Inspection on 14/02/08 for Silverdale Care Home

This inspection was carried out on 14th February 2008.

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

Other inspections for this house

Silverdale Care Home 31/07/09

Silverdale Care Home 21/07/08

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Silverdale Care Home 49-51 Egerton Park Rock Ferry Wirral CH42 4RA Lead Inspector Patricia Thomas Key Unannounced Inspection 14th February 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Silverdale Care Home DS0000070503.V353225.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. Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Silverdale Care Home Address 49-51 Egerton Park Rock Ferry Wirral CH42 4RA 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) 0151 644 6696 Silverdale Care Home Ltd vacant post Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of people who can be accommodated is 20. Date of last inspection This is a new service. Brief Description of the Service: Silverdale is a care home for twenty elderly people, owned by Silverdale Care Home Limited, and the responsible individual is Mrs Elizabeth Hatfield. The acting manager is Mrs. Susan Butterworth and she intends to apply for registration with CSCI. Silverdale is a converted dwelling house in a quiet residential area, having a car park at the front of the premises and surrounding gardens. The weekly charge for this service is £352.24 with extra charges for hairdressing, chiropody and newspapers. This was the first inspection of Silverdale under new ownership. Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means that people who use the service receive adequate quality outcomes. We (the commission) visited Silverdale on 14th February 2008. We spoke with residents, an advocate, with the acting manager, Mrs. Sue Butterworth, and the staff on duty. We looked at care plans and the information given to people before they move in, including the complaints procedure. We read the records kept in the home about staffing and health & safety, safeguarding, and a tour of the premises and grounds was carried out. The Annual Quality Assurance Assessment (AQAA), which is a service assessment against National Minimum Standards, had been filled in by the manager and returned to CSCI before the day of the visit, this gave us up to date information about Silverdale and is referred to in the report. What the service does well: Silverdale provides a comfortable home and the staff seldom leave and have worked there a long time, which means that they are well known to the people they are caring for. People who are hoping to move in to Silverdale are given plenty of information about the home and the service it gives, including the complaints procedure. Residents looked well cared for and said they were comfortable. “They are very good here and I have all I need. I love my bedroom, I have lots of my own things around me.” “The ‘girls’ are good, they work hard, I trust them.” Residents’ equality and diversity is respected in the way care is given through recognition of each person’s strengths and abilities, their culture and beliefs. There was evidence that residents are involved in the planning of their care and that for those who have no families, arrangements are made for them to have a personal advocate to represent them if needed. A resident spoke about the meals in Silverdale, “The meals are nice, there is plenty of choice. They are always asking us what we want to eat and bringing round drinks.” A resident said, “They gave us a wonderful Christmas here. They worked very hard to give us a good time.” Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Silverdale Care Home DS0000070503.V353225.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 Silverdale Care Home DS0000070503.V353225.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): Quality in this outcome area is good. Prospective service users have had their needs assessed and have the information they need about Silverdale before making the decision to move in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 1 and 3. Silverdale does not provide intermediate care and will not be assessed against standard 6. Silverdale has a brochure/statement of purpose, which gives people wishing to move in plenty of details about their proposed new home and the service on offer. Included is a copy of the complaints procedure to ensure that if a resident has any worries or concerns, these will be written down and dealt with within given time limits. The information, which was read during the visit, did not include details of the new owners and it is recommended that this be updated to ensure that people have current information about ownership of their home. Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 9 There have been no admissions to Silverdale since the recent change of ownership. Mrs. Butterworth, (acting manager) described what is done when a prospective resident is introduced. Any person wishing to move in to Silverdale will have their needs assessed by social workers and by staff from the home. In this way, each person’s care, health and social needs and preferences are known before they move in, to ensure that the service can meet those needs before any decision about moving in will be made. Prospective service users are invited to visit Silverdale to meet staff and residents, to have a meal if they wish, and look around before moving in. In this way they will get to know whether they will be comfortable in the surroundings and with other people who live there and those who will support them. Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents’ health and personal care needs are set out in their care plans and these are regularly reviewed to ensure they receive the support they need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 6,7,8,9 and 10. All residents have a care plan to guide staff as to how their health and personal care needs will be met. There was evidence that people are involved in planning their care as care plans had been signed by the resident or a family member. Care plans are regularly reviewed with regard to any change in the person’s health or condition, to ensure they are having the level of support they need. Risk assessments are carried out by staff and recorded, to avoid accident or injury to residents and to ensure those at risk of pressure sores have the right pressure relieving equipment in place, good fluid intake and regular monitoring of the condition of their skin. A resident said, “I am well Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 11 looked after, they are very good here.” Another person said, “I have settled in now and have all I need, they couldn’t be more kind.” All residents of Silverdale are registered with local G.P.s and home visits are arranged with district nurses as needed. Residents receive services such as chiropody and dentistry and are assisted by staff to