Inspection on 17/08/06 for Spindrift Care Home

This inspection was carried out on 17th August 2006.

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.

Other inspections for this house

Spindrift Care Home 11/05/07

Spindrift Care Home 07/11/05

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 Spindrift Care Home 36/39 Cleveland Road Lytham St Annes Lancashire FY8 5JH Lead Inspector Lesley Plant Unannounced Inspection 17th August 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Spindrift Care Home DS0000064223.V295752.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. Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Spindrift Care Home Address 36/39 Cleveland Road Lytham St Annes Lancashire FY8 5JH 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) 01253 737014 01253 794742 Spindrift Care Home Limited Mrs Alison Elizabeth Murgatroyd Care Home 34 Category(ies) of Learning disability (2), Old age, not falling registration, with number within any other category (31), Physical of places disability (1) Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The home is registered for a maximum of 34 service users to include Up to 31 service users in the category of OP (older people over the age of 65 years) One named person in the category of PD (adults with physical disabililty) Two named people in the category of LD (adults with learning disabilities) 7th November 2005 Date of last inspection Brief Description of the Service: Spindrift is located close to Lytham town centre, providing excellent access to a range of community facilities and services. The majority of bedrooms are single; however there are two double bedrooms available for people who may choose to share a room. Parking for visitors is provided at the rear of the home and there is an enclosed rear garden for sitting out during the summer months. The good range of communal space, including a small conservatory, means that individuals can choose to join in activities or spend time alone/in smaller groups. The home offers personal care to residents of both sexes who are aged 65 years and over. A hairdresser and occupational therapist make regular visits to the home. Activities include quizzes, trips out and film afternoons. The home has a strong Christian ethos and ministers from a number of local churches regularly visit the home. The three directors of the provider company, Spindrift Care Home Limited, are all closely involved in the running of the home, with one being the registered manager. Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and looked at all of the key national minimum standards. The inspector spoke to the manager; two care assistants, five service users and two visitors at the home. Time was also spent observing staff and service users engaged in daily activities. Records were viewed and a tour of the building took place. Comment cards providing feedback were received from 25 relatives and 20 service users. Staff or a relative helped some service users to complete their comment cards. Information was also gained from a pre inspection questionnaire completed by the manager. Since the last inspection the home has increased it’s registration and can now accommodate 34 service users. A CSCI pharmacy inspector conducted an inspection of medication arrangements at the home in March and a separate report of this visit is available at the CSCI office. What the service does well: Staff have clearly built up close working relationships with those living at the home. There are clear directives for staff to follow each day, indicating who is supporting each service user and who is responsible for certain tasks such as administering medication. This direction means that staff are very clear about their duties. The good range of communal lounge space means that individuals can choose to be part of a larger group and join in activities or spend time alone/in small groups. A range of different activities is provided, including trips out, quizzes, exercise sessions, entertainers and films. On the day of the inspection four service users enjoyed a visit to Southport flower show. During the inspection it was clear that visitors are made welcome at the home and can pop in at any time. The relatives who completed feedback comment cards all responded positively about visiting arrangements, with comments including; “It is a warm and welcoming environment” and “the staff are always polite and helpful”. The home now exceeds the target of having 50 of the team qualified and staff clearly value these training opportunities. Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The majority of care plans include a moving and handling risk assessment and a manual-handling chart. However, these were not in place for two people recently admitted to the home and this should be addressed. Risk assessments need to be put in place regarding the use of bed rails and these must be regularly reviewed as part of the care plan. Although progress has been made there are still problems in maintaining consistency regarding medication procedures. Inspection of medication administration records showed a number of errors, including staff not signing when medication has been given and discontinued medication not being clearly recorded as such. Handwritten medication sheets were not being checked and signed by two staff as previously advised and medication was not always being dated on opening. The manager should carry out regular audits to ensure that procedures are being consistently followed. Some staff have completed abuse/protection training and it is advised that all staff undergo some training in this area as part of the core-training programme. The manager is advised to revise the current finance record sheets relating to money held on behalf of service users. Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 7 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. Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 8 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 Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 9 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 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The assessment process helps to ensure that service users are only admitted to Spindrift if their needs can be met. EVIDENCE: The assessment documents for two individuals recently admitted to the home show that good information is gathered prior to admission. The manager, care manager or assistant care manager, who are all experienced in the assessment of new service users, carry out assessments. This would take place in hospital or in the person’s home. Information is gathered from spending time with the individual and their relatives, as well as gaining information from other professionals e.g. hospital staff. Hospital discharge assessments are also available on files. Detailed assessment information is then transferred to the care plan. People are not admitted to Spindrift Care Home solely for intermediate care. Spindrift Care Home DS0000064223.V295752.