Inspection on 08/08/06 for Radcliffe Gardens Nursing Home

This inspection was carried out on 8th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Radcliffe Gardens Nursing Home 04/07/07

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Snydale Care Home

Hawkhills

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Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Radcliffe Gardens Nursing Home 11 Radcliffe Gardens Pudsey Leeds Yorkshire LS28 8BG Lead Inspector Susan Knox Key Announced Inspection 8th August 2006 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 Radcliffe Gardens Nursing Home DS0000067049.V297913.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. Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Radcliffe Gardens Nursing Home Address 11 Radcliffe Gardens Pudsey Leeds Yorkshire LS28 8BG 0113 256 4484 0113 257 8376 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) Fezdene Limited Mrs Judith Reyner Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability (1), Terminally ill over of places 65 years of age (20) Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New registration. Brief Description of the Service: Radcliffe Gardens is an adapted detached property providing accommodation for twenty older service users. All require nursing care including terminal care and some may have physical disabilities. Some bedrooms have a WC ensuite facility. There are a number of shared rooms and a small number of bedrooms are located on the first floor. This floor is accessed by a passenger lift. A non-smoking policy operates in the building. The home is surrounded by well-kept gardens. There is a pleasant easily accessible patio area for service users to sit and enjoy the good weather. Also available is a car park to the front of the property. The home is located in the centre of Pudsey adjacent to Pudsey Park. The local church, shops, library, bank and post office are near by. The fees paid by or on behalf of residents range from £495 to £558.50. Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first since Fezdene Ltd. purchased the home and Mrs Reyner was appointed the registered manager. Announced inspections are made to newly registered care homes and the manager and the responsible person Mrs S McCarthy were present. A pre inspection survey was sent to the manager to be completed with up to date information about the home. This had been returned to the CSCI in time for the inspection. CSCI surveys were sent to three visiting professionals before the inspection. Two were returned with positive responses in time for this report. A number of surveys were left at the home to be given to residents and relatives. One inspector carried out this announced key inspection over one day between 09.15 am and 5.15 pm. The purpose of the inspection was to ensure the home was operating and being managed to a satisfactory standard. During the inspection the inspector spoke to eight residents individually and groups of others in the lounges, two relatives and four staff. Records were inspected including care plans, assessments, staff recruitment and training records and health and safety records. During the visit observations of routines including a mealtime showed that the majority of staff were observant of resident’s needs and safety. They provided them with choice and respected their privacy. What the service does well: Residents said that staff care was very good. The majority also said that the meals were very good with choice available. Residents, visiting professionals and staff said that service users are looked after very well and the standards of care are very high. Pre admission assessments are carried out before moving to the home to ensure that resident’s needs can be met. Ongoing staff training including NVQ courses is encouraged so that individual needs can be met. Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3. Quality in this outcome area is good. This judgement has been made following a site visit, holding discussions and by checking records. Written information about the home is available so that an informed choice can be made before moving in. The manager does ensure residents are fully assessed prior to admission and that staff can meet their needs. EVIDENCE: The Statement of Purpose and Service User guide has been up dated to reflect the recent changes with ownership and manager. Copies have been given to the CSCI as required. Mrs McCarthy advised that these are due to be amended so that the information is more ‘user friendly’. In the care documentation for the service user’s case tracked there was evidence that they had been assessed before admission. A relative confirmed that written information about the home had been provided and introductory visits made. One resident confirmed that a visit before admission had included a meal with other residents. The manager confirmed that that either she or deputies carries out these assessment visits. Through case tracking the most recent admissions, talking Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 9 to staff and observing routines it was clear there was an understanding of individual needs. There was evidence in training files that care staff have received relevant training to meet the needs of individuals. Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7-11 Quality in this outcome area is good. This judgement has been made following a site visit, holding discussions and by checking records. Care planning is in place and moving towards person centred care. Recognised risk assessments tools are also in place including those for palliative care. Residents, relatives and health professionals were happy with the care provided by staff. Administration of medication is good but stock control records must be kept. EVIDENCE: The inspector chose three residents to case track and reviewed their care documentation, medication and held discussions with the individuals. Each individual had been assessed prior to admission. Where a need was identified from the assessment, care plans had been developed to meet that need. Care plans were in place for all three but one was more centred on the person and addressed individual needs. The care plans relating to personal care and continence were clearly focused on that resident. Care plans were reviewed on a regular monthly basis and were up to date. The manager advised that issues about person-centred care are due to be addressed. A new format of care planning is being introduced. Risk assessments in the areas of moving and handling, falls, pressure area care and nutrition were in place. In the care plans reviewed; there was Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 11 evidence that the residents (if possible) or representatives had been involved in care planning. During discussions with a relative it was confirmed that the family were fully involved. Residents and relatives confirmed that the care provided was to a high standard. From discussions with staff and the documentation it was clear that the health needs of residents were being met. The multi disciplinary records showed the different professionals who are contacted for advice and support with the care of individuals. Two surveys were returned from health professionals and both responded positively to the questions asked. One commented ‘I receive total commitment and support on a very professional basis and consider it to be an outstanding quality assured nursing home.’ The medication records and storage were checked. A monitored dosage system (MDS) is in place. A drug trolley is in use and taken to the dining room in order to dispense medication. Policies and procedures were available in the drug room and in the office. The recording of the administration of medication was satisfactory. Different coloured forms are in use for topical medication. The amount of medication brought in from hospital is not recorded therefore stock control checks cannot be carried out for all drugs. The manager was advised to rectify this. The disposal of unwanted medication is satisfactory. From observations carried out during the visit staff were caring. Interaction between residents and staff was good. Residents looked well cared for. Residents were treated with respect and privacy was provided. Staff were seen to knock on bedroom doors and other doors were shut for privacy as necessary. Residents and relatives confirmed that staff respected their privacy and treated them in a dignified way. The home provides care for those with a terminal illness and requiring palliative care. The home uses the palliative care tools such as the integrated care pathway. Although this was unnecessary for one resident case tracked the care plan clearly addressed last wishes. The home maintains positive links with McMillan Nurses and the local hospices. The three managers have attended Pain Control courses and one has a certificate in Palliative Care. Evidence was available that palliative care training and other relevant training are on going. In addition, another update is being arranged relating to artificial feeding. Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12-15. Quality in this outcome area is good. This judgment has been made using the available evidence and during a visit to the home. Activities ensure that the stimulation is provided and residents can anticipate planned events. Staff welcome visitors who call at the home. The residents enjoy the meals and are offered choice. EVIDENCE: Four members of staff take responsibility for organising activities and are currently raising funds. Two have attended a reminiscence course and intend to set up individual memory boxes for residents that will contain personal mementoes. These will help trigger discussions with those who have memory loss. Raffles and a cheese and wine party have been arranged. Musical entertainers such as the Promenaders have visited. A newsletter continues to be published and keeps residents and relatives in formed about forthcoming events such as the proposed tabletop sale. In house spatial awareness games, dominos and quizzes are organised. Local churches do visit the home to provide a service and communion. The home receives many visitors; on the day of inspection one confirmed that staff were welcoming. The quality assurance forms returned to the manager Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 13 and thank you notes from relatives showed evidence of good relationships with staff. From observations and discussions it was apparent that staff attempt to provide choice. One resident enjoyed sitting outside on the day of the inspection and spoke very positively about the choice that is provided in the home. Staff enable residents to retain control of daily living while at the same time recognising where they may be at risk. One resident leaves the home independently to follow own routines. Residents and staff confirmed that bedtimes were entirely the resident’s choice. The main meal of the day was observed and was a leisurely process with good social interaction. The majority of the residents sat at the dining tables or in their rooms. This is good practice as opposed to being served meals when sat in armchairs. A number of aides were provided to help residents remain independent such as plate guards and cups with straws. Staff were overheard giving positive choices during the mealtime and additional helpings and drinks were given on request. Staff assisted residents to eat in a positive way by sitting at their side and talking to them. Residents confirmed that the meals were enjoyed one said she had found her appetite again after moving into the home. Menus were displayed in the home and daily menus were located on each dining table. A definite choice is available at all mealtimes. Residents spoke well about the food. The cook confirmed that no special diets were required at the time but could be catered for and individual needs met. The new managers had been proactive since submitting menus to the CSCI. There had been a reliance on sandwiches or other bread based alternatives for the evening meal and no choice for the main meal. These areas have been dealt with and further plans are in place to improve the quality of nutrition by using new procedures issued by the Food Standards Agency. This will include introducing a number of nutritionally balanced menus. Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgment has been made using the available evidence and during a visit to the home. An appropriate complaint’s procedure is in place. Service users are safeguarded as staff are trained in how to deal with allegations of abuse. EVIDENCE: The home’s complaint procedure was displayed in the home readily available for visitors to see. The procedure is also in the newly amended Statement of Purpose and Service User guide. The manager is aware that complaints have to be recorded with a report of the action taken to address the complaint. The CSCI have received no complaints about the home and the manager said none have been made to her. Some residents were able to confirm that they would speak to staff if they had any concerns. Staff confirmed that they had attended training in abuse and adult protection. This was also evident in the staff training records. During discussions staff were able to evidence their understanding about the different types of abuse that may occur. It was evident that staff would react robustly to any allegations of abuse. A number of special chairs were evident in the lounge that could be considered as restraining residents. The manager advised these chairs have been specifically measured for individual residents and are included in care plans. An Occupational Therapist was visiting at the time of inspection for this purpose. Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome area is good. This judgement has been made using available evidence from the site visit that included an inspection of some bedrooms and communal areas. There is a good understanding of infection control procedures. A homely, clean environment is provided that will benefit from improvements planned by the new owners. EVIDENCE: The new owners have plans to extend into the offices attached to the main building and upgrade decoration and carpets. The lounge has been decorated recently. The owner’s long-term plans are to increase the provision of care to thirty-five residents and further develop the nursing care including terminal and continuing care. The main lounge/dining room is a large L-shaped area that can appear institutionalised with chairs set against the walls. An attempt to divide the lounge into two areas has been made. In addition a dresser has been used to partition the dining room from the lounge. Although not wholly effective these are short-term measures until building work is completed. Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 16 This home provides care for nursing residents who physically can be very dependent. There is level access into the home via a ramp to the main door. There is nearby parking for visitors. The garden is easily accessible. There is a passenger lift. The bathrooms and WC’s are fitted with hoists, handgrips and high seats. There are a number of different types of mobile hoists to use if necessary. A wheel chair friendly shower is available on the ground floor. All these aids help to meet the diverse needs of physically dependent people. All communal bathrooms and WC’s had paper towels and liquid soap provided. Staff were seen to use protective clothing appropriately for different tasks. There was evidence in training files that staff had received infection control training and staff confirmed this. Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27-30. The quality of the outcome in this area is good. This judgement was made using available evidence including a site visit when documentation was inspected and discussions held with the staff on duty. The manager has ensured the protection of residents by obtaining CRB checks of staff working at the home. Relevant training that matches the needs of the residents is ongoing. EVIDENCE: The home was well staffed on the day of this announced inspection. The person in charge was the registered manager. A copy of the rota for the week of the inspection was seen and staffing levels were appropriate. The manager and responsible person confirmed that staffing levels have recently been increased as required in order to meet resident’s needs. National Vocational Qualification (NVQ) training is on going. The requirement is to have 50 of care staff with level 2 or above NVQ qualifications. Currently the home has seventeen care staff with NVQ levels 2 and 3 or above. This means the home has 62 of care staff with this qualification; others are starting the courses. Staff confirmed NVQ training during discussions and this was also evidenced in certificates of attainment and the pre inspection questionnaire (PIQ). Recruitment files for the latest two members of staff were checked. Application forms had been completed and two references obtained in both cases tracked. Criminal Records Bureau (CRB) checks were available. Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 18 There was evidence that staff had received an induction into working in the home and of identity checks, qualifications and courses attended. This is as required. Staff training records showed that training is ongoing. Staff confirmed this as controlling food safety, moving and handling, introduction to dementia, fire drills and health and nutrition. Discussions about abuse and the protection of vulnerable adults had been attended. It was evident that training is encouraged in order to fully meet the needs of residents and protect them. Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38. The quality in this outcome group is good. This judgement has been made taking account of available evidence including a site visit to the home, records and policies and procedures and discussions with the manager. She has the appropriate nursing and management training and skills. Quality assurance has begun. Health and safety is well managed. EVIDENCE: The registered manager is newly appointed by the new owners but has been a deputy manager in the home for many years. She is a registered first level nurse and has attained the Registered Manager’s Award. There was evidence that she regularly updates her skills and learning by attending courses. The most recent were Fire Safety and Palliative Care. Staff and residents spoke well about her management qualities. Staff meetings are held regularly and minutes were seen. Quality assurance (QA) monitoring has recently taken place that included the views of relatives and residents. The Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 20 providers have yet to submit regulation 26 reports about the conduct of the home. Although the responsible person has regularly visited a monthly written report has to be made to the registered manager and made available to the CSCI on request. It was also confirmed that some policies and procedures have been updated to reflect the change in ownership. The manager said that no valuables or monies are kept for safekeeping. The home does not deal with any personal allowances. The records of fees paid by or on behalf of residents were available for inspection. The manager has started appraisals for all staff and previous supervision records were available for inspection. The records for fire safety were checked. The manager explained that contractors have regularly been in the home fitting a new emergency lighting system because of this although testing has been carried out it had not been recorded. A new fire log was introduced on the day of inspection. The manager has recently attended a fire safety course and is due to introduce staff training once again. Health and safety within the home was well maintained. A random check of maintenance records showed these were up to date. In addition, kitchen staff are recording the temperatures of cold storage and hot foods. Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 2 10 3 11 4 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 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 2 Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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 Requirement The registered manager to ensure that the amounts of all medication brought into the home is recorded so stock control audits can take place. The registered providers to ensure that regulation 26 reports are submitted monthly to the manager and made available to the CSCI on request. The registered person must ensure that the testing of fire alarms and emergency lights are recorded weekly. Timescale for action 01/09/06 2 OP33 26 01/09/06 3 OP38 23 01/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP19 Good Practice Recommendations Ensure that all care planning moves to person centred care. Ensure that the CSCI is kept informed of proposed works including up grading of the decoration and furnishings. DS0000067049.V297913.R01.S.doc Version 5.2 Page 23 Radcliffe Gardens Nursing Home Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Radcliffe Gardens Nursing Home DS0000067049.V297913.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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