Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 06/05/05 for Sandiway Manor

Also see our care home review for Sandiway Manor for more information

This inspection was carried out on 6th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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 assessments of residents` needs and the care plans are thorough and well written. Care needs are clearly identified and met. Staff members are positive and cheerful. Staff are courteous, promote independence and have a high regard for residents` individuality and choice.Many positive residents` comments were received regarding the high standards of care, food and cleanliness within the home. They described the staff as attentive and courteous. Visitors also said they were very satisfied with the care provided and appreciated the high level of communication with staff regarding their relatives.

What has improved since the last inspection?

Staff members have continued to train to achieve appropriate qualifications in caring and to improve their understanding and knowledge. The garden areas surrounding the extension have been attractively planted to enhance the outlook for residents.

What the care home could do better:

Residents` ongoing records could be completed daily to evidence continuity of care and to accurately reflect the level of care provided. Greater care could be taken with recording the administration of medication to ensure medication is given as prescribed. Appropriate medication omission codes should be used and medication should be safely stored.To improve hygiene and reduce the risk of infection, bar soap should be removed from shared bathroom and toilet areas, and linen towels at shared hand washing facilities should be replaced with paper towels. The toilet and hand washing facilities could be improved to one of the older areas of the building to reduce the risk of infection.

CARE HOMES FOR OLDER PEOPLE Sandiway Manor Norley Road Sandiway Northwich CW8 2JW Lead Inspector Sue Dolley Unannounced 6 May 2005 10:00 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 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. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Sandiway Manor Address Norley Road Sandiway Northwich Cheshire CW8 2JW 01606-883008 01606 301764 None Cheshire Residential Homes Trust Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Jacqueline Gregson Care Home 29 Category(ies) of OP Old Age (29) registration, with number of places Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 No more than 29 service users, within the category of old age (OP) may be accommodated. Date of last inspection 20th January 2005 Brief Description of the Service: Sandiway Manor is a care home owned by the Cheshire Residential Homes Trust, a charitable organisation that runs three care homes for older people. Each home is independently run by a committee. The home is in the village of Sandiway, approximately three miles from Northwich. There are a number of shops, a church and other facilities located in the village. There are adequate car parking facilities available at the home. Sandiway Manor was formerly a private house that has been renovated and extended to be used as a care home.Sandiway Manor is a three-storey building; service users are accomodated on the ground floor and first floors only. Access between floors is via a passenger lift or the stairs. There are 28 single bedrooms, for service users and all of these rooms have toilet facilities and washbasins fitted. A further bedroom is available as a guest room. This room does not have toilet facilities. Day space consists of 2 lounges and a dining room. There are sufficient numbers of toilets to meet the required standard.There are aids throughout the home to help service users remain independent, including bath hoists, grab rails and in an emergency call bell system. There are large enclosed mature and pleasant gardens with walkways and sitting areas available to service users. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 6th May 2005 over eight hours to assess if the service was meeting the needs of the people who use them and to check the response to the recommendations made at an earlier inspection. A partial tour of the premises included all shared areas such as lounges, dining rooms, shared bathrooms and toilets,kitchen and laundry. The deputy manager, several staff members and 10 residents were spoken to. What the service does well: What has improved since the last inspection? What they could do better: Residents` ongoing records could be completed daily to evidence continuity of care and to accurately reflect the level of care provided. Greater care could be taken with recording the administration of medication to ensure medication is given as prescribed. Appropriate medication omission codes should be used and medication should be safely stored. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 6 To improve hygiene and reduce the risk of infection, bar soap should be removed from shared bathroom and toilet areas, and linen towels at shared hand washing facilities should be replaced with paper towels. The toilet and hand washing facilities could be improved to one of the older areas of the building to reduce the risk of infection. 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. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 6 All residents have their needs assessed prior to moving into the home. Information is gathered from the prospective residents, relatives, Social Services and health care representatives. The admission process is well managed to ensure residents individual needs can be met. Sandiway Manor does not provide intermediate care. EVIDENCE: The deputy manager confirmed that there were three vacancies. Five care files were examined including those of new residents and showed that a thorough and comprehensive assessment of residents needs takes place prior to moving into the home. Each resident had an initial assessment and a plan of care for daily living. The care plans were reviewed very regularly and the level of care had been adjusted as needs changed. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10, and 11 The health and changing personal care needs of residents are closely monitored and potential health difficulties promptly addressed by the appropriate health care services. Staff members have a good knowledge of residents’ individual needs and abilities and are attentive, respectful and courteous. EVIDENCE: Each resident has a well written plan of care to address their main areas of need. Five care plans detailed the action needed to meet all aspects of health, personal and social care needs. The care plans were positively written to identify strengths, abilities and difficulties. The sample care files showed that all identified needs were dated. The intervention required was explained and the expected outcome was recorded. Care needs were reviewed monthly and more often when necessary. Care plans were drawn up with residents and their relatives and risk assessments were in place as appropriate. