Inspection on 18/07/07 for Roseworth Lodge Nursing Home

This inspection was carried out on 18th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

Other inspections for this house

Roseworth Lodge Nursing Home 02/07/09

Roseworth Lodge Nursing Home 03/07/08

Roseworth Lodge Nursing Home 20/07/06

Roseworth Lodge Nursing Home 04/10/05

Roseworth Lodge Nursing Home 25/05/05

Roseworth Lodge Nursing Home 15/11/04

Roseworth Lodge Nursing Home 27/05/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Roseworth Lodge Nursing Home Redhill Road Roseworth Stockton-on-Tees TS19 9BY Lead Inspector Jane Bassett Unannounced Inspection 18th July 2007 09:30 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 Roseworth Lodge Nursing Home DS0000000197.V345740.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. Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roseworth Lodge Nursing Home Address Redhill Road Roseworth Stockton-on-Tees TS19 9BY 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) 01642 606497 01642 617878 roseworth.lodge@fshc.co.uk www.fshc.co.uk Tamaris Healthcare (England) Ltd Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability over 65 years of age (0) of places Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Five adults aged 50 years are able to be accommodated in the home. The home is able to provide one place to a named resident under the age of 65 in the category for Mental Disorder (MD), should this person no longer require the service, CSCI must be notified. 20th July 2006 Date of last inspection Brief Description of the Service: Roseworth Lodge is a care home providing both nursing and personal care for older people. It is a two-storey purpose built home providing single accommodation for 48 Residents; the bedrooms are a minimum of 10 sq.m. There is a passenger lift giving access to the upper floor. There are two lounges (one of which is for Residents who smoke) and a large communal dining room on the ground floor. There are four lounges and a small dining room on the first floor. The home is close to local shops and amenities with a car park at the front of the home. The home currently charges fees in the range £360 to £505 per week. Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection report includes information obtained from an Annual Quality Assurance Assessment completed by the previous manager. An unannounced visit to the home was carried out. During the visit, which lasted six and a half hours the inspector walked around the building and looked at documentation including staff records and residents files. The inspector spoke to four residents, two relatives, three staff members and the manager. As the inspector walked around the home she carried out indirect observation of interactions between residents and staff. One relative returned the survey to CSCI. The previous registered manager left employment at the home at the end of June 2007. The acting manager of the home has recently taken up the position and it is hoped that an application for registration will be submitted in the near future. What the service does well: What has improved since the last inspection? The home has employed an activities coordinator. Refurbishment work has taken place in some areas of the home, new furniture has been provided in a number of bedrooms. Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 6 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. Roseworth Lodge Nursing Home DS0000000197.V345740.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 Roseworth Lodge Nursing Home DS0000000197.V345740.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): Outcomes for standard 3 were looked at. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective people to use the service have an assessment of need, however this may not be in sufficient detail to ensure that all their needs can be met. EVIDENCE: During the inspection visit two files of residents recently admitted were examined. One was found to contain an assessment of need from the authority funding that person’s care. The pre admission assessment completed by the home contained very limited information and was not signed or dated. The second file contained a pre admission assessment completed by staff at the home. Again this contained limited information. The home uses an assessment form that is in a tick box format with space for further detailed information. In both cases there was little or no additional information recorded on the forms. Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 9 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): Outcomes for standards 7, 8, 9, & 10 were looked at. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is evidence in the care plan of health care treatment and intervention, and a record of general health care information. There are some gaps in information but staff demonstrate a knowledge of peoples needs and how these are met. EVIDENCE: The acting manager has recently taken up the position, she told the inspector that she has started to carry out an audit of care planning documentation. During the inspection four residents files were examined. In each of the files the inspector identified gaps in recording of information. In all files some assessment documentation was not completed. For example documentation in one file indicated the resident was incontinent, the continence assessment was blank. Another file contained a plan of care relating to falls, again the assessment was not completed despite the recorded actions stating this was to be done. Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 10 Other gaps in documentation included non-completion of a catheter history. The care plan relating to this indicated the catheter requires to be changed three monthly, no dates were recorded. It was not possible to ascertain from the documentation if all of the residents current needs had been identified. Documentation in one file seen identified two areas of risk, neither had a specific risk assessment. Care plans seen did not always contain sufficient information about resident’s abilities and preferences. Two plans of care relating to acute needs lacked sufficient evaluation as to current circumstances. Only one file seen included any evidence of discussion and agreement of the resident or their representative. Documentation seen included records of daily events. However there were gaps in the recording of fluid intake for one resident where hydration was being monitored. Evidence was seen that indicated residents are seen by GP’s, district nurses and other health professionals as necessary. People who spoke to the inspector confirmed this. Staff who spoke to the inspector demonstrated through response to questions a good knowledge of the residents, their needs and how these are met. Residents and relatives who spent time with the inspector told her the staff were friendly and respectful. Comments received included ‘staff are very kind’ ‘the care is very good’ and ‘I am looked after well’. A sample audit of medication on the day of the inspection found no major concerns with the ordering, storage and administration of medication. Handwritten entries on the MAR charts did not contain the signature of the person making the entry and were not dated and countersigned to reduce the risk of mistakes when copying information from the pharmacy label or prescription. The inspector was told all medication is administered by qualified nursing staff. The home has recently been subject to an audit carried out by a pharmacist from the PCT and a report was made available. Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 11 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): Outcomes for standards 12, 13, 14, & 15 were looked at. 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 make choices about their lifestyle, recreational activities meet individual’s expectations. EVIDENCE: The home has employed an activities coordinator. Staff, residents and relatives spoke of the activities available which include bingo, dominoes, sing a longs and games. One family spoke of a trip to Redcar which was enjoyed by all who went. Residents who spoke to the inspector told her that they preferred to spend the majority of their time either in their own rooms or watching the TV with others in the lounges. The home has links with local churches. Relatives told the inspector that they were always made to feel welcome and could visit at any time. Resident’s plans of care seen contained little information regarding the person’s social history and preferred activities. Residents who spoke to the inspector confirmed staff respect their privacy and they are able to make choices about how they spend their day. Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 12 The home uses a four week menu. The inspector was told staff ask residents during the breakfast meal about their choice from that days menu. Staff told the inspector that if the resident did not like the choice an alternative would be offered. Residents who spoke to the inspector told her they enjoyed the meals and were happy with the variety and quality of food offered. One resident said ‘ its all very tasty, another stated ‘ things are cooked well’. Resident’s plans of care seen contained little information as to people’s dietary preferences. Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 13 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): Outcomes for standards 16 & 18 were looked at. Quality in this outcome area is adequate. 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 complaints system. EVIDENCE: The homes policy and procedure was seen to be available to residents, relatives and staff. Residents and relatives who spoke to the inspector confirmed they were aware of how to raise any concerns. Information contained in the Annual Quality Assessment Audit completed by the previous manager indicated the home had received 6 complaints during the previous 12 months, and had referred 2 concerns through the safeguarding vulnerable adults procedures. Information given to CSCI indicated there had been 4 referrals during the previous 12 months. Documentation seen at the home was found to be disorganised. The inspector saw records for 3 complaints and 4 safeguarding referrals. Information in this documentation was incomplete. In one case the original letter of complaint was not available, and in all there was no great detail of the investigation that had taken place. Staff who spoke to the inspector said they were aware of the policy in relation to prevention of abuse and were able to describe the action they would take if they had a concern. Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 14 On the day of the inspection the manager was notified of a concern and was seen to report it appropriately. Roseworth Lodge Nursing Home DS0000000197.V345740.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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for standards 19, 22, & 26 were looked at. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The physical layout of the home enables people who use the service to live in a generally well-maintained and comfortable environment. EVIDENCE: There has been a programme of decoration and some refurbishment at the home. One resident described the home as ‘ a pleasant place to live’. Lounges were seen to be comfortable and the external area was accessible to residents offering an alternative place to sit, weather permitting. During the visit the inspector walked around the building and noted a number of areas that would benefit from further work. It was seen in a number of bedrooms the pillows were ‘lumpy’, bedding was old, worn and in some cases frayed. A number of beds did not have valances exposing either plastic covered bases or metal frames. Furniture in a number Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 16 of bedrooms has been replaced, however there still remain rooms with the older worn furniture. Bathing facilities would benefit from refurbishment and redecoration, to meet residents increasing dependencies and give a more pleasant and comfortable environment. Two bathrooms seen were being used as storage areas. Two shower rooms had stained flooring, dirty grouting to tiles, missing drain covers and an unpleasant odour from the drain. On the day of the inspection the home was clean, tidy and generally odour free. Roseworth Lodge Nursing Home DS0000000197.V345740.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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for standards 27, 28, 29, & 30 were looked at. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff in the home have not received all the appropriate training to promote the safety and wellbeing of residents. Staff are not always in sufficient numbers to support the people who use the service. EVIDENCE: On the day of the inspection there were 44 residents of varying dependency living at the home. A staffing rota seen on the day of the inspection indicated there were 1 qualified nurse and six care staff on duty on the mornings, one qualified nurse and five care assistants on an evening and one qualified nurse and three care assistance overnight. This did not comply with the Four Seasons Health Care Northern Staffing Grid as to stipulated numbers. Residents and relatives who spoke to the inspector told her there were usually sufficient staff to meet their needs, however there are times when staff response to request for assistance are delayed. Staff who spoke to the inspector said that staffing levels had recently improved, however there were times that numbers of staff on duty decreased due to illness and holiday. The manager told the inspector that no staff had been recruited since she took the position. The files of 2 staff recently recruited were examined, these were found to contain evidence of CRB checks and references obtained prior to employment. Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 18 Neither of the references in one file was from the person’s last employer and were from sources not relevant to care work. Information contained on the application forms included an employment history, however the dates provided were incomplete and it was therefore not possible to ascertain if there had been any gaps in employment. There was no evidence in either file of staff having undertaken induction training. The inspector also examined the files of 2 qualified nurses employed at the home, neither contained evidence that there had been any recent check of that persons PIN. A further 4 files of care staff were examined. These were found to contain little evidence of any recent training. Two of the files contained evidence of moving and handling training, another of health and safety training. None contained any recent fire training, first aid or food hygiene. The manager told the inspector 4 staff have recently done Protection of vulnerable adults training and further courses were planned. Other planned training included moving and handling, fire safety and continence. The inspector was told 6 (28 ) of the care staff have achieved NVQ level 2 or above. Roseworth Lodge Nursing Home DS0000000197.V345740.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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for standards 31, 33, 35, 36, & 38 were looked at. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The quality monitoring and safety checks are not always carried out in such a way as to promote the safety and wellbeing of the people who use the service. EVIDENCE: The manager has recently taken up the position. An application for registration is to be submitted to CSCI. The previous manager carried out a quality assurance survey, the result of which was seen by the inspector. This consisted of a list of percentages only and was not dated. There was no evidence that feedback had been given to residents or relatives. A residents meeting had recently taken place on 05/07/07. Regular regulation 26 visits are carried out and reports were available. Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 20 The residents personal finances held by the home are retained in an interest bearing account as per Four Seasons policy. Four staff files were examined these were found to contain some records of staff supervision, however supervision was not completed on a regular basis and there were large time gaps. Records seen contained little or no information as to the content of the supervision. The home has a range of policies and procedures that were reviewed in 2006. Information contained in the Annual Quality Assurance Analysis completed by the home indicated the home and equipment were maintained as required. Records seen on the day of the inspection indicated accidents are recorded appropriately. Documentation seen indicated fire alarms and hot water temperatures were checked and recorded monthly. The last fire drill took place in January 2007. Roseworth Lodge Nursing Home DS0000000197.V345740.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 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 2 17 X 18 2 2 X X 2 X X X 3 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 X 2 Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 22 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 OP3 Regulation 14 (1) Requirement Timescale for action 01/09/07 2 OP7 15 (1) (2) 3 OP16 22 (3) (8) 4 OP19 23 No person should be admitted to the home until a comprehensive assessment of need has been completed, and this assessment confirms that the home and its staff can meet the individual’s needs. Action must be taken to ensure 01/10/07 that each resident has appropriate assessments, risk assessments and plans of care that reflect their needs, abilities and preferences, and these are reviewed and evaluated as necessary. (previous timescale of 30/09/06 not met). The registered person must 01/09/07 maintain a record of any complaints received, this must include details of the complaint, the investigation, the outcome and any actions taken. Work must be carried out to the 01/10/07 flooring, tilling of the showers. Drain covers must be replaced and action taken in relation to the unpleasant odour in these rooms. Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 23 5 6 OP19 OP27 23 18 7 OP29 19 8 OP29 19 9 10 OP30 OP30 18 18 11 OP31 8 The provider must replace old, worn and frayed bedding and lumpy pillows. The registered provider must ensure that staffing levels are at all times appropriate to meet the needs of residents. References obtained for prospective staff members must include one from most recent employer. A full employment history must be obtained for all prospective staff and any gaps in employment investigated. All staff employed at the home must receive appropriate induction training. All staff employed at the home must undertake appropriate training including, ● Fire safety ● Moving and handling ● Safeguarding vulnerable adults ● Food hygiene ● first aid An application for registration of manager must be submitted to CSCI. 01/10/07 01/09/07 01/09/07 01/09/07 01/09/07 01/12/07 01/10/07 Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 24 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 Handwritten entries on the MAR charts should contain full information and be signed, dated and countersigned to reduce the risk of mistakes when copying information from the pharmacy label or prescription. Action should be taken to ensure the recommendations from the pharmacy audit are met. Information in resident’s assessment and plans of care should reflect that person’s preferences with regard to their social, leisure and nutritional needs. Consideration should be given to a programme of refurbishment and replacement of bedroom furniture. Valances should be provided for all beds. All bathing facilities should be upgraded to meet Residents’ needs. Storage facilities to be reviewed and improved. The PIN of qualified staffing working at the home should be checked on a regular basis. At least 50 of care staff employed at the home should be qualified to NVQ level 2 or above. A quality assurance survey should be carried out and the outcomes made available to people who use the service in an appropriate format. Individual bank accounts should be obtained for residents. Staff should receive supervision on a regular basis and this to be recorded in full. Fire alarms and hot water temperatures should be checked and recorded weekly. 2 3. 4 5 6 7 8 9. 10 11 12 OP9 OP12 OP19 OP19 OP22 OP27 OP28 OP33 OP35 OP36 OP38 Roseworth Lodge Nursing Home DS0000000197.V345740.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Roseworth Lodge Nursing Home DS0000000197.V345740.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. 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