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 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 plans do not always address moving and handling needs or the need for bed rails, meaning that safety may not be fully considered. Inconsistencies in the medication procedures could pose risks to service users. Privacy and dignity are promoted during the day-to-day work of staff. EVIDENCE: Each person has a care plan; which addresses health, personal and social care needs. Records show that care plans are reviewed each month and updated when needs have changed. Staff read and sign each care plan. There are clear directives for staff to follow each day, indicating who is supporting each service user. The majority of care plans include a moving and handling risk assessment and a manual-handling chart, clearly showing the support required. However, these were not in place for two people recently admitted to the home. Risk assessments need to be put in place regarding the use of bed rails and these must be regularly reviewed as part of the care plan. Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 11 Health care needs are addressed within care plans and the daily records kept by staff show that changing health needs are monitored and good contact is kept with health care professionals such as district nurses. A weekly exercise session is held and a chiropodist regularly visits the home. At the time of the inspection four individuals were being cared for in bed. Fluid and turning records were in place and guidance given by district nursing staff was being followed. A relative of one individual, who was ill in bed, confirmed that she was extremely satisfied with the care her mother was receiving and praised staff for their efforts. The manager has responded to the requirements and recommendations made by the CSCI pharmacy inspector earlier in the year. Improvements made include; better storage for medication requiring refrigeration, improved recording of controlled drugs, medication information leaflets being available for staff, administration records now contain a photo of the service user and staff administering medication have all undergone appropriate training. Although progress has been made there are still problems in maintaining consistency regarding medication procedures. Inspection of medication administration records showed a number of errors, including staff not signing when medication has been given and discontinued medication not being clearly recorded as such. There were issues regarding an individual who had difficulty swallowing medication and these had not been adequately addressed. Handwritten medication sheets were not being checked and signed by two staff as previously advised and medication was not always being dated on opening. The manager should carry out regular audits to ensure that procedures are being consistently followed. The importance of privacy and dignity is addressed with all new staff during the induction period. The bedroom doors with glass panels have now been fitted with curtains as advised. Care plans include preferences regarding male or female carers for personal care tasks. There is a small private area where service users can make phone calls. During the inspection staff were observed responding gently and sensitively to service users. Spindrift Care Home DS0000064223.V295752.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 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. Social contacts and activities are encouraged and visitors are made welcome. The menu is varied and service users enjoy the meals provided. EVIDENCE: Information regarding interests and preferences is gathered during the assessment period. One person requested to eat breakfast in her bedroom and this is now part of her daily routine. The good range of communal lounge space means that individuals can choose to be part of a larger group and join in activities or spend time alone/in small groups. A range of different activities is provided, including trips out, quizzes, exercise sessions, entertainers and films. On the day of the inspection four service users enjoyed a visit to Southport flower show, accompanied by three staff. A notice board in the dining room gives details of forthcoming events/activities. A number of church ministers regularly visit the home and service users are supported to keep links with their chosen place of worship. One of the residents produces a regular newsletter about life at Spindrift and praised the staff for the support she receives to achieve this and to follow her other literary interests. Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 13 During the inspection it was clear that visitors are made welcome at the home and can pop in at any time. The relatives who completed feedback comment cards all responded positively about visiting arrangements. Service users can entertain visitors in their bedroom, the dining room or in one of the lounges. Feedback from relatives was extremely positive with comments including; “It is a warm and welcoming environment” and “the staff are always polite and helpful”. There are two volunteers who visit the home. One chats to residents and helps serve drinks and the other facilitates an exercise session. Individuals are encouraged to handle their own financial affairs according to their wishes and capabilities. For some people a relative may take on this responsibility and make any necessary decisions. Information regarding advocacy is available. People are able to bring their own personal possessions with them to the home. The comment cards completed by relatives all confirmed that they are kept informed about important matters and consulted as appropriate. Feedback from service users about the meals at Spindrift was generally positive. Comment cards indicated that most people enjoy the food provided. The inspector enjoyed the lunch and tea provided on the day of the visit and individuals spoken to also expressed satisfaction. The menus are varied and the day’s lunch menu is displayed on a board in the dining room. A number of people at the home require assistance at meal times and staff provide support in a kind and sensitive manner. Comments from service users included; “There are always alternatives for every meal. The only thing I don’t like is fish and various alternatives are provided” and “We can request something else if we don’t like the food on offer”. Spindrift Care Home DS0000064223.V295752.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 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 good. This judgement has been made using available evidence including a visit to the service. Service users and their relatives have confidence that any concern would be responded to. Policies, procedures and good practice promote the protection of those living at the home. EVIDENCE: The home has a complaints procedure in place and no complaints have been received since the last inspection. Feedback from service users and relatives confirms that any concerns can be raised and that problems are quickly resolved. One relative stated, “My mother does not have the capacity to complain but I have constant access to staff, including the manager and have always been able to discuss any issues.” Appropriate protection and abuse policies are in place. The whistle blowing policy is displayed on the staff notice board. The manager has good knowledge of the agreed protection of vulnerable adults procedures. A number of staff have completed training in relation to abuse and challenging behaviour. Although abuse/protection is covered within NVQ programmes, the manager is aware that this should also form part of the core training programme at the home. Recruitment files show that appropriate checks are undertaken prior to staff being employed at the home. Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected 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 good. This judgement has been made using available evidence including a visit to the service. Arrangements for maintenance, redecoration and cleaning help provide a comfortable, homely and safe environment. EVIDENCE: There is an ongoing programme of redecoration and refurbishment within the home. Since the last inspection a number of areas have been decorated/refurbished and a new walk in bath has been installed. Curtains or blinds have been fitted to the bedroom doors, which contain glass panels. Locks have been fitted to toilet doors and the programme for fitting locks on all bedroom doors is continuing. A full time maintenance worker is employed, who carries out all minor repairs and decoration. The manager has responded to advice from the fire service and environmental health agency. The home has a well-organised laundry room, with a staff member employed solely for these duties. A cleaner is employed and night staff also carry out Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 16 some domestic duties. The home has an infection control policy to guide staff in their work and the majority have also completed training in this area. Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected 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 good. This judgement has been made using available evidence including a visit to the service. The home is staffed appropriately and NVQ (National Vocational Qualification) training is promoted, providing opportunity for staff to develop further skills in their work. Recruitment procedures promote the protection of service users. EVIDENCE: During the day and evening there are always a minimum of four care staff on duty, plus at least one of the management team. Additional staff are on duty for outings etc, such as on the day of the inspection when three staff had accompanied four services on a trip out to Southport. Rotas show that there are often six staff on duty during the afternoon, in order for activities to take place. During the night there are two staff on duty plus a member of staff sleeping in and available for emergencies. A housekeeper, cook, cleaner and maintenance worker are also employed. Comments from relatives about the qualities of staff included; “ The staff use skill, imagination and kindness, with positive, pleasing results” and “The staff are always helpful and have gone out of their way to ensure that my mother has all her needs catered for.” Good progress has been made with qualification training for staff and the home now exceeds the target of having 50 of the team qualified. Ten of the 19 care staff have achieved NVQ level 2 or 3 and another three staff are soon to commence NVQ programmes. NVQ certificates are on display in the hall. Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 18 Examination of files shows that good recruitment procedures are being followed. A completed application form, two references and appropriate Criminal Records Bureau disclosures were available on the three files viewed. A training matrix clearly shows the training completed by each member of staff. The basic core training includes moving and handling, health and safety, first aid, food hygiene and medication. Training appears well organised and the majority of staff have completed all of the basic courses. The manager has also planned some in house training regarding dementia and challenging behaviour. Some staff have completed abuse/protection training and it is advised that all staff undergo some training in this area as part of the core-training programme. Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Spindrift is well managed. Policies, procedures and good practice help to ensure that the quality of the service is monitored, service users financial interests are safeguarded and health and safety of service users and staff is promoted. EVIDENCE: The registered manager has worked at the home for many years and is also a director of the provider company. Qualifications include the Registered Managers Award, NVQ level 4 in Care and the NVQ assessors’ award. The management team also includes a number of senior care staff with specific areas of responsibility. The two members of staff spoken to confirmed that they know whom to approach for advice and that senior staff are always approachable and available. Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 20 A number of internal and external quality monitoring systems are in place. Spindrift has achieved Investors in People accreditation, which has recently been reviewed and re endorsed. Questionnaires are sent to relatives, GP’s and District Nurses approximately every six months, the last ones being circulated in March. Feedback from relatives confirmed that staff and the manager are approachable and that ideas can be put forward and issues raised if necessary. The responsible individual for the provider company undertakes monthly monitoring visits at the home and sends copies of the reports to the CSCI, as required by regulation. Service users are encouraged to manage their own finances or for some individuals a relative will take this responsibility. The registered manager holds spending money in safekeeping for two service users at the home and acts as the Court of Protection receiver for one of these individuals. The records of income and expenditure for these two service users were viewed. The manager is advised to revise the current record sheets to include more detail and therefore more clarity regarding income and expenditure. A safe is available for the secure keeping of any cash. The home has a system of invoicing the service users or nominated relative for incidental expenditure such as hairdressing costs. The home has current lift maintenance and electrical wiring certificates. Fire equipment is regularly checked and monthly fire alarm tests take place. The manager is going to include fire drills for staff as part of the monthly alarmtesting schedule. Recommendations made by the fire department have been acted upon. The manager is advised to review the fire risk assessment at regular intervals. The core-training programme addresses health and safety topics such as moving and handling. Risk assessments are in place, addressing work practices such as using equipment, working at height, use of computers and use of laundry and kitchen equipment. Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO 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. 2. Standard OP7 OP9 Regulation 13 13 and 17 Requirement Risk assessments for the use of bed rails must be carried out and regularly reviewed. The registered person must ensure that an accurate record of medicines administration is kept. Timescale for action 31/08/06 31/08/06 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. 3. 4. Refer to Standard OP7 OP9 OP9 OP9 Good Practice Recommendations Care plans should include a moving and handling assessment. All medication should be dated upon opening. The manager should carry out regular medication audits. All handwritten medication administration records should be double-checked. Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 23 Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Spindrift Care Home DS0000064223.V295752.R01.S.doc Version 5.2 Page 25 - 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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