attend hospital visits if necessary. Two residents had visits from the district nurse and one by the doctor at the time of this visit. Residents’ prescribed medication is provided in blister packs to Silverdale by a local pharmacy. Medication is stored in a locked metal cabinet and the keys to the cabinet are held by a responsible person to ensure security. For staff guidance there are procedures for them to follow when giving residents their medication and the records, which were seen for four residents, were accurate and the written amounts balanced with the medication in stock. There is a system for returning un-used medication to the pharmacy to avoid any buildup of unwanted drugs. A resident said, “I get my pills at the same time of day, staff bring them to me. They never forget so I don’t have to worry.” To respect people’s privacy, dignity and diversity, there is guidance for staff to follow in providing a service, which recognizes each person’s rights and individuality, their culture and beliefs. Most of the residents have single bedrooms but for those who share, there are screens to protect their privacy. A resident said, “I like to stay in my room, I like my own company. They don’t interfere, I do as I want.” Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents are well nourished and their choices are respected, there is room for improvement in the range of the activities and outings on offer to them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 12,13,14 and 15. With regards to lifestyle and activities, the manager states in the AQQA, “Information regarding culture and diversity is on residents’ care plans. We intend to hold more regular residents’ meetings to improve participation in decision-making, and hopefully further develop our activities.” During the visit, residents were spending time as they chose, in their bedrooms or in the lounges. Those who commented confirmed that there is a relaxed and friendly atmosphere and their choices are respected. Some new board games and reminiscence equipment has recently been brought in. Mrs. Butterworth said that residents have enjoyed taking part. A resident said, “Although I like to be in my room a lot, everyone is friendly and the staff went Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 13 out of their way to give us a wonderful Christmas.” A visitor to the home said, “They are often sitting around doing nothing so there needs to be more activities.” Residents said they had not been on any outings recently and Mrs. Butterworth confirmed this. A recommendation is made that when reviewing activities, residents are to be consulted about what trips they would like and arrangements accordingly. The names and contact numbers of family and friends are written in care files, and residents said they entertain their visitors in private without interference from staff. For those who have no family, arrangements are made for them to have independent advocates to ensure they have someone who is not employed in the home to represent their interests if needed. For those who have religious beliefs, arrangements are made for local clergy or lay ministers to give communion and talk with the residents. Attendance at religious services is by choice only and staff respect each person’s wishes in this. Residents had no complaints about their meals and they said that hot and cold drinks are served regularly throughout the day (and night on request). The menus were seen and these are seasonally reviewed to ensure they are suitable for the time of year. Daily records of meals are maintained and the cook confirmed that residents have a choice of cooked breakfast, cereals and toast. There are alternatives offered for the main meal and a free choice of a lighter meal in the evening. There were good stocks of fresh, dry and frozen foods in store at the time of the visit. Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents’ complaints are taken seriously and they are protected by the guidance and procedures in place for staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 16 and 18. Regarding complaints and concerns, the manager states in the AQQA, “We respond to any complaints, ensure they are correctly and accurately recorded and promptly dealt with. A complaint book is available in the entrance hall. Alternatively the manager is always available to speak with residents who feel they have a concern that needs addressing.” Mrs. Butterworth said there have been no complaints made by residents or their families directly to herself. She said all residents are given a copy of Silverdale’s complaints procedure and a record of complaints is held on the premises. She said she is in daily contact with residents and they are able to discuss any concerns they have with her. There have been no complaints or safeguarding referrals to CSCI about this service since the new owners to over. There is guidance for staff (Adult Protection and “Whistle-Blowing” Procedures) to be followed in what action to take if abuse of a resident was to be suspected. Mrs. Butterworth said that all Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 15 staff have received relevant safeguarding training in the past, and this is due to be updated. Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. The building although being comfortable and clean, is in need of decoration and refurbishment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 19 and 26. During the visit we went into to all of the bedrooms, bathrooms, lounges, dining room and utility areas. Although the home was warm and residents looked comfortable, there are some internal areas in need of decoration and refurbishment. The grounds look neglected and unsuitable for residents. The manager said a handyperson is to be employed who will also have responsibility for gardening. There was a quantity of old furniture stacked up at the side of the building waiting to be taken to the tip. Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 17 The kitchen is due to be refurbished. Mrs. Butterworth said that work is to be carried out as a priority, as there are improvements needed to the electrical system. Otherwise kitchen fittings were clean and said by the cook to be in good working order. The bathrooms are functional but in need of decoration, there are two showers, which are suitable for people who have poor mobility and toilets and bathrooms are situated throughout the building for residents’ convenience. Bedrooms are highly personalised and looked comfortable, containing personal items and favourite pieces of furniture, which people had brought in to make their rooms more familiar and to their taste. A vacant bedroom has been decorated and re-carpeted and will be re-furnished. Some of the carpets throughout the building look worn and are in need of replacement. To ensure that the building is in good condition and makes a safe and suitable home for the residents, the following recommendation is given. A review of the building is to be carried out and a decoration and replacement programme started, prioritising the most urgent work for attention. Domestic staff are employed and for their guidance there are policies for infection control and for the control of substances hazardous to health. Domestic staff have a relevant NVQ qualification. The building was clean and odour free in the areas which were visited. A resident said, “Yes, they keep the place clean I have no doubts about that.” Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents are protected through the recruitment procedures followed in Silverdale, staff have NVQ qualifications however, some training and records were out of date. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 27,28,29 and 30. Rosters are maintained in Silverdale to ensure that there are staff on duty at all times and to give their names and roles. The rosters were read and those for the day of the visit were a true representation of the staff on duty. Mrs. Butterworth said that the numbers on duty for care and ancillary duties were meeting residents’ needs, as there are some residents who need a lot of support. To ensure that staff have the skills to carry out their duties, over fifty percent of care staff have achieved NVQ qualifications and they are due to receive training packs in readiness for updates in their training. A recommendation is given that training is updated as soon as possible to ensure that staff have the necessary updated knowledge and skills. Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 19 A sample of staff files was looked at and demonstrated the recruitment procedure followed to ensure that staff who are employed are suitable to work in the home. Staff files contained CRB clearances, two references, application forms and employment history. Staff’s contracts of employment and job descriptions had not been updated by the new owners, and a recommendation is given that this be carried out to ensure that employment records are accurate and up to date. There has been a low turnover of staff before and since the new owners took over, which gives continuity to the support provided to residents. Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. Health and safety are promoted and protected, however there is no registered manager, some duties have not been carried out and these need to be updated to ensure that Silverdale is suitably managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Standards 31,33,35, 36,37, 38. At the time of the visit, there was no registered manager. Mrs. Butterworth said that she intends to make application for registration with CSCI and will undertake a management qualification (NVQ4). To ensure that there are Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 21 suitable management arrangements in place in Silverdale, it is recommended that the acting manager apply for registration with CSCI. There is a quality assurance system in Silverdale, however the last quality questionnaires completed were dated 2006 and did not give a current summary of residents’ opinions. To ensure that the Silverdale is managed in the best interests of service users, it is recommended that a quality assurance system be set up and used to obtain the views and opinions of those who live in the home as a basis for service development. There is guidance for staff to follow in handling service users’ personal allowances, which are held in safe keeping on their behalf. Accounts are maintained of credit and debit transactions, with double signatures, receipts for purchases and regular checks to avoid error. “A resident said, I have no worries about my money, it is all in order. “ To ensure that staff are suitably supervised, a regular one-to-one meeting for each individual should be carried out every two months with the manager, with records maintained. Mrs. Butterworth said that staff supervision was out of date as she was waiting for a format to follow from the new owners. A recommendation is given that supervision for all staff be carried out and continued every two months, to ensure they are well supported. To ensure accountability for health and safety procedures, certificates of maintenance and fire records were up to date and the accident records book had been well maintained. The laundry and food storage areas were visited and were clean and well organised. Safer Food Better Business records have been introduced in the kitchen and were in good order. The cook said that she finds these records useful to give an account of daily tasks in the kitchen and to ensure that correct safety procedures are followed for the serving and storage of food. Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 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 3 Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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. Standard Regulation Requirement Timescale for action 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. 3. 4. Refer to Standard OP1 OP12 OP19 OP19 Good Practice Recommendations To ensure that people have up to date information about ownership of their home it is advised that the brochure is updated. To ensure that residents have the lifestyle they prefer it is recommended that residents are asked about what outings they would like, and arrangements made in accordingly. To ensure that the grounds are suitable for residents, they should be cleared, weeded and the unwanted items removed. To ensure that the building is in good condition and is a safe and suitable home for the residents, the following recommendation is given. A review of the building is to be carried out and a decoration and replacement programme started, prioritising the most urgent work. To ensure that employment records are up to date it is recommended that staff contracts of employment and job descriptions be updated by the new owners. DS0000070503.V353225.R01.S.doc Version 5.2 Page 24 5. OP29 Silverdale Care Home 6. 7. OP31 OP33 8. OP36 To ensure that there are suitable management arrangements in place in Silverdale, it is recommended that the acting manager apply for registration with CSCI. To ensure that the Silverdale is managed in the best interests of service users, it is recommended that a quality assurance system be set up and used to obtain the views and opinions of those who live in the home as a basis for service development. To ensure that staff are well supported, it is recommended that formal supervision for all staff be carried out and continued every two months. Silverdale Care Home DS0000070503.V353225.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Regional Contact Team Unit 1, 3rd Floor Tunstin Court Port Way Preston PR2 2YQ 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 Silverdale Care Home DS0000070503.V353225.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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