Inspection on 27/04/06 for Shipley Hall Nursing Home

This inspection was carried out on 27th April 2006.

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

Shipley Hall Nursing Home 13/07/09

Shipley Hall Nursing Home 28/07/08

Shipley Hall Nursing Home 27/04/07

Shipley Hall Nursing Home 12/12/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Shipley Hall Nursing Home The Field Shipley Heanor Derbyshire DE75 7JH Lead Inspector Brian Marks Key Unannounced Inspection 27th April 2006 09:00 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 Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 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. Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Shipley Hall Nursing Home Address The Field Shipley Heanor Derbyshire DE75 7JH 01773 764906 01773 764906 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) Shipley Hall Limited Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The Responsible Individual must submit a Manager for registration within 3 months of registration. One MD place for the service user named in the notice of proposal letter dated 29 November 2005. One DE(E) place for service user named in notice of proposal letter dated 09 January 2006. Registration to include the accommodation of one named service user PH (as specified on the notice of proposal) under the category PD, not transferrable to any other service users. 12th December 2005 Date of last inspection Brief Description of the Service: Shipley Hall is a care home with nursing, set in attractive parkland grounds, with a pond and gardens that attract a variety of wildlife. The home is a converted, tastefully extended building, dating from the turn of the century, and provides facilities for thirty residents. There are five day/quiet rooms, which include a light and airy conservatory overlooking the pleasant garden areas. Accommodation is provided on ground and first floors, with passenger lift and staircase access to the first floor. A stair-lift provides assisted access to one of the first floor bedrooms. There are eighteen single bedrooms and six double bedrooms, all with wash hand basins. No en-suite rooms are provided, but the home has adequate provision of WC and bath/shower facilities throughout, including an assisted bath. All rooms are equipped with a call system and residents are encouraged to personalise their rooms if they wish. Support services are in place to support the nurses working at the home, with a choice of General Practitioners, and chiropody, dental, optician and other services arranged as appropriate. A hairdressing service is provided at the home. Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place at the home over a period of 7 hours. Additionally, time was spent in preparation for the visit, looking at previous inspection reports and other relevant documents and preparing a structured plan for the inspection. At the home, apart from examining documents, care files and records, time was spent speaking to the owner/manager and 7 of the staff working at the home during the visit. The care records of 4 people who use the service were examined in detail and 3 of these were interviewed along with 5 others and 2 visitors who were at the home during the morning. Since the last unannounced inspection of the home on the 12 December 2005 an additional inspection visit was carried out on 29 March 2006 to investigate an anonymous complaint about care practices at the home. What the service does well: What has improved since the last inspection? The new proprietor/manager has consolidated her role within the home and has continued to modernise and improve all aspects of the home’s performance and care of its residents. At the centre of this are updated assessments of the social and health care needs and new, clearly and properly arranged care plans that assist staff to work consistently and safely. There has been an extension to the formal arrangements for the admission of residents with needs outside the home’s registration category and more care in making sure that people admitted to the home are suitable. The programme of redecoration and refurbishment has continued and plans are being discussed to further invest in the look of the home to make it a valued environment in which to live and work. Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 6 The previously occurring high turnover of staff has stopped and all vacancies have been filled; this will allow for greater consistency in care practices to be followed and mistakes made in the past to be avoided. The mix of old and new staff seem committed to working together and morale amongst the staff group is at present high. Good levels of staff training and development have been given and poor and unsafe practices are less likely to occur. ‘We’ve got a good team now and we can make time for the residents’. ‘We’d all rather have a happy ship and it is at the moment’. 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. Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 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 Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The system for the assessment of the care needs of people coming to the home has been improved so that they can be reassured that the home is suitable for them to live in. EVIDENCE: At the time of the previous inspections concerns had been expressed that service users had been admitted without current assessments of their needs and that people were being admitted to the home for the wrong reasons. The home underwent a change of ownership during the middle part of last year and since then applications have been made for variations of registration to enable the home to admit residents who had needs outside the home’s registration. All of the care records examined at this inspection contained initial assessments of the needs of residents with further additional assessments of areas of risk such as safe moving, falls, skin breakdown and pressure sores, bed safety and nutritional needs. From discussions with residents and the visitors present, people wanting to come and live at the home are give Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 9 opportunities to visit the home before coming to stay, as part of the assessment procedure. The home does not offer an intermediate care service so Standard 6 does not apply. Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Care planning and risk assessment records promote safety and consistency in caring for residents but not all of the relevant information is available to guide staff in meeting the needs of residents. Some improvements need to be made to the medication systems to fully protect residents. EVIDENCE: The care records of 3 residents were examined in detail and 1 other was looked at briefly. In comparison to the observations made at recent inspections it was clear that a lot of work had been put into this aspect of the home’s activities and the records of all of the residents had been updated. The care plans are laid out to identify key problem areas and link to directly to the daily event records. However in some cases it was difficult to track how or whether specific care activities had been carried out, a difficulty further compounded by the lack of routine monthly evaluations of the care plans and their effectiveness. The standard of care plans was common to all records examined, including 1 resident with complex health and social care needs. It was also noted that residents or their representative had not been made aware of the contents of their care plan or had been consulted in their writing Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 11 up. From discussion with the home’s manager and senior staff it was agreed however that the work carried out so far was a beginning rather than an end and that ‘fine tuning’ had been planned. All residents spoken to or their relatives commented that staff care for them in ways that respect their dignity and privacy and this was underpinned by entries in the care plans examined. Examination of the arrangements for the receipt, storage and administration of medicines to residents indicated these to generally satisfactory. However, there remained issues in relation to photograph residents not being included with the record sheet, handwritten instructions on records were not always signed and dated, the lack of a suitable thermometer for the storage refrigerator and the maintenance of temperature records and the recording of the administration of specific medications by the District Nurse. The system does not fully safeguard residents. Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents at the home enjoy a life that they find satisfying with good contacts maintained with family and friends. Standards in the kitchen have been maintained, and the quality of meals is much appreciated by residents. EVIDENCE: Both staff and residents stated that with improvements in staffing arrangements since last year, they now had more time to engage on a one-toone basis. Appropriately active and lifestyles are encouraged, and the appointment of an activities leader for two ½ days a week should see further improvements. Residents and relatives have also recently been able to air their views about activities and events at a home at an arranged meeting and further meetings will be a way of making sure that this subject is regularly discussed. Routines around the home are quite flexible and people spoken to were quite clear about being able to please themselves around the home, within the limits of safety. Contact with families is encouraged through an ‘open door’ policy, and good numbers were seen at the home during the inspection. Those spoken to were positive about relationships with the home’s staff ‘Everything’s done properly and the staff are all very good’. ‘I was told to treat it as my home as well’. Some are very regular in their visits and support the care activities of the staff in practical ways. Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 13 During a visit made to the kitchen and from discussion with the cook it was evident that good standards in the catering service have continued, with all the recommendations made at the last visit by the Environmental Health Officer dealt with. A clear choice was available at the main meals, according to the 2week menu, and this was conformed by comments from residents who were very positive about the quality of food served. A cooked choice is available at afternoon tea and at some breakfasts. Special arrangements are made by the cook for people with special dietary needs, including people with diabetes and those who need softened food. The cook is not fully involved with assessing of the nutritional needs of people close to admission however, and time is not available within the kitchen staff schedules to spend in regular direct contact with residents. An accurate picture of the impact of catering arrangements is not therefore available. Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The home responds to complaints made by residents and their representatives according to a written procedure and aims to protect residents from harm. EVIDENCE: Since the last inspection 2 complaints have been received from the same anonymous complainant and these have been fully investigated by the CSCI and the findings acted upon by the manager to maintain resident health, safety and welfare. Overall the use of the home’s complaints procedure has become more defined by the new proprietor and responses to complaints more timely. During last year, there were 2 instances of the use of the statutory procedures to for the protection of vulnerable people and since that time staff have received training in respect of their responsibilities for recognising and reporting abuse. In discussion the manager was able to demonstrate a proactive approach to and clear understanding of this subject, developed from practical experience. Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Standards of maintenance, cleanliness and hygiene of the home have been continued, although some items of work are indicated to improve resident safety and welfare. EVIDENCE: From a limited tour of the communal areas and kitchen of the building, the standard of maintenance was found to be generally satisfactory with areas of the home having been redecorated since the last inspection. The proprietor described a planned programme of continued redecoration and upgrading of carpets and furnishings. Some areas of shortfall were noted: Fire doors being wedged open where the magnetic retaining mechanisms are broken. This affects a key area of resident safety. Food storage areas separate form the kitchen and serving arrangements leading to food being served at less than optimum temperatures. Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 16 The communal areas and bedrooms of the home visited during this inspection were clean and tidy and free from odours. A visitor spoken to commented that this was a much-improved aspect of the home in recent months. Residents spoken to had no complaints about the laundry service of the home and all residents observed in the home wore clean and well-presented clothing. Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. The needs of residents are met by a group of staff who are selected by a clear recruitment system and on duty in good numbers. The arrangements of the first of these are flawed in a way that affects resident safety, and a notice requiring urgent action in this matter was left at the end of the inspection. EVIDENCE: Examination of the staff rota indicated that the previously agreed levels of nursing and care staff have been maintained and that the high levels of staff turnover and vacancies have been stopped. This has resulted in a more settled period of staffing arrangements and everyone able to comment on this was able to confirm higher levels of consistency and safety in working practices because of this. Examination of the recent history of the home’s nursing and care staff group indicated that in fact 50 had changed since the current proprietor had taken over the home and a period of consolidation and team building was much welcomed. Although records were not fully examined at this inspection, staff spoken to described good levels of staff training being introduced by the home’s new management and that key training shortfalls in safe moving and handling and the protection of vulnerable adults had been addressed. A good level of enrolment onto NVQ2 training has been addressed and the target for achievement for care staff should be achieved later this year. Given that this Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 18 is a substantially new group, the target date indicated at the end of this report is agreed to be appropriate. Newly appointed staff described a proper system for staff recruitment for staff being in place and a check of individual files was not made to confirm this. However, it was noted that the procedure required by law to check criminal records of new staff had not been fully followed and a notice for urgent action was left at the home at the end of the inspection. Failure to fully carry out the legal procedure could result in people who are not suitable being employed. Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Improvements in administration and management of the home have been made by the new manager although systems related to the ability to monitor support the work of staff are not in place. EVIDENCE: The current proprietor of the home took over the home in the middle of last year and has been running it on a day-to-day basis since then. In the absence of a suitable alternative she has now decided to apply to register as manager and retain the role of Responsible Individual on behalf of her company also. She is a qualified nurse and has experience of this dual responsibility at the last home she owned. The proprietor/manager has at previous inspections stated her intention to ‘pursue an agenda for change’ and this has continued with the general support Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 20 of everyone connected with the home, apart from a person or persons who have made 2 anonymous complaints about her regime in recent months. The evidence accumulated at this inspection indicates a steady progression from a position of regular complaints about the home’s performance and the safety of residents to one where shortfalls in care planning and delivery, leadership and staff morale along with the physical features of the home have been addressed and programmes are in place for their continued improvement. Levels and quality of staff training have been improved and, although there remains a shortfall in systems for the formal support and monitoring of staff performance, staff are reporting an atmosphere where good standards of work are supported and are problems solved within a supportive working environment. Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 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 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X 2 X 2 Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 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 OP7 Regulation 15, 17(1) schedule 3 Requirement (i) The registered person must ensure that the care records of all residents indicate how the actions and interventions described in their care plan is being carried out and must be evaluated on a monthly basis. (ii) Care plans must indicate that that the resident or their representative have been involved in the development of their care plan, and responds to their preferred routines. The registered person must ensure (i) that photographs of residents are included within their medication records. (ii) that all handwritten entries on the medicines record are signed and dated by the responsible person. (iii) that accurate maximum and minimum records are kept of the medicines refrigerator and a that the latter is operating correctly by regular calibration. (iv) that all administrations of medicines carried out by outside professionals are recorded on DS0000065551.V289674.R01.S.doc Timescale for action 31/07/06 2. OP9 13(2) 31/07/06 Shipley Hall Nursing Home Version 5.1 Page 23 3. 4 OP19 OP28 23(4) 18(1), 19(5) 5 OP29 19(1) schedule 2 6. OP36 18(2) the medicines record. All fire door retaining mechanisms must be kept in proper working order. The registered person must ensure that the target of achievement of staff in the National Vocational Training (NVQ) level 2 is achieved by the due date. The registered person must apply for checks under the POVA 1st scheme for all newly appointed staff, and in retrospect for all those staff recently appointed whose certificate from the Criminal Records Bureau (CRB) has not been received. Evidence that this has been achieved must be forwarded to the CSCI for examination. (An immediate requirement notice was left at the home at the end of the inspection). The registered person must ensure that there are systems in place to offer formal staff supervision and that these meetings are recorded. (Previous timescale of 30/06/06 extended). 31/05/06 31/10/06 28/04/06 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP9 OP12 Good Practice Recommendations All medicines destined for return and destruction should only be stored at the home for a maximum of 1 week. The registered person should assess the need for the involvement of the activities organiser to be extended. DS0000065551.V289674.R01.S.doc Version 5.1 Page 24 Shipley Hall Nursing Home 3. 4. 5. OP15 OP15 OP16 The nutritional needs of newly admitted residents should be made available to kitchen staff at the time of admission. The work schedule of the kitchen staff should allow them to have routine direct contact with residents to discuss catering arrangements and any problems. The registered person should review the home’s complaints procedure ensuring that staff as well as service users and their representative are fully aware of its contents. The registered person should review arrangements in the kitchen to improve food storage and serving arrangements. Beyond that consideration should be given to the overall re-planning of the kitchen’s design. The registered person should review the home’s grievance procedures to ensure that processes comply with employment legislation. The responsible person should formalise management arrangements for the home and ensure that an application for an alternative responsible individual or manager is put forward. 6. OP19 7. 8. OP29 OP31 Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Shipley Hall Nursing Home DS0000065551.V289674.R01.S.doc Version 5.1 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. 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