing Care Home DS0000017198.V366426.R01.S.doc Version 5.2 Page 6 People living at the service are able to enjoy a range of activities and the service places great emphasis on ensuring people receive well-balanced and nutritious meals Training opportunities for staff are good and the home ensures there are sufficient staff on duty to meet people’s needs. What has improved since the last inspection? What they could do better: People are pleased with the care they receive and their care plans generally provide staff with the information they need to meet individual needs. However we found that in some care records the information was not sufficient, which means that people may be at risk of not receiving the care they need. The manager has already identified that improvements could be made to the care planning process and now needs to put this into practice. The home needs to ensure that new care staff are provided with an induction which meets Skills for Care standards as it could not be established at the time of inspection whether this level of induction is in place. The provider must show how the quality of the service is monitored through monthly written reports. Probert Court Continuing Care Home DS0000017198.V366426.R01.S.doc Version 5.2 Page 7 The home needs to seek further clarification and guidance on involving care staff in specialised techniques and until this has been sought, should restrict use of feeding pumps (for PEG feeds and administration of water) to nursing staff only. 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. Probert Court Continuing Care Home DS0000017198.V366426.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 Probert Court Continuing Care Home DS0000017198.V366426.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): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Probert Court has a good assessment and admission procedure, which ensures that people are only admitted to the home if the service is confident that it can meet their needs EVIDENCE: We looked at a selection of care files which shows that the admission process usually involves information being sent direct to Probert Court from hospital, which then enables the home to determine how it will be able to meet that person’s needs and plan care accordingly. The manager confirmed that the home liaises with the discharge co-ordinator from the local hospitals to ensure a smooth admission process. Senior staff from the home may also visit people prior to their admission for the purpose of conducting assessments and to seek further information about individual needs. Care records show that the home Probert Court Continuing Care Home DS0000017198.V366426.R01.S.doc Version 5.2 Page 10 seeks information about matters, which are important to people such as their significant others, likes and dislikes, hobbies, religious and cultural needs. One person recently admitted to the home spoke of how pleased he is to have been admitted to Probert Court. Relatives of another person spoke of their satisfaction with how the manager and staff consulted with them on their relative’s admission and made them feel welcome. The home’s statement of purpose is available in the reception area along with an assortment of informative leaflets about supportive and health promotion services. Probert Court Continuing Care Home DS0000017198.V366426.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are pleased with the care they receive and their care plans generally provide staff with the information they need to meet individual needs. EVIDENCE: People who were spoken with during the inspection provided positive comments about the care they receive at Probert Court, comments included:“staff are wonderful”, “they’re all good here” and “good helpful staff”. Visitors to the home were pleased with how the home cares for their relative and keeps them informed of any changes with their relative’s condition. Throughout the inspection staff were observed attending to peoples care needs promptly, with respect and the quality of staff interactions with people was good. An area acknowledged by the manager, which hasn’t progressed a great deal since the last inspection is the development of a more person-centred approach to care planning. The manager spoke of her intentions to continue to Probert Court Continuing Care Home DS0000017198.V366426.R01.S.doc Version 5.2 Page 12 pursue this approach and to improve the involvement of people and their relatives in care planning. We looked at a range of care records for people recently admitted to the home and for others who have been at the home for sometime. Although most people’s care records contained a good level of information about their individual needs, in some care records the information was not sufficient. For example a person with diabetes did not have a care plan or guidance for staff on how to manage this condition and a person who needs daily wound care did not have a care plan in place to show how the wound should be cared for and monitored- the person confirmed that staff do daily wound care dressings. These issues were raised with the manager during the inspection so that action could be taken. During the inspection we observed staff using moving and handling equipment appropriately and a range of risk assessments were present on the files seen which show that the home looks at ways to reduce risks to the health and welfare of people living at the home. Observation of a selection of medication administration records (MAR) charts, showed that medication had been recorded accurately with all medication signed and accounted for. Photographs are now available with MAR charts, which assist staff to ensure correct identification. Some people who are unable to eat food in the usual way, require a special liquid food which is given through their stomach and the speed at which the food is given is regulated by way of a pump. We were informed that some care staff have been provided with some training in the use of these pumps, however there was nothing to show that assessments have been made of their competency at using the equipment or ongoing monitoring to ensure continued good practice. The home needs to seek further clarification and guidance on involving care staff in specialised techniques and until this has been sought, should restrict use of these pumps to nursing staff only. Probert Court Continuing Care Home DS0000017198.V366426.