CARE HOMES FOR OLDER PEOPLE
St Catherines Nursing Home 152 Burngreave Road Sheffield South Yorkshire S3 9DH Lead Inspector
Ivan Barker Key Unannounced Inspection 18th April 2007 11:30 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 Catherines Nursing Home DS0000021809.V331945.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 Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service St Catherines Nursing Home Address 152 Burngreave Road Sheffield South Yorkshire S3 9DH 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) 0114 272 3523 0114 279 6094 none None Regal Care Homes (Sheffield) Limited Post Vacant Care Home 72 Category(ies) of Dementia - over 65 years of age (31), Old age, registration, with number not falling within any other category (41) of places St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Service users can also be between the ages of 60 and 65. One specific service user under the age of 60 years named on the variation dated 9th May 2005 may reside at the home. 23rd May 2006 Date of last inspection Brief Description of the Service: St Catherines consists of two large units Tibohin House and Carragriffe House. Both are three-storey buildings consisting of a converted existing building and a purpose built. The home has 48 single and 12 double rooms, each provided with en-suite facilities. Each unit has a lift, communal lounge and dining areas. The home has a car park. The home provides nursing care for up to 72 people over 60 years of age. The home caters for up to 31 older people with Dementia and to 41 Older persons. The home is set in pleasant gardens in the Pitsmoor area of Sheffield, within easy reach of the city centre and close to local amenities. Current fees range from £271 - £454. A Service User Guide was provided within each bedroom. The content of the guide was not examined at this inspection. St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on the ‘key standards’), and the previous requirements. The person present at the inspection was: Mrs Kate Winstanley, manager. Within this site visit, which occurred over a five hour, forty five minute period, the inspector toured the building, examined requirements relating to the previous inspection, case tracked 3 service users (Case tracked means looking at the care and service provided to specific service users living at the home; checking records relating to their health and welfare, care plans and other records; by talking to the service users themselves; viewing their personal accommodation as well as communal living areas), and spoke with other service users, and relatives and also 3 staff and examined assessments, care plans, risk assessments, menus, complaint files, and staff files. The history of the service was examined prior to the site visit. This included the telephone contacts, letters, notifications etc. There has been an application submitted to the Commission, for a change of facilities, within Tibohin unit, changing a double room into a lounge. The Commission is processing the application. What the service does well:
Accurate comprehensive assessments were in place from the care management team and from the staff of the service. This ensured that the service have sufficient information to be aware of the service user’s needs prior to admission. Service users were given the opportunity to exercise their right of choice regarding the provision of meals and whether to participate in the limited activities. Service users expressed their views, during the inspection. Their opinions were; ‘Its nice here’ ‘They look after me, ok’
St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 6 ‘They give good care’ Regarding the meals, the carers asked the service users at breakfast for their order for dinner and tea, and the order went to the kitchen for 9am. Copies of four weekly menus were seen, within the kitchen, and the food on the date of the visit was being prepared according to this menu. The kitchen had been inspected by the environment health services of Sheffield City Council, and following the inspection they had awarded the kitchen a 5star rating, which was the highest award. This rating was evidence by the letter from the environment health services. Positive comments were received from the service users regarding the food provision. The general comments were that; ‘The food is ‘good’ ‘Plenty of food’.’ Comments were received from the service users regarding the home. The general comments were that; ‘Its nice and tidy’. ‘Its nice here’. The service users commended the staff as being ‘good’, and ‘kind’. The service was able to evidence that the staff had received Safeguarding Adults training. Therefore staff would be aware of their responsibility regarding the protection of vulnerable adults. All staff had received training, which would reflect on the quality of care being delivered to the service users. The staff recruitment process should provide protection for the service users. What has improved since the last inspection?
