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Inspection on 10/12/07 for St Catherine`s Nursing Home

Also see our care home review for St Catherine`s Nursing Home for more information

This inspection was carried out on 10th December 2007.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

There have been major improvements in the decoration and refurbishment of the dementia unit. Many of the bedrooms on this unit have been redecorated and new furniture has been provided. The staff now make sure that the residents` care plans contain a lot of important information about what they need help with, and how they are to be cared for. Management has recruited more permanent staff for the home.

What the care home could do better:

Management must make sure that the bathrooms and toilets throughout the home are decorated and refurbished to a good standard.

CARE HOMES FOR OLDER PEOPLE St Catherine`s Nursing Home Queen Street Horwich Bolton Lancashire BL6 5QU Lead Inspector Grace Tarney Unannounced Inspection 10th December 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address St Catherine`s Nursing Home DS0000005697.V355798.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. St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Catherine`s Nursing Home Address Queen Street Horwich Bolton Lancashire BL6 5QU 01204 668744 01204 668727 st.catherines@fshc.co.uk 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) Tameng Care Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Christine Isabel Clarke Care Home 61 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (30), of places Physical disability (1) St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 61 service users to include:Up to 30 service users in the category of DE(E) (Dementia over 65 years of age) Up to 30 service users in the category OP (Old age not falling within any other category) Within these numbers Nursing care can be provided for up to 30 service users One named service user in the category PD (Physical Disability) The registration to revert to the original respective categories should the named service user leave the home. 8th June 2007 2. Date of last inspection Brief Description of the Service: St. Catherines is a purpose built Home with accommodation on the ground and first floors. The home is situated within walking distance of Horwich Town Centre and the local shops. It is close to a main bus route and not too far from the motorway network. Car parking is provided to the front of the home and garden space is provided to the sides and rear. The home is registered to provide accommodation to 61 residents and offers nursing and personal care services. However, because the two double rooms are now used only as single rooms, the maximum number of services users at any one time is reduced to 60. There is a dedicated dementia care unit. All rooms are for single occupancy; one room has en-suite facilities. This unit has its’ own lounges and dining room. The bedrooms on the first floor are for the nursing and residential residents and are reached either by stairs or a passenger lift. There is a lounge and dining room on the first floor and a lounge and dining room on the ground floor that is for the residential residents. Most of the toilets and bathrooms have aids to assist any resident with a disability or mobility problem. The provider informed the inspector that the fees within the home ranged from £349.93 to 391.41 per week for those residents funded by local authorities and £414.00 to £472.00 for private residents who pay for their own care Additional charges are made for private chiropody, hairdressing and newspapers. This information was received on the 10/12/2007. St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was not told that this inspection visit was to take place. The Inspector spent 8 hours at the home and during this time she examined care records and medicine records to make sure that the health and care needs of the residents were being met. She also looked around the building at most of the bedrooms, bathrooms, toilets and sitting areas to check if they were clean, warm and well decorated. The Inspector also looked at the menus and looked at what the residents had for their breakfast,lunch and evening meal. She also checked how many staff were provided on each shift to make sure the residents needs were being met, and also looked at how management recruit and train their staff. How the home manages the residents’ spending money was also looked at. In order to get further information about the home the Inspector also spent time speaking to 3 residents, one of the qualified nurses, 3 care assistants and the homes’ Manager. What the service does well: The Manager makes sure that the staff only care for those people whose needs they can meet. Residents feel that they are well looked after by the staff and residents made the following comments: • • You only have to ask and it is sorted. I am very happy here. Enough staff are on duty to meet the needs of the residents. The Company is making sure that the staff are properly trained and is providing the care team with the knowledge and skills they need to protect and meet the needs of the residents. Management make sure that they check care staff out properly and safely before offering them a job. St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 6 Management are good at checking out the quality of care and the services provided for the residents 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. St Catherine`s Nursing Home DS0000005697.V355798.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 St Catherine`s Nursing Home DS0000005697.V355798.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are properly assessed before they are admitted to the home and this gives an assurance to everybody, that a person is only admitted if the staff can meet their needs. EVIDENCE: Before any resident was admitted to the home a senior member of staff from the home undertook an assessment of their needs. The assessment looks at what help and support the prospective resident needs in all aspects of daily life. The 2 assessments looked at were detailed and gave a clear indication of the residents’ needs and what they could and could not do for themselves. Standard 6 does not apply. The home does not provide Intermediate Care St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans reflect the needs of the residents and show how their health and social care needs are to be met. EVIDENCE: Individual care plans were in place for each resident. The care plans of 3 of the residents were looked at, 2 on the dementia unit and 1 on the residential unit. The care plans were detailed and gave clear instruction and guidance on how the care needs of the residents were to be met. The staff looked at whether or not there was any risk in relation to the residents developing pressure sores and also if they were at risk due to problems