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 10 Residents can register with a GP of their choice and detailed records are kept of all health care visits made. Residents have access to community nursing services and are referred to physiotherapists, dentists, opticians, and for other specialist advice, support and treatment as appropriate. Residents have designated experienced staff members who attend to their needs on a more personal and individual basis.. A written report on the wellbeing of each resident is kept with some daily entries regarding health and treatment. Some reports are updated every few days and others are completed weekly. The ongoing resident`s records should be completed at least daily to evidence continuity of care and to accurately reflect the level of care and contact provided. See Recommendation 1. Ten care files did not contain a resident`s photograph, although there had been an intention to obtain and include this since January 2005. See Recommendation 2. Comprehensive policies and procedures are in place regarding the administration and management of medication.A local pharmacy supplies medication each month, most of which is given from a monitored dosage system. The medication administration records clearly identified dosage times, medication to be given as and when required, the ability of residents to self medicate and medication changes. A complete check of all the medication administration records highlighted a need for greater care in recording, administration and storage of medication. There were several unexplained gaps in the recording, which could create problems in accounting for the medication each resident had actually received. Some inappropriate omission codes had been used and a few items of medication had not been safely and appropriately stored. See Requirement 1. Staff members were respectful and ensured the privacy and dignity of residents. They receive guidance on how to treat residents with respect during induction and through staff training and supervision. Residents confirmed they are well cared for and feel their individuality, privacy and dignity is promoted and protected. A clear policy guides staff what to do if a death occurs, including any special religious considerations. The registered manager continues to try to seek sensitive information from residents and their relatives regarding their wishes on terminal care and arrangements after death. As this information becomes available it will be recorded on care files. See Recommendation 3. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 A variety of activities enable residents to participate within the local community. Awareness of news and events outside the home are promoted. A high level of liaison and communication between residents, relatives,friends and staff members enable residents to maintain contact with people important to them. Residents are consulted and encouraged to exercise choice and make decisions for themselves. The food is of a high standard and meals are varied with ample choice to satisfy resident’s preferences and dietary needs. EVIDENCE: The home diary and notices on the notice board provided evidence of a wide range of activities. Local church representatives visit regularly and provide communion; individual residents go to church or out for lunch, a local womens institute visits to run a fortnightly trolley shop. Library books are regularly exchanged, newspapers are delivered daily and a hairdresser visits. Many residents have a keen interest in art and craftwork and attend weekly art classes. Many residents attend a chair aerobics session and enjoy musical entertainment provided by visiting artists. A book club provides the opportunity to purchase cut- price books and gifts and several fund raising and social events organised by volunteers, the committee and friends of Sandiway Manor are held throughout each year for the benefit of residents and their relatives. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 12 The notice board showed advance details of a male voice choir and other singers performing at a nearby church. Many visitors were welcomed into the home and the atmosphere was relaxed and inclusive. It was evident that staff members promote a sense of sharing the care with relatives and friends. Within the home there is an emphasis on promoting autonomy and choice. Residents confirmed they could choose when to get up and go to bed. They had choice in the food provided, participating in activities and handling their own finances and medication where they had the ability. Most of the residents had personalised their rooms with their own furniture and smaller possessions. A two week sample of the menus showed a wide range of nutritious meals. Residents confirmed that the food was of a consistently high quality,plentiful and much enjoyed. Alternative choices were available and special diets were catered for. The lunchtime meal was served in the attractively presented dining room. The tables were well laid tables with napkins,condiments and fresh flowers. The lunch was a pleasant and social experience for residents. Some residents preferred to eat in the privacy of their own rooms and this choice was accommodated. Hot and cold drinks were provided at regular intervals throughout the day. Information was provided on the notice board about the provision of meals for visitors and of the costs involved. This facility emphasises the quality of support given and shows a willingness to encourage social contacts within the home. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Arrangements for responding to residents and relatives concerns and complaints are satisfactory. Close liaison between residents, relatives and friends and staff ensures any concerns can be talked through and acted upon promptly. EVIDENCE: No complaints were received since the last inspection. The home has a written complaints procedure included in the residents information folders. The home’s management aims to deal with any concerns prior to these developing into complaints. Each month a different committee member visits to speak with each resident about their thoughts on the standard of care provided. The findings are reported to the chair of the committee and at friends meetings to ensure satisfaction and quality assurance. Residents confirmed that they knew what to do if they had a complaint and residents and visitors said that staff respond quickly to any matters raised. Adult protection training was recently given to several staff, with further training to be accessed to ensure staff members are aware and informed. Sandiway Manor has a written adult protection procedure, in line with the local Social Services procedure and follows the Department of Health guidance ‘No Secrets’. The ‘No Secrets’ documentation was available for staff members and a whistle blowing policy was in place to encourage the reporting of bad practice and to try to ensure the protection of residents. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,21,25 and 26 As at previous inspections the home is very well maintained and clean. It is decorated and furnished to a good standard and this helps to create a well- presented, comfortable and homely environment for residents. EVIDENCE: A programme of routine maintenance and redecoration ensures the premises are kept in a good state of repair and are well cared for. Pride is taken in the environment; and the furniture, decor and fittings are of a good quality. Standards of cleanliness and housekeeping are high. The attractive grounds are accessible to residents and recent planting to a new garden has enhanced the area surrounding the extension. Records showed that the building complies with the requirements of the local fire service and environmental health department. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 15 All bedrooms are en-suite with hand basin facilities. There are sufficient accessible toilets throughout the premises and bathrooms are well equipped. A separate toilet area to the older part of the building contains two toilets. This area does not have satisfactory wash hand facilities. The wash hand facilities are reached via two steps and by aid of a handrail. This area could present a risk to hygiene and would benefit from refurbishment and improvement. See Recommendation 4. Inspection of the communal bathrooms and toilets found that bar soap was in use in a number of areas, linen towels were being used and fresh towels were being stored on items of equipment. See Recommendation 5. To meet a recommendation from the previous inspection curtaining had been provided to two en-suite rooms. Some pipe work and radiators have been covered. More work is yet to be undertaken to ensure areas are safe should residents fall against hot surfaces. See Recommendation 6. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,and 30 The staff are adequately trained, experienced and competent to care for the residents` needs. Staff turnover is low, morale is high, and this helps to provide continuity of care for residents. EVIDENCE: The staff duty rotas for April and May 2005 were well maintained and provided clear information. The deputy manager said that a higher use of agency staffing was needed during recent months due to some long- term sickness. Some agency staff worked regularly to cover shifts. Staffing levels were appropriate, and additional staffing was provided at peak times of activity throughout the day. Staff members have a range of ages, skills, training and experience. There are sufficient ancillary staffing hours per week. One new staff member had commenced since the last inspection. Another person had been recruited but not yet started. The recruitment procedure was thorough. Four staff members are completing NVQ level 3 training. Two staff have almost completed training to NVQ level 2. Four staff have completed NVQ level 3 and several staff members can train and assess others. The registered manager is currently completing a registered managers award. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 17 Training records showed a thorough induction training and recent training in fire safety and health and safety. Staff training and qualification is encouraged and supported within the home, with staff willing to attend appropriate training to increase their knowledge and improve practice. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35, and 38 Good organisation and recording systems exist in the home. Clear lines of accountability ensure Sandiway Manor is run in the best interests of residents and that they are safeguarded. EVIDENCE: The registered manager is supported by a deputy, the staff team and management committee. Residents have a high level of contact with the management of the home which promotes satisfaction from all parties regarding the success of choice of home. It is suggested that a resident satisfaction questionnaire is periodically circulated to residents and relatives and that the results be published to inform prospective residents regarding the quality of care provided. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 19 Systems and procedures are in place to ensure that resident’s financial interests are safeguarded. Where the money of individual residents is handled, the registered manager ensures that the personal allowances of these residents are not pooled and appropriate records are kept. A random sample of three personal allowance balances and records were checked and were accurate with appropriate receipts kept. Individual risk assessment documentation was up to date and well maintained. The management team endeavour to ensure the health, safety and welfare of residents and staff. Regular training is provided for moving and handling, health and safety, fire safety and first aid. A safe storage and disposal of hazardous substances policy and procedure is in place. Environmental health and health and safety reports indicate compliance and many staff have received basic food hygiene training. The fire precautions record book was checked and all main fire safety checks had been undertaken as appropriate. Advice was given, as the usual monthly visual check of the fire extinguishers had not been recorded for April 2005. Advice was also given, as some fridge temperatures had not been recorded due to an oversight during staff absence. It is suggested that four convector heaters currently in storage are taken out of use and replaced with electric radiators when supplementary heating is necessary. There can be increased risks when flammable items or clothing are placed on top of these types of heaters. Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 4 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 x 2 x x x 2 2 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 2 Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 21 NO Are there any outstanding requirements from the last inspection? 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 9 Regulation 13 Requirement Satisfactory arrangements must be made for the accurate recording,administration and safekeeping of medication.Staff competence in the administration of medication must be closely monitored Timescale for action 06.07.05 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 7 Good Practice Recommendations The ongoing records kept regarding service users should be completed at least daily to evidence continuity of care and to accurately reflect the level of care and contact provided. A photograph of each individual service user should be kept to aid identification. Residents wishes concerning terminal care and arrangements after death should be discussed, recorded and carried out. (This recommendation was made at two previous inspections.) Improvements should be made to the identified toilet /handwashing facility to promote hygiene. 2. 3. 7 11 4. 21 Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 22 5. 21 6. 25 Promote hygiene in communal bathroom and handwashing areas by removing bar soap, by replacing linen towels with paper towels and by storing fresh towels on shelving or in cupboards. Pipework and radiators should be guarded or have low temperature surfaces.A risk assessment should be produced and a copy provided to CSCI to identify areas presenting a risk and to prioritise work to be undertaken. (This recommendation was also made at two previous inspections.) Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sandiway Manor F51 F01 S6605 Sandiway Manor V222888 060505 Stage 4.doc Version 1.30 Page 24 - 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!