There were 28 requirements. All had been acted upon and resolved. Care plans had received attention, from the issues raised within the last inspector. The care plans were examined as part of this inspection process. St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 7 The poor administration of medication records had been a requirement at the last inspection. On examination of the medication administration records it was found that there were no omissions of signatures. All medication records have been signed when being checked in from the pharmacy. The environment, has been improved since the last inspection, and was now maintained to a good standard to provide a safe, well-maintained environment for services users. Training records were available for examination. Fire drills had taken place, and fire exits were clear at the time of the visit. What they could do better:
Inaccurate care plans will not contribute to the delivery of care, and may place service users at risk. Limited activities were organised within the service, which would provide some stimulation to service users and enhance their quality of life. The activities need to be increased. The service did not have a relevant complaints procedure displayed therefore people who wished to complain would not know where to complain and get the matter resolved to their satisfaction. An experienced manager is in post. This should contribute to the effective organisation and operation of the service. However there needs to be a registered manager in post. There needs to be more effective management of the service from the registered person who should be more involved with the operation of the service and this involvement should be evidenced. It was recognised that the manager had only been in post 7 weeks, and within the new company for a year there has been changes in the manager in that period of time, however to have no evidence of activity records, recent complaints, quality assurance and registered person involvement regarding Regulation 26 visits is of concern. The manager has expressed her commitment to improving the situation with the service, and the registered person should provide her with the necessary management support. St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 8 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 Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 9 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 Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 10 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): Standards 3 and 6. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Accurate comprehensive assessments were in place from the care management team and from the staff of the service. This ensured that the service have sufficient information to be aware of the service user’s needs prior to admission. EVIDENCE: On examination of three service users’ care management assessments, all the service users had care assessments from the care management team. All assessments documents were signed and dated prior to the admission date. St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 11 The manager or deputy manager had undertaken assessments of the service users prior to admission. These assessments detailed the service users needs which would assist in providing sufficient information for care plans to be drawn up. The manager advised that relatives at their initial contact, were invited to visit the home. Then the service user would be invited to visit the home twice for a period of 4 hours each time. This visit may include a meal. The manager advised that no intermediate care, only respite care was provided within the service. St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 12 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): Standards 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care plans had not been reviewed since January; this could have impacted on the delivery of care, and may have place service users at risk. However a review had occur in April, and the care plans updated. Service users were satisfied with the care they received. EVIDENCE: On examination of the care plans, from three service users, it was established that there were daily entries within the care plans; these recorded the care delivered on a daily basis. However the monthly evaluation of the care plans had been in January and then in April. The manager advised that since her appointment approximately seven weeks ago, she had instructed that care plans were reviewed and that was the April review.
St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 13 Risk assessments were included within the documentation and included moving and handling, nutrition, skin integrity, and other risk factors. Service users expressed their views, during the inspection. Their opinions were; ‘Its nice here’ ‘They look after me, ok’ ‘They give good care’ The storage, ordering, administration and disposal of medication procedures were discussed with the manager. The procedures explained by the manager were satisfactory. On examination of the medication administration records it was found that there were no omissions of signatures. All medication records had been signed when being checked in from the pharmacy. However on requesting to look at the signature-checking document, which should contains the initials as written on the medication administration document and the member of staff’s signature, the document could not be located. St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 14 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): Standards 12, 13, 14 and 15. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users were given the opportunity to exercise their right of choice regarding the provision of meals and whether to participate in the limited activities. Limited activities were organised within the service, which would provide some stimulation to service users and enhance their quality of life. EVIDENCE: The manager advised that an activities co-ordinator had commenced employment at the home on the 16th April 2007, which is two days prior to this inspection. He was at present undertaking his induction course. There was no programme of activities displayed, the manager advised that the care staff were proving activities prior to the appointment and these activities consisted mainly of ‘sing songs’. On discussing the activities with a service user their opinion was that;
St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 15 ‘There is not much to do, but I’m not bothered’. Other service users did not express an opinion on this subject. Regarding the meals, as some service users were often unable to remember what choice they had made, because of their medical condition, the service did not provide a menu. However the manager advised that the carers asked the service users at breakfast for their order for dinner and tea, and the order went to the kitchen for 9am. Breakfast consisted of the option of a cooked breakfast or continental. Dinner consisted of a choice of two cooked meals or a salad. Tea consisted of the choice of a light cooked meal or a sandwich. Copies of four weekly menus were seen, within the kitchen, and the food on the date of the visit was being prepared according to this menu. The manager advised that within the kitchen there was a dedicated fridge for ‘over night’ use. This contained sandwiches and milk etc, should service user request something to eat or drink during the night. The kitchen had been inspected by the environment health services of Sheffield City Council, and following the inspection they had awarded the kitchen a 5star rating, which was the highest award. This rating was evidence by the letter from the environment health services. Positive comments were received from the service users regarding the food provision. The general comments were that; ‘The food is ‘good’ ‘Plenty of food’.’ St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 16 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): Standards 16 and 18. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service did not have a relevant complaints procedure displayed therefore people who wished to complain would not know where to complain and get the matter resolved to their satisfaction. The service was able to evidence that the staff had received Safeguarding Adults training. Therefore staff would be aware of their responsibility regarding the protection of vulnerable adults. St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 17 EVIDENCE: The complaints procedure was displayed, however it contained the information relating to the previous owners of the service, and was therefore out of date, by a year. On discussing complaints with the manager, she produced the complaints book that showed that there had been complaints in previous years but there was no record of recent complaints. Regarding safeguarding adults, the service had policies and procedures which were available to staff. Staff had undertaken safeguarding adults training, and the manager was able to evidence this by showing training records and certificates. St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 18 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): Standards 19 and 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment, has been improved since the last inspection, and was now maintained to a good standard to provide a safe, well-maintained environment for services users. EVIDENCE: The service consists of two building, Tibohin House and Carragriffe House. On touring the buildings, they were decorated to a good standard and well maintained. However it was agreed that Carragriffe House was looking tired in parts, but still up to the required standard. St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 19 The manager advised that the service users within Carragriffe House were being relocated into Tibohin House. This was being done in consultation with the care managers and family, with each person having a choice of room. Then it was the intention for Carragriffe House was to be upgraded. Within this relocation the service users with dementia nursing needs and service users with physical nursing needs will be living in the same unit. On discussing this fact with the manager, she advised that there had been careful consideration on this factor and although service users with dementia or physical needs may be in adjoining bedrooms there was six communal lounges, and a planned conservatory, so that service user may choose which lounge to sit in, and consideration was being given to creating ‘quiet lounges’. At the previous inspection it had been identified that there was a need for redecoration and re-carpeting this had been completed. Comments were received from the service users regarding the home. The general comments were that; ‘Its nice and tidy’. ‘Its nice here’. The service users’ rooms had been personalised and many contained photographs, personal belongings and items of furniture, which the individual or the family had provided. St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 20 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): Standards 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager was able to provide evidence that staff had received training, which could reflect on the quality of care being delivered to the service users. The staff recruitment process should provide protection for the service users. EVIDENCE: On examination of the staff rotas and examination of staff on duty, the following was established: Am. shift – Pm. shift– Night shift – 2 qualified nurses and 5 care staff 2 qualified nurses and 5 care staff 2 qualified nurses and 4 care staff Plus A manager A deputy manager An activities co-ordinator St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 21 Ancillary staff included. Domestics, catering and maintenance staff. Caring for a present occupancy of 39 service users. A full assessment of the dependency levels of the service users was not undertaken and compared with the indicated staffing levels. On examination of the three staff files, all contained the required documentation, including Criminal Records Bureau and POVA (Protection of Vulnerable adults) checks. On examination of the staff training records there were records and certificates that indicated the staff had received moving and handling, and fire training. The service users commended the staff as being ‘good’, and ‘kind’. There was a previous requirement regarding the lack of staff supervision. It was established by the examination of the supervision records that supervision had commenced. St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 22 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): Standards 31, 33, 35, 36 and 38. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An experienced manager is in post. This should contribute to the effective organisation and operation of the service. To provide more effective management of the service the registered person should be more involved with the operation of the service and this involvement should be evidenced. St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 23 EVIDENCE: A registered manager was not in post. The person, who was in the post of manager had been in post for 7 weeks. The Commission had been informed of her appointment. The manager advised that she had been a registered manager for other similar services for 13 years. She identified that since she had been in post she had identified issues that needed to be addressed and was acting upon these. Examples given were the previous requirements, all of which had been acted upon, the evaluation of the service, which had lead to the relocating of the service users from one house to the other. On examination of the staff supervision records it was established that supervision had commenced and was planned to be ongoing for the year. Regarding Quality Assurance, since her appointment, the manager had sent out and received back surveys to relatives, staff and other professionals i.e. community nurses GP’s etc. she identified that the responses were mostly positive but with some areas that needed to be addressed. No other quality monitoring documentation could be produced at the time of the visit. Regulation 26 documentations, which are a record of the registered person’s monthly visits, were difficult to locate. The file was located and a Regulation 26 document was found relating to a visit in 2006. The manager advised that the registered person did regularly visit the service, and this could be supported by the ‘finger print’ system that operated within the home. The ‘finger print’ system was a time logging system used by staff of the company when entering or leaving the service. No service user or relatives were on this system. Regulation 37 notices, which are documents that are sent to the Commission regarding untoward occurrences, including falls, accidents etc; have been received by CSCI (Commission for Social Care Inspection). The pre inspection questionnaire, which should have been returned to the Commission, had not been received, prior to this visit. However on discussing the matter, with the manager she advised that the document had been posted to the Sheffield office of the Commission. She produced a photocopy of the document at the visit that confirmed that the necessary maintenance and servicing had occurred. St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 24 It was recognised that the manager had only been in post 7 weeks and within the new company for almost a year there has been changes in the manager in that period of time, however to have no evidence of activity records, recent complaints, quality assurance and registered person involvement regarding Regulation 26 visits is of concern. The manager has expressed her commitment to improving the situation with the service, and it was accepted that there had been positive action taken to address the previous requirements and the appointment of the activities co-ordinator. However the registered person should provide the manager with the necessary management support. St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 25 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 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X 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 2 x 3 3 X 3 St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 26 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 Standard OP7 Regulation 15 Requirement Care plans must be reviewed when the service user’s care needs change, and evaluated at least on a monthly basis, to ensure up to date information is provided for the delivery of care. Recreation or therapeutic activities must be provided and evidenced, so as to provide a stimulating and enhanced quality of life to service users. The complaints procedure must contain the correct information, so that people are informed of the complaints procedure that they should follow should they have a complaint. A quality monitoring system must be commenced to measure the quality of the service. The registered person must visit the service and monitor the service, as stated in Regulation 26 and be able to evidence the visit, so that they are aware of the quality of the service.
DS0000021809.V331945.R01.S.doc Timescale for action 18/05/07 2 OP12 12 18/05/07 3 OP16 22 18/05/07 4 5 OP33 OP33 24 26 18/08/07 18/05/07 St Catherines Nursing Home Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP31 Good Practice Recommendations The manager should apply for registration of the home and undertake the ‘fit’ person process. St Catherines Nursing Home DS0000021809.V331945.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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
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