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Inspection on 14/12/06 for Richmond Court Nursing Home

Also see our care home review for Richmond Court Nursing Home for more information

This inspection was carried out on 14th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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 home provides prospective service users with good information about the service it provides. All service users have their needs assessed in full before their admission and again once they have moved into the home. All of the service users at the home are well looked after and enjoy living at the home, each service user has their own individual plan of care that is kept under regular review. One relative commented "staff are very caring and treat the residents with dignity and also very welcoming to visitors", The home provides good quality meals and a varied choice, the provide two hot choices of meal for both dinner and tea, snacks and drinks are always available during the day and night. The home has good systems in place to be able to deal with complaints should they arise. The home has not received any complaints since April 2005. The staff at the home are recruited safely and have all of the necessary checks completed before they commence employment. Staff are guided through an induction programme and all have training to ensure they have the required knowledge and skills to care for the service users.Other comments from service users included " the home is very clean, excellent care, the staff are helpful and friendly"

What has improved since the last inspection?

The home has made good progress in meeting the requirements from the previous inspection. Care records were seen as part of the case tracking process and it was pleasing to see that all of the identified needs from the assessment have now been included in care plans and risk assessments. Improvements have been made to the way medicines are administered and disposed of, reducing risks to service users. There have been improvements with the physical environment too, the registered providers have now almost completed replacing the worn vanity units is service users bedrooms and the tiling has been repaired to the bathrooms and showers as required.