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the service are able to enjoy a range of activities, based on their capabilities and preference and staff assist people to exercise choice as far as possible and according to their differing capabilities. The meals at the home are good, offering variety and catering for different nutritional needs. EVIDENCE: People spoke of how staff respect their wishes and any choices they make, such as their preferred time to get up and go to bed, what they like to eat or do during the day. Some people, because of their illness are unable to get out of bed but they confirmed that staff regularly ‘check on them’ and help them with drinks, food or come and talk or read to them. Observation of an ‘entertainments diary’ shows that Probert Court offers people opportunities to take part in social activities and events such as musical entertainment, boat trips and visits to the theatre. People also spoke of how they enjoy participating in Bingo and quizzes. Most people were happy with Probert Court Continuing Care Home DS0000017198.V366426.R01.S.doc Version 5.2 Page 14 the frequency and range of activities, one person thought there could be more going on but viewed that it is difficult for the home to meet everyone’s need, especially with some people only staying at the home for a short while. The manager has identified within the AQAA plans to build on the activities programme, which should continue to improve the activities available. People were observed enjoying their lunchtime meal in the dining room or in their bedrooms, staff were either nearby or were assisting people to eat. People were keen to speak about the quality of the food, one person commented, “you can have anything you want for breakfast and all of the meals are always good”. Menu’s show a very good range of meals and the cook demonstrates an eagerness to ensure people receive nutritious, quality food. Probert Court Continuing Care Home DS0000017198.V366426.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Probert Court ensures that people have access to a clear complaints procedure, which enables concerns or complaints to be dealt with promptly and professionally. Staff are provided with training to equip them with the knowledge and skills to safeguard adults from the risk of abuse or neglect EVIDENCE: Probert Court has a clear complaints procedure, copies of which are readily available in different locations around the home. People living at the home and their relatives were aware of the procedure and all people spoken with confirmed they would feel comfortable raising any concerns with the manager or other staff. Information provided by the manager shows that the home has not received any complaints in the last twelve months. We have recently received one concern, which has been referred to the local safeguarding adults team for investigation under their procedures- the outcome of which is not yet known. The manager is aware of the Mental Capacity Act (MCA) 2005 and some staff confirmed they have recently attended training about the Act and its relevance to their work. Staff also confirmed they have received training in adult protection/abuse awareness and since the last inspection the home has obtained a copy of the local area adult protection policy. Probert Court Continuing Care Home DS0000017198.V366426.R01.S.doc Version 5.2 Page 16 Probert Court Continuing Care Home DS0000017198.V366426.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): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Probert Court provides people with a comfortable and clean place to live. EVIDENCE: Since the last inspection the home has started a programme of re-decoration, some bedrooms have already been redecorated and one of the lounges was being decorated on the day of inspection The manager confirmed that carpets, which are showing signs of wear and tear are due to be replaced. Good systems of control are in place for the prevention of cross infections and observations of staff working confirm that staff follow appropriate guidance. The home recently achieved a good standard within an infection control audit undertaken by a local infection control specialist and is acting on those areas where improvements could be made. Informative leaflets are available around Probert Court Continuing Care Home DS0000017198.V366426.R01.S.doc Version 5.2 Page 18 the home so that people living at the home and their visitors are provided with information about ways to reduce the risk of cross-infection. Probert Court Continuing Care Home DS0000017198.V366426.