with their diet and fluid intake. These are called risk assessments. They also assessed if it was safe to use bed rails. Risk assessments were in place for whether a resident was at risk of falling. They also looked at and they wrote down, how any resident was to be assisted with being moved around and by how many members of staff and what equipment, if any, was to be used to assist in safe moving and handling. St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 10 Inspection of the care files identified that the residents had access to health care professionals, such as dentists, opticians and chiropodists. During a discussion with the senior carer on the residential unit it became clear that the staff were not applying best practice to prevent cross infection when changing urine drainage bags. The Manager agreed to address the problem with the staff involved. Equipment necessary for the prevention and treatment of pressure sores was available and in use. Most of the staff demonstrated by example, their knowledge of maintaining privacy and dignity, by knocking on doors, closing toilet doors and speaking to residents in a quiet and respectful way. However, the Inspector did see 2 care assistants talking between themselves whilst attending to a resident. This shows a lack of respect for the resident. This resident was in a wheelchair that did not have footrests and the wheelchair was being tipped backwards. This is unsafe practice. The Manager was made aware of the Inspectors’ findings and told the Inspector that she intended to deal with the issue straight away. The residents looked clean and comfortable and were suitably dressed The medicines on the residential unit were inspected. A safe system of medicine management was in place. Medicines were stored securely and recorded accurately. St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The improvement in the choice, content and amount of food provided ensures that the residents’ dietary needs are met. EVIDENCE: The residents’ routines of daily living and their social interests were recorded in their care plans. Due to the positioning of the residential lounge, which is a conservatory, and the dining room, the residential residents have very little freedom of choice as to where they spend their day. Their bedrooms are situated on the first floor and they are all brought down to the lounge area in the morning and taken back in the evening. Once in the conservatory there is limited space for them to walk around. Staff told the Inspector that the residents could stay upstairs in the nursing lounge if they wanted to but most are used to spending the day downstairs. 1 resident told the Inspector that she was happy enough with the situation, as she was able to go upstairs to her bedroom to fetch anything she needed without the assistance of a staff member. An activity co-ordinator is employed full time and a programme of activities and events, was displayed in the reception area. The staff told the Inspector that they felt the activities provided were acceptable for the residents. St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 12 The majority of residents had a Church of England or Roman Catholic religious faith and staff told the Inspector that the clergy visit the home on a regular basis. Residents are encouraged to bring personal possessions into the home. Many of their bedrooms were personalised with small pieces of their own furniture, pictures, photographs and ornaments. Residents spoken to said that their friends and families could visit whenever they wanted and that staff made them welcome The Inspector did not eat with the residents but watched what they were having for breakfast and lunch on the Dementia Unit. Breakfast and lunch was served from a heated trolley and staff told the Inspector that they felt there had been an improvement in the choice and quantity and quality of the food provided. One of the residents on the Residential Unit told the Inspector that she felt the food was very good and that she refused nothing. Hot and cold drinks were being served throughout the day. The staff told the Inspector that milky drinks were always available. On the residential unit the Inspector saw that when biscuits were being offered to the residents they were not given a plate and as the drinks were served in mugs they did not have a saucer. Due to the cramped conditions in the conservatory not all the residents had a side table. This meant they had to hold on to their biscuit. This is not acceptable. The Manager agreed that this was not acceptable and said that she would address the problem. St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People know how to complain and staff have a good knowledge and understanding of what abuse is, thereby reducing the possible risk of harm to residents EVIDENCE: A detailed complaints procedure was in place and was displayed in the reception area. The procedure displayed in the reception area did not however have timescales on to show when complaints will be responded to. The manager agreed to change it. The complaints procedure was also included in the Service User Guide. It is easy to understand and gives an assurance that complaints will be responded to within 28 days. A record is kept of any complaint made and includes details of the investigation and any action taken. No complaints have been made to the CSCI since the last inspection. 1 complaint has been made to the home in respect of inadequate heating and that was being dealt with at the time of the inspection. A copy of the Local Authorities Vulnerable Adults Procedure was in place and a discussion with the senior staff identified that they were very aware of the procedure to follow in the event of any allegation of abuse. Training in the protection of vulnerable adults has been undertaken by staff and is ongoing. Records of training were kept on file. St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 24 25 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents live in suitably adapted, comfortable surroundings that are continually being improved. EVIDENCE: The Inspector walked around most of the building and looked at several bedrooms, the lounges, the dining rooms, bathrooms and toilets. The corridors throughout the Dementia Unit had been redecorated, more grab rails had been fitted and new flooring was in place. The lounge and dining areas were clean and suitably decorated, although the conservatory in the Dementia Unit felt cold and there were no blinds to the windows. The conservatory area in the Residential Unit was cramped and there was very little room for the residents to move around. St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 15 There were enough toilets and bathrooms to meet the needs of the residents. Toilets were close to bedrooms and communal areas. Each toilet and bathroom had a lock on the door to ensure privacy and the facilities were clearly marked. The decor in