CARE HOMES FOR OLDER PEOPLE Richmond Court Nursing Home 33/35 Beeches Road West Bromwich West Midlands B70 6QE Lead Inspector Mrs Mandy Beck Key Unannounced Inspection 14th December 2006 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 Richmond Court Nursing Home DS0000063155.V322573.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. Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Richmond Court Nursing Home Address 33/35 Beeches Road West Bromwich West Midlands B70 6QE 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) 0121 500 5448 0121 553 7357 Richmond Court Nursing Home Ltd Craig Hill Care Home 42 Category(ies) of Dementia - over 65 years of age (42) registration, with number of places Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Staffing levels meet the Residential Forum tool requirements in relation to service users dependency. Service users within the category DE(E) may be 60 years and over. Date of last inspection 8th February 2006 Brief Description of the Service: Richmond Court is a 42 bedded home catering for service users who have dementia. On the ground floor there are two lounges and two dining rooms. There are thirty four rooms in total of which twenty one are en suite, seven doubles and twenty eight singles. The home has five bathrooms and two shower rooms. The home has a passenger lift that enables service users to access the first and second floor. A range of aids, which include handrails, grab rails, hoists and other specialist equipment are available to meet the needs of dependent service users. Outside the home is a large garden with level patio area. The home also has parking facilities available to the side of the home. Richmond Court is situated ten minutes from the town centre of West Bromwich and is on the local bus route. It is five minutes from the local motorway networks making it very accessible. The home does not provide nursing care. At present the home charges between £392 and £400 a week for residency, these fees do not include extras, such as hairdressing, chiropody, toiletries and news papers. Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to the service and lasted for 7 hours. During this time the Key standards were assessed. The information and judgments made in this report are based upon the inspectors observations, evidence from the pre inspection questionnaire the home completed, time was also spent talking to service users and the staff. In addition to this service users were also invited to take part in a survey about the home conducted by the Commission for Social Care Inspection (CSCI). Service user files were seen as part of the case tracking process, this means that records of assessments, care plans and risk assessments were examined to ensure that service users are receiving care the meets their needs. Staff files were examined to ensure that the home continues to recruit workers safely and engages them in required training. The inspector would like to thank all of the staff and service users for their hospitality throughout the inspection. What the service does well: The home provides prospective service users with good information about the service it provides. All service users have their needs assessed in full before their admission and again once they have moved into the home. All of the service users at the home are well looked after and enjoy living at the home, each service user has their own individual plan of care that is kept under regular review. One relative commented “staff are very caring and treat the residents with dignity and also very welcoming to visitors”, The home provides good quality meals and a varied choice, the provide two hot choices of meal for both dinner and tea, snacks and drinks are always available during the day and night. The home has good systems in place to be able to deal with complaints should they arise. The home has not received any complaints since April 2005. The staff at the home are recruited safely and have all of the necessary checks completed before they commence employment. Staff are guided through an induction programme and all have training to ensure they have the required knowledge and skills to care for the service users. Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 6 Other comments from service users included “ the home is very clean, excellent care, the staff are helpful and friendly” 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 be made available in other formats on request. Richmond Court Nursing Home DS0000063155.V322573.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 Richmond Court Nursing Home DS0000063155.V322573.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that they will have enough information about the home to make a decision about living there. They can feel confident that their needs will be assessed and met by the home. EVIDENCE: The home provides a good source of information to service users who may be thinking of living at Richmond Court. The statement of purpose and the service user guide contain all the required information and are available in different formats such as large print and different languages upon request. The home provides service users with a contract and terms and conditions of residency but the manager must ensure that these are issued as soon as possible after service users admission. Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 9 The manager visits all prospective service users at home before they are admitted to the home to ensure that they can meet their needs. Service users are encouraged to visit the home and “try it out” before they agree to move in, they are welcome to stay as long as they wish and the visit will usually include staying for a meal and the opportunity to talk to other service users about their experiences. Once an agreement has been made about moving into the home the manager will write to each service user confirming that the home is able to meet their assessed needs and agree a date for them to move in. Service users can be assured that once they do move into the home they will be cared for by staff who have the specialist knowledge and skills to meet their needs. At present most of the staff are undertaking further training in Dementia care and Behaviour that Challenges, they commented “it helps us to see things from the point of view of the resident”, “it was an eye opener to try and put yourself in the shoes of someone with dementia but so helpful”. Richmond Court Nursing Home DS0000063155.V322573.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can feel confident that all of their health needs will be identified and met. Medication is administered safely and service users can be assured that they will receive their medicines as prescribed. All service users will be treated with respect and dignity at all times. EVIDENCE: Three service users files were seen as part of the case tracking process, all service users have their own individual plan of care. Care is planned around the needs identified in the service users assessment. It was very pleasing to see that the home assesses each service user for their risk of falls, pressure sore risk development, moving and handling and malnutrition, each of these risk assessments is reviewed on a monthly basis and are updated when needs change. Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 11 Where risks had been identified there was a clear plan to show how this risk is going to be reduced. For example, one service user was at high risk of dehydration and malnutrition this had been reflected in the risk assessment and a care plan had been written to demonstrate how they were going to reduce the risk to the service user. In another case service users who were at risk of developing pressure sores were seen to have the appropriate equipment such as pressure relieving mattresses and cushions and were being reviewed by the district nursing team. The home also regularly consults with other professionals to ensure that service user needs are being met. During the inspection district nurses, community mental health nurses were observed visiting service users. The home is also visited regularly by doctors, dieticians and the speech and language therapist. Service users said “ the doctor always visits even when they’re not ill”, “the medical attention the home provides is excellent”. There are good systems in place for the ordering, receipt and administration of medicines, only staff the have completed the “Safe Handling of Medicines” training administer the medicines. All medicines are stored as recommended however, the manager must ensure that the room temperature is recorded on a daily basis to ensure that it does not exceed 25°c. Each service user has an individual list of homely remedies that the home may administer with the consent of their doctor such as paracetamol and senna. There are no controlled drugs being administered at this time but there are sufficient safeguards in place for administration if the situation changes. Service users can feel confident that they will be treated with dignity and respect at all times, the manager and staff take care to record service users individual preferences regarding their likes and dislikes, the times they like to get up and when they like to go to bed for instance. Service users said “the staff are very caring and treat the residents with dignity”. Throughout the day staff were heard talking to service users in a respectful manner, they were also seen to be knocking doors before they entered when service users were using the toilet. Staff are also instructed during their induction programme on how to treat service users with respect at all times. Some commented “understand that they feel vulnerable and try to put them at ease”, “you must always treat service users how you would like to be treated” Richmond Court Nursing Home DS0000063155.V322573.