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are provided with a good range of training opportunities, however the home needs to ensure that the level of induction provided to new staff is of the required standard so that new staff are provided with the skills and knowledge to meet people’s needs. The recruitment procedure protects people from the employment of inappropriate staff. EVIDENCE: People who were spoken with during the inspection felt that there are enough staff on to meet their needs, staff also consider that the current staffing levels are sufficient to meet people’s needs safely and promptly. Five members of care staff who were spoken with commented positively regarding training opportunities within the home and teamwork -in that everyone is working well together and that enough staff are available to provide care. Throughout the inspection staff appeared cheerful in their work. Information provided by the manager shows that almost 100 of care staff have achieved a recognised qualification in care (NVQ level 2) and all staff spoke of receiving good training opportunities, relevant to their roles. Probert Court Continuing Care Home DS0000017198.V366426.R01.S.doc Version 5.2 Page 20 Two staff personnel files selected for inspection contained the required preemployment checks, including confirmation that CRB Disclosures are obtained for staff prior to starting work at the home. A record to confirm that a ‘corporate induction’ has been provided was present on the file of a newly appointed member, however there was no record of whether a more in depth induction which meets ‘Skills for Care’ standard had been provided, the manager was unclear and must therefore seek clarification that the home’s induction is to the right standard. Probert Court Continuing Care Home DS0000017198.V366426.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, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Probert Court is well maintained and the staff group appropriately skilled to ensure that the health, safety and welfare of residents is promoted. The manager, Jeanette Jarvis leads and supports a staff team who are committed to ensuring people receive good care. EVIDENCE: Since the last inspection Jeanette Jarvis has completed registration with CSCI to be the Registered Manager for Probert Court and has successfully achieved a management qualification. People living at the home described how Jeanette Jarvis speaks with them on a frequent basis and listens to what they have to say. Staff were keen to comment about improvements with the home over the Probert Court Continuing Care Home DS0000017198.V366426.R01.S.doc Version 5.2 Page 22 past twelve months, providing examples of improved teamwork, better staffing levels and senior manager’s listening and acting on their views and concerns. Staff spoke positively about how Jeanette Jarvis manages the home. At the last inspection in July 2007 the manager had identified that the home needed to improve communication with relatives of people living at Probert Court. Comments received during this inspection indicate that people are happy with how the home communicates with them and minutes of ‘relatives’ meetings’ show that people are provided with opportunities to meet and discuss matters, which are important to them. Staff spoke of how they find staff meetings useful and staff supervision sessions provide opportunity to reflect on their practice and to discuss any training and development needs. At the time of the last inspection questionnaires had been sent out by Probert Court to obtain feedback from people living at the home and their relatives and we received a summary of the findings. The manager was not aware whether another quality assurance process had been undertaken since the last inspection and was advised to seek clarity on this. For the purpose of this inspection Jeanette Jarvis had responded to a request by the Commission to complete an annual quality assessment document (AQAA)- information within this document gives a reasonable picture of the current situation within the service and shows that the manager has ideas for improving the service to benefit people living at the home. The manager confirmed that members of the senior management team regularly visit the home, however the last written report available at the home was dated February 2008-it is a requirement for a written report of these visits to be kept. Information was provided within the AQAA to confirm that servicing and maintenance of equipment is undertaken and policies and procedures are regularly reviewed. Documentary evidence was available at the time of inspection to show that the home promotes and protects the health, safety and welfare of people living at the home, staff and visitors. Work to meet the recommendations of the fire officer, who visited Probert Court earlier this year is in progress and the cook confirmed that the home has met recommendations identified in the Environmental Health Officer’s report in December 2007. Probert Court Continuing Care Home DS0000017198.V366426.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 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 3 Probert Court Continuing Care Home DS0000017198.V366426.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 OP30 Regulation 18 (1)(c) (i) Requirement The registered person must ensure that the induction programme meets the Skills for Care standards. This is to ensure that new staff are trained and competent to do their jobs The registered person or a representative of the organisation must visit the home at least once a month and prepare a written report on the conduct of the care home. This is to demonstrate that the quality of the service is continually monitored, so that action can be taken to improve the home’s performance and improve outcomes for people. Timescale for action 01/09/08 2 OP33 26 01/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000017198.V366426.R01.S.doc Version 5.2 Page 25 Probert Court Continuing Care Home 1 Standard OP7 2 OP9 Care plans should include all identified needs of people living at the home and the interventions needed to meet those needs. This is to ensure that people are provided with the care they need. The home needs to seek further clarification and guidance on involving care staff in specialised techniques and until this has been sought, should restrict use of feeding pumps (for PEG feeds and administration of water) to nursing staff only. Probert Court Continuing Care Home DS0000017198.V366426.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Probert Court Continuing Care Home DS0000017198.V366426.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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