CARE HOMES FOR OLDER PEOPLE
Rashwood Nursing Home Wychbold Droitwich Worcestershire WR9 0BP Lead Inspector
Sandra J Bromige Unannounced Inspection 9th May 2007 08:35 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 Rashwood Nursing Home DS0000065063.V336079.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. Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Rashwood Nursing Home Address Wychbold Droitwich Worcestershire WR9 0BP 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) 01527 861258 01527 861843 rashwood@efhl.co.uk Elizabeth Finn Homes Ltd Mrs Ann Eveline Lodge Care Home 53 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (53), of places Physical disability over 65 years of age (53), Terminally ill (2) Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. That service users accommodated within the category of TI are aged 40 and above. 24th January 2006 Date of last inspection Brief Description of the Service: Rashwood is a 53-bedded care home. The proprietors are The Elizabeth Finn Homes Ltd, and the manager is Mrs Ann Lodge. The home is divided into three main wings, each with its own lounge and dining area. One wing provides personal care for residents requiring some help with activities of daily living, while the other two wings are for residents who predominantly require nursing care. Facilities and services available for residents include a hair salon, physiotherapy, an activities co-ordinator and a mini bus service. All rooms are single with en-suite facilities. The services offered include long-term, convalescent, end of life and respite care. The home is a large country house, which has been extended. It is set in extensive and well-maintained grounds, and is located in Wychbold, near Droitwich. The current fees are £630 per week residential and £720- £810 per week for nursing care. Items not covered by the fees are hair (£6.00), chiropody (£10.00), newspapers & toiletries (charged as priced). Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection started on a Wednesday morning at 08.35 hrs. One Inspector spent 9.25 hours in the home. This was a key inspection – this is an inspection where we look at a wide range of areas. To help us plan the inspection we looked at pre-inspection information requested from the home some weeks earlier, survey forms received from residents (8), relatives (6) and health care professionals (2). During the visit to the home care records, staff records and other records and documents were inspected. There was a tour of parts of the accommodation and interviews with staff, including the manager and Clinical Care Manager. Time was spent speaking privately with residents in their rooms as well as spending time out and about in the home observing what was happening and talking to residents. The Commission have not received any complaints about this service since the last inspection in January 2006. What the service does well:
The home provides information for prospective residents so that they can make an informed choice about moving in. Residents and/or their representatives are encouraged to visit the home. “X highly recommended Rashwood to X”. “We were encouraged to visit to have a look around”. “X happy for her son to make an informed choice on her behalf as X in hospital”. A person from the home visits all prospective residents to find out about their care needs to ensure that the home are able to provide the care and equipment that they need. A contract is given to all residents so that they understand the terms & conditions of living in the home. The home is able to offer care to male & female residents and some of the residents have a physical disability. The home provides a good range of healthcare equipment to care for the people living at the home. Each resident has a key worker & associate worker who are responsible for developing their individual care plan and discussing it with the resident or their representative. The standard of healthcare provided is good. Comments received from residents confirm they receive “The ultimate care”, “Staff encourage independence & offer friendly care & support”. “ The standard of care is extremely high. I couldn’t hope for a better place to be”. The residents are encouraged to join in social and recreational activities in and outside the home. The home produces a monthly newsletter and events programme which is distributed to all of the residents so that they can choose
Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 6 what they would like to attend. A person is employed by the home to coordinate the activities. The home provides a minibus to transport the residents to social events in the community. A varied menu is provided each day for the residents to choose their meals and they are able to eat them in one of the dining areas or in the privacy of their room. Residents comments include; “music & movement, enjoy chatting at the bar & film show”, “super food every day, breakfast, lunch & supper, cake and cup of tea afternoons & coffee, biscuits at elevenses with coffee or tea”. The home has a written procedure that is displayed in the home for people to raise any concerns or complaints about the service. Residents when asked about making a complaint commented; “X states it will never arise”, “Never have to, complaint form available if needed”, “ Staff listen to our concerns and act upon comments received”. The people living in the home are safeguarded from abuse as staff are given training on this subject when they are employed and at intervals after. Staff spoken with by the Inspector were clear that they would take immediate action if they suspected any of the residents were at risk of abuse. The home provides all single en-suite bedrooms. The home is furnished, decorated, cleaned and maintained to a high standard. Communal facilites are provided throughout the home such as dining rooms, lounge areas, a conservatory, a hair salon, a shop and a licensed bar. The gardens are beautiful and variety of seating is provided for residents to sit on and enjoy the fresh air. Residents & relatives commented, “lovely home set in a beautiful garden full of flowers and shrubs and wild birds etc”, “Lovely walking the grounds, very well kept”, “I couldn’t hope for a better environment”. Staff in the home are trained, skilled and insufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. The current manager has been in post for 10 years. The home carry out regular audits of the service to monitor the standard provided. Residents are formally consulted through regular meetings and by filling in questionnaires about their experiences of the service. Residents are encouraged to manage their own finances for as long as they are able. The home is able to hold personal monies for individual residents if required, and they provide safe and secure facilities for this. Regular checks are carried out by the homes staff to ensure that areas such as water temperatures, bedrails and window restrictors do not create a hazard for the people living in the home. The homes equipment is regularly serviced to ensure that it remains safe to use. Staff receive training on a regular basis on
Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 7 subjects relating to maintaining the health & safety of the people living and working in the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can
Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 8 be made available in other formats on request. Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 9 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 Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 10 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, 2 & 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their representatives are provided with suitable information prior to admission to ensure that an informed choice can be made. The admission procedure remains comprehensive to ensure that there is a proper assessment prior to people moving into the home. This helps to ensure that care needs can be met. EVIDENCE: A copy of the homes Statement of Purpose was in the Library near to the entrance of the home. Written comments from residents confirm that they all received enough pre-admission information. All residents case tracked had been issued with a contract. Written comments from residents confirm they have a contract and “The contract is very clear & concise”. Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 11 A recently admitted resident was case tracked and the care records contained a detailed and informative pre-admission assessment. Written feedback from a resident confirmed “Emergency acceptance following an assessment needed quick action.” Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 12 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): Quality in this outcome area is good. 7, 8, 9 & 10 This judgement has been made using available evidence including a visit to this service. There is a clear and consistent care planning system in place to provide staff with the information they need to meet residents’ needs. The health and personal care that people receive is based on their individual needs. Medication management has improved, but there are still shortfalls, which may place residents at risk. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Male & female residents are living in the home and 5 residents who have completed comment cards state they have a physical disability. 2 residents receiving nursing care and 1 residential care were case tracked. All care plans seen are clearly written, reviewed & updated with the following exceptions: weekly checks prescribed for bedrails of an identified resident are not being done by the staff on the unit. Social care plans for the nursing residents are not being fully completed. Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 13 Residents have a key worker & associate worker. Associate workers of identified residents were spoken with and they had a clear understanding of the residents care needs and contributed to the daily records in the care plans. Written comments from residents include “The ultimate care”, “Staff encourage independence & offer friendly care & support”,” Actively contributes to X individual care plan where the level of care & support are discussed, agreed and then actioned monitored and adapted as required”, “Excellent care”, “ The standard of care is extremely high. I couldn’t hope for a better place to be”. Written comments from General Practitioner’s confirm staff demonstrate a clear understanding of care needs, any specialist advice given is incorporated in the care plan, “I’m very impressed with standard of care and would quite happily recommend the home to those patients or even relatives who are looking for a nursing home”. The Medication Administration Records seen were mostly pre-printed by the dispensing pharmacy. A Monitored Dosage System is used providing an audit trail of the medication received, administered and disposed of. There were no gaps on the Medication Administration Records and codes had been used where showing a reason why medication had not been given. Pulse recordings are noted on the Medication Administration Records where Digoxin is being used. There were a number of handwritten entries without any staff signatures. The drug refrigerator is badly organised leading to the medication not being used in rotation and there is excess stock of certain items. Preparations are not being dated upon opening and are being used more than 28 days after opening. The records of the temperature of the refrigerator & room where medication is stored show that they are at maximum storage temperature and at times are exceeding this temperature. The home were aware of the high room temperature. Privacy and dignity of residents was observed to be maintained by the staff. Written feedback from residents and visiting General Practitioner’s confirm this. No male care staff are currently employed by the home, although they do occasionally use male bank care staff. Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A range of social, cultural and recreational activities are provided so that they meet the individual residents needs and expectations. Meals are well managed, creative and provide daily variety and flexibility for people living in the home. People living in the home are able to maintain open contact with family and friends. EVIDENCE: The home employs an activity co-ordinator for 32.5 hrs each week who works Monday- Friday. The home has a support network of volunteers who assist in the provision of recreational activities in and outside the home. A monthly newsletter is produced and distributed to all of the residents with a programme of events for the month. This enables residents to make an informed choice about what they may wish to attend and also when the shop and bar are open in the home. Religious services are provided in the home and transport to local services is also provided. A minibus is provided for the transportation of residents. Care records contain social care plans for each individual resident. The quality of the recording in the residential care plan seen was much better
Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 15 than the nursing residents social care plans. The care plans contain evidence of activities that residents have chosen to attend or not to attend which is good, although they need to include information about individuals’ background, interests/hobbies. Written comments from residents confirm that “X thinks it is early days but will participate in activities at a later date”, “yes music & movement, enjoy chatting at the bar & film show”. Menus provided with the pre-inspection information show that residents have a choice each mealtime and dietary preference are catered for. Written comments about meals state, “all very good, piling weight on”, “there hasn’t been a meal served to X that X hasn’t enjoyed”, “super food every day, breakfast, lunch & supper, cake and cup of tea afternoons & coffee, biscuits at elevenses with coffee or tea”. Rashwood Nursing Home DS0000065063.V336079.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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse. EVIDENCE: The homes complaints procedures are clear and are on display at the entrance to the home. The homes records show that they have not received any complaints in the last 12 months. Written feedback from residents confirmed that they all were aware of the homes complaints procedure. Written comments include, “X states it will never arise”, “complaint form in reception”, “Never have to, complaint form available if needed”, “ Staff listen to our concerns and act upon comments received”. This was the Inspectors first visit to the home and her identification was asked for upon entry. The pre-inspection information confirms that staff have received safeguarding adult training in the last twelve months, although not all staff were aware of the local procedures for making referrals for safeguarding adults. Staff spoken with were clear of the action they would take to safeguard the people living in the home. Rashwood Nursing Home DS0000065063.V336079.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 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: All of the bedrooms are single with an en-suite. There are sitting and dining room areas in all three units which can be used by any of the people living in the home. The décor in the home is very pleasant & homely and well maintained. Since the last inspection further upgrading and refurbishment has been done. A partial tour of the premises showed evidence that all areas seen were well maintained. There are handrails fitted in the corridors, the radiators are low surface temperature, there is a good range of lifting equipment available for
Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 18 people with physical disabilities and these have been tested this year for safety. All exits are alarmed. A random check of window restrictors were tested and found to be satisfactory. The grounds are very well maintained and accessible to residents with disabilities. There is a peacock in the grounds which has been ‘adopted’ by the home. There are good systems in place for the management of infection control with hand washing facilities throughout the home. Written comment cards from residents all confirmed that the home is fresh & clean. Written feedback included the following, “spotless at all times”, yes indeed, very acceptable”, “lovely home set in a beautiful garden full of flowers and shrubs and wild birds etc”, “Lovely walking the grounds, very well kept”. Rashwood Nursing Home DS0000065063.V336079.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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and insufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. EVIDENCE: The 3 units are staffed separately. There were 2 care staff on the residential wing and 1 registered nurse with 3 care staff and an ‘early bird’ carer (9-1) on each of the nursing units. Rotas show that there is usually 5 staff on duty at night. Discussion with staff confirmed that they now have additional staff in the morning and afternoon for the busiest period and that the home is now “better staffed”. Written comments from residents state, “members of staff are usually available if not straightaway then after they have finished dealing with other residents. They always answer the call button promptly”, “always available at all times”, ”anytime at all”. Written comments from relatives confirm there are sufficient staff on duty. A written comment states the home has “pleasant and efficient nurses” The pre-inspection information confirms that 51.4 care staff have NVQ level 2 or above.
Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 20 Two staff files were seen and they contained all of the required checks for staff prior to employment. The manager reported that residents are now involved in the interviewing of prospective staff for the home. The home employs a multi-cultural team of staff. Some staff were receiving induction training on the day of the inspection and the staff files seen showed evidence of an induction period. Rashwood Nursing Home DS0000065063.V336079.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 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager, to promote and protect the safety of the people living and working in the home. EVIDENCE: The current manager has managed the home for 10 years. She is a registered nurse and maintains her professional qualifications through regular training updates. The home undertakes regular monthly and 6 monthly audits to monitor the quality of the service. Residents are consulted about the quality through
Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 22 questionnaires twice a year and regular meetings. The outcomes of these quality audits are published in the homes Statement of Purpose. Residents are encouraged to handle their own financial affairs. Some personal allowances are managed by the home. These are held securely and individually. Two signatures are obtained for receipts and expenditure, although for some items of expenditure the second signature is not an employee of the home. This is not in line with the homes policies on the management of residents monies. Contractors regularly check equipment and services in the home and internal maintenance checks are also carried out each month. Random checks on equipment around the home confirmed this. Staff records and discussion with staff confirm that they receive all mandatory training for moving & handling, fire, food hygiene, infection control and Control of Substances Hazardous to Health Regulations (COSHH). Rashwood Nursing Home DS0000065063.V336079.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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 Medication that is hand written must be signed by two registered nurses to ensure that mistakes are not made placing residents at risk. Timescale of 24/01/06 not met. Brought forward amended. Timescale for action 31/05/07 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 OP9 OP18 Good Practice Recommendations The home should take action to ensure that medication is being stored within the correct temperature ranges so that medication is not harmed which may put residents at risk. Staff should receive training about the local procedures for safeguarding adults and how to make a referral to ensure that the home receive the support & guidance needed in these situations and residents are safeguarded from abuse. Records of income and expenditure for individual residents should be signed by the resident, their representative or a
DS0000065063.V336079.R01.S.doc Version 5.2 Page 25 3 OP35 Rashwood Nursing Home second member of staff who is employed by the home to ensure that these records remain confidential at all times. Rashwood Nursing Home DS0000065063.V336079.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Rashwood Nursing Home DS0000065063.V336079.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!