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users can be assured that they will be involved in planning their activity and that they can receive visitors when they wish. Meals are provided are wholesome and nutritious and offer service users a balanced meal. EVIDENCE: There are systems in place that give service users the opportunity to choose how they participate in their care by identifying when they like to get up and go to bed, what they like to eat and whether or not they want to take part in activities the home has planned. At present there is no dedicated activity coordinator this means that the care staff are responsible providing entertainment for service users. At times some activities may have to be postponed due to the demands on care staff time. Families and friends are encouraged to visit at anytime during the day but are asked to give consideration to the needs of the service users early in the morning or late at night. Relatives who responded to the survey all agreed that they are kept up to date with developments in the care and treatment of Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 13 their relatives. “Craig is very good he always lets us know even the slightest thing”. The manager has taken steps to provide service users with details of independent advocacy services this will ensure that they can access external agents who will act in their best interests should they wish to do this. There is provision for service users to manage their own finances if they wish to do so, the home is also able to keep small amounts of service users money to enable them to pay for items such as hairdressing, newspapers and toiletries. The home provides meals in sufficient portions to meet service users needs, there is a four week menu, each day service users are offered a two choices for both dinner and tea. Breakfast is usually cereal and toast during the week and a cooked breakfast in Sunday. The manager has recently completed a questionnaire with both service users and their families in order to identify what changes, if any could be made to the menu’s. It was also pleasing to see that the home is able to provide meals for service users with religious and cultural dietary needs Richmond Court Nursing Home DS0000063155.V322573.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. 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. Service users can be assured that their complaints will be listened to and acted upon; furthermore they will be protected from abuse. EVIDENCE: The complaints policy contains all of the required information ensures that service users complaints will be listened to and acted upon. There are systems in place for the investigation of complaints and the recording of any outcome. The home has not received any complaints since April 2005. Service users commented “never had any cause to complaint why would I?”, “there’s no need to make a complaint you only have to mention something to Craig and it’s sorted out”. There are also good systems in place to protect service users from abuse; the home works in partnership with the local authority as expected. All staff have received training in safeguarding adults, it was pleasing to hear that when they were spoken to, all staff were able to give examples of unacceptable practice and how they would deal with it. “I would go straight to the manager”, “make sure the resident is ok immediately then fetch the manager”. Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 15 When staff files were examined to assess recruitment practices, it was noted that the home completes all required safety checks against the Protection of Vulnerable Adults register and CRB disclosures. Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 16 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): 19,16 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a well-maintained and clean environment. There are good systems in place to prevent the spread of infection to service users. EVIDENCE: The home is well maintained, clean and tidy. The registered provider has replaced flooring and tiles in bathrooms and showers, service users have also benefited from new vanity units in their bedrooms, with the exception of six rooms and there are plans to replace these units in the near future. There are six shared rooms at Richmond Court all of these rooms have screens that protect the privacy of service users. The home provides care for service users with dementia the home has been assessed by an independent dementia care specialist and their requirements were put into place, such a high visibility doors and pictorial signs. The Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 17 manager should consider another review of this information to further develop the environment to meet the needs of service users. The home has good systems in place for infection control. Staff spoken to were able to give good examples of how they minimise the spread of infection, “we always use gloves”, “washing your hands I very important to stop spreading infection”. The home has good laundry facilities that ensure that service users clothing and linen is cleaned. Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 18 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 excellent. This judgement has been made using available evidence including a visit to this service. Service users can be assured that they will be cared for by knowledgeable and skilled staff, who are recruited safely and are competent to do their jobs EVIDENCE: The home employs sufficient staff to meet the needs of the service users. The staff rota provides an accurate picture of the staff on duty each day. The home also employs domestic, laundry and kitchen staff who all contribute to the smooth running of the home and ensuring that it is clean and tidy throughout. Care staff are receiving training to NVQ level 2 and above, at present the home has more than 50 of it’s care staff with this qualification. In order to assess the homes recruitment processes four staff files were examined, all of which were found to contain the required information and sufficient safeguards are in place to ensure that workers do not commence employment until all necessary check have been completed. the manager must make sure that all references are authenticated this will include overseas employees. It was also pleasing to see that new workers are supported through their induction process and there were comprehensive records of this in their individual training plan. Staff commented “yes I had an induction they Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 19 showed me where the fire exits were, how to look after the residents, and lots of training”. All staff have their own individual training and record plan that details their individual training needs Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 20 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 home is run in the best interests of the service users and their health and welfare is promoted through safe working practices. EVIDENCE: The manager of the home is Mr Craig Hill, he is both qualified and competent to run the home. Service users and their families indicated that “Craig is always there to help if we need it”, staff commented “he has an open door and supports us through anything we find difficult”, “Craig is excellent the best manager he can be strict but this is because he wants the best for the residents and that’s good”. Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 21 The home is making progress to develop it’s quality assurance systems, the manager has conducted relatives surveys, menu surveys and completed an audit of the things service users like to do. The results of the relatives survey are displayed along with the service user guide in the reception area of the home. The manager could develop this process further by publishing an action for each of these completed surveys to demonstrate how the home will try to meet any of the points raised. There must also be a service user questionnaire to find out their views on how the home is run, it is acknowledged that this can be difficult at times due to the nature of the type of illness the service users have but attempts should be made. Service users monies were also checked to ensure that all transactions are being recorded and kept safely, it was pleasing to see that this is the case and service users should feel confident that their money will be managed safely and held securely. The home protects the welfare and health of service users and staff by making sure that all required maintenance checks and safety certificates are kept up to date. Staff also receive regular training in moving and handling, infection control and food hygiene, there are some gaps in first aid and COSHH training for staff that must be addressed and this is done so on a rolling programme. Fire training must continue for all staff along with regular fire drills, fire maintenance records were up to date, fire fighting equipment has recently been serviced. Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 22 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 3 3 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 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 4 X 2 X 3 X X 3 Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 23 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 Timescale for action 01/01/07 2 OP29 19 3 OP33 24 The registered manager must ensure that the temperature of the room where medicines are stored is recorded on a daily basis. The registered manager must 01/01/07 take steps to authenticate all references especially those for overseas workers. The registered manager must 01/03/07 develop the quality assurance system to include a plan - action - review cycle and ensure that all points in standard 33 are met – (Previous timescale of 01/10/06 part met) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations It is recommended that the supplying pharmacist be DS0000063155.V322573.R01.S.doc Version 5.2 Page 24 Richmond Court Nursing Home 2 3 OP12 OP26 contacted and arrangements made for the provision of labelled bottles for the service user identified during inspection, to take home with them at weekends. It is recommended that the registered provider consider employing an activity coordinator to ensure that service users receive dedicated activity time throughout the week It is recommended that the registered manager obtain a copy of the guidance “Infection control guidance in care homes” June 2006 from the Department of Health Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Richmond Court Nursing Home DS0000063155.V322573.R01.S.doc Version 5.2 Page 26 - 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!