most of the toilets and bathrooms was in need of attention. In particular, the flooring in the Dementia Unit toilets and the flooring in the bathroom/shower room and toilets on the Nursing Unit. The flooring in these areas was very stained. As well as the flooring, the decor in the shower room on the nursing unit was poor. Several of the toilets and bathrooms were without a call bell lead in place. The manager agreed to provide them within the week. Most of the bedrooms were decorated to a good standard and new furniture and carpets had been provided in several rooms. A small number of bedrooms did smell of urine. The nurse on the unit told the Inspector that they are continually being deep cleaned. Many of the rooms remain without a lockable space. The rooms on the Dementia Unit were cold but the Inspector was aware that as it was morning, the domestic and care staff had opened the windows for fresh air. Nevertheless there was a problem with the heating and the Manager told the Inspector that the heating engineers were looking at the problem. Overhead panels heated the majority of the rooms on the Dementia Unit. It was also identified that wall heating panels had been installed in some of the bedrooms on the Dementia Unit. Some of them were placed quite low down on the walls within easy reach of the residents. As they were hot, this was a safety risk. The Manager was advised to undertake a risk assessment for each of them and take action accordingly. The Inspector has since been informed that the heating panels presenting a risk have been removed and new low surface heat heaters have been installed in the bedrooms. The Manager told the Inspector that people have commented about how much warmer the unit is. Radiators that were suitably protected heated the other rooms throughout the home. Thermostatic control valves were in place on immersion baths and showers. The home was clean and, apart from some bedrooms on the Dementia Unit, was free from offensive odours. Hand washing facilities were in place in bedrooms, bathrooms and toilets. The laundry was not inspected on this visit St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are cared for by sufficient staff that are safely recruited and properly trained. EVIDENCE: Inspection of the duty rotas and a discussion with staff and residents showed that there was enough staff on duty over a 24-hour period to meet the needs of the residents living in the home. On the Nursing and Dementia Units 24-hour nursing care continues to be provided by suitably qualified nurses who are supported by trained care assistants. The Manager has recently appointed a full time Registered Mental Health Nurse to work on the Dementia Unit. The Inspector was given a copy of the training list that showed 50 of the staff had achieved their NVQ level 2 or above in care. This is good progress. The personnel files of 2 staff members were inspected. All were in order and these staff had been properly and safely employed. This helps protect residents from being cared for by unsuitable people. Induction training is provided for all newly employed staff. This is to make sure that they understand what is expected of them and that people are cared for properly and safely. St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 17 Also a wide range of appropriate and ongoing training in moving and handling, detection of abuse, basic food hygiene, fire safety and other relevant topics are provided to staff at the home. Training provided to individual staff is recorded in detail in their file and reviewed at frequent intervals. St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and practices within the home ensure the wellbeing of the residents. EVIDENCE: The home has appointed a new manager who has not yet registered with the CSCI. She is a Registered General Nurse and a Registered Health Visitor. She has years of experience in care of the elderly, both in the NHS and the private sector. She has achieved the Registered Manager’s Award and keeps herself updated both with clinical and management subjects. Staff told the Inspector that they felt supported by the manager and that things were continuing to improve. The Manager has to do a monthly check of lots of things in the home. She has to check to make sure that there are no hazards around the building and also St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 19 check the records about care, medicines and any accidents that have happened. The system for the safekeeping of residents’ finances was good. Individual computer records are made of all transactions and balances. Receipts are held for any purchases made and receipts are given to relatives when they deposit any “spending money” for their relative. The home had a detailed Health & Safety Policy. Regular weekly checking and testing of fire detection system, fire exits and emergency lights was undertaken and documented. Information received in May 2007,from the Annual Quality Assurance Assessment document that the manager has to fill in and send to the Inspector showed that the equipment and services within the home were serviced on a regular basis in accordance with the individual requirements. St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 3 8 3 9 3 10 2 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 3 2 x x 2 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x x 3 St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 21 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 OP21 OP21 Regulation 13(4)(a) 16(2)(c) & 23(d) Requirement To ensure the safety of the residents call bell leads must be fitted in all resident areas. To ensure that the residents live in a pleasant environment the flooring in the bathrooms and toilets must be refurbished or replaced and the decor must be attended to. Timescale for action 17/12/07 31/03/08 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 OP10 OP15 OP20 OP20 Good Practice Recommendations Staff should receive further training in relation to upholding the residents’ respect and dignity. To protect the residents’ dignity side plates should be given to the residents when they are served food with their drinks. To assist with extremes of temperatures, consideration needs to be given to installing screening such as blinds or curtains in the Dementia Unit conservatory. Consideration needs to be given to improving the amount DS0000005697.V355798.R01.S.doc Version 5.2 Page 22 St Catherine`s Nursing Home 5 6 OP24 OP38 of communal space for the residents on the Residential Unit. To allow a resident some security for their possessions, a lockable space should be provided in all bedrooms. To ensure the well being of the residents, further training in catheter care should be undertaken. St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 St Catherine`s Nursing Home DS0000005697.V355798.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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