CARE HOMES FOR OLDER PEOPLE
St Denis Lodge Salisbury Road Shaftesbury Dorset SP7 8BS Lead Inspector
Andrea East Unannounced Inspection 24th September 2007 11:15 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 Denis Lodge DS0000061609.V351007.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 Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service St Denis Lodge Address Salisbury Road Shaftesbury Dorset SP7 8BS 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) 01747 854596 01747 855410 beverley@stdenislodge.fsnet.co.uk St Denis Lodge Ltd Miss Patricia Butler Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 6th March 2007 Brief Description of the Service: St Denis Lodge is well-established care home situated on the outskirts of Shaftesbury town centre close to the Royal Chase roundabout. The home is registered to accommodate a maximum of 21 people aged 65 years and over in the category of Old Age (OP). The owner and registered individual (RI) is Ms Beverley Martin and the registered manager is Mrs Patricia Butler. St Denis Lodge residential home is a large Georgian property set in its own landscaped gardens. Accommodation is arranged over the ground and first floors and all but one of the bedrooms have en-suite toilet facilities. The accommodation is of a high standard and provides a comfortable and attractive environment. Communal rooms include a lounge, dining room and separate conservatory: assisted bathing facilities are available on the first floor and a separate toilet is situated close to communal areas. The home aims to provide a service to people who have low to moderate care needs, and is well-suited to people who retain a degree of independence. The homes environment is such that physically frail elderly people can access all parts of the home, as there are two passenger lifts available for use. There is a large off road car park to the side of the home for visitors convenience. The current fees range from £595-£625.00 per week information provided by the Registered Providers at the inspection site visit. Additional charges are made for made for chiropody, hairdressing, outings and newspapers. The homes service users guide and last inspection report are stored in the homes office and made available on request. St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection visit was carried out over one day. A range of documents, were examined, including staff and peoples individual files, policies, procedures and the homes service users guide. People were spoken to in the homes lounge and in private rooms. Members of staff and visitors to the home were also spoken with. This report also refers to information obtained at previous inspection visits to the home and to surveys received prior to the inspection site visit. What the service does well:
The service made welcome all visitors to the home and gave an opportunity for people and their relatives to visit the home before making a commitment to moving in. This was important as it gave people the information they needed to make a choice about coming into the home. It also meant that the service were aware of individuals needs right from the start of the service. The owner, manager and staff team included people in making choices about how they wished to be cared for and provided a good standard of care. People said that they felt well cared for and that “nothing was too much trouble “ for the staff. The staff team were praised for their approach to caring for people. The people using the service said when assisting them, that staff always treated them with “kindness, patience and respect. Members of staff were employed after a range of recruitment checks had been carried out and were well trained. For example, a member of staff had completed a teaching and assessing qualification to provide moving and handling training to all staff. This member of staff, also co-ordinated, a range of ‘core training’ for staff, such as First Aid, Health and Safety and Adult Protection. This demonstrated the homes commitment to ensuring that only those suitable to work with vulnerable adults were employed in the home. The service had a good standard of medication administration, so that people were supported to look after their own medication safely. Medication that was administered for people was also monitored and recorded, so that people received medication safely. People were offered a range of opportunities to join in a varied programme of entertainments and activities, either as part of a group or on an individual basis. This included a choice of activities and entertainments, such as exercises St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 6 classes, quizzes, musical events, guest speakers and community church events. The home provided a good meals service, in which people had a choice of well prepared, cooked meals, snacks and drinks available throughout the day and night. The people using the service had a choice of where they ate and if they wished to have visitors join them. St Denis Lodge provided homely, comfortable accommodation that was furnished, decorated and maintained to a high standard. What has improved since the last inspection? What they could do better:
The high level of care and attention that people received was not always captured in the care plan records. For example one person’s needs had changed so that staff were continually reviewing and monitoring this persons needs, trying different approaches to assist them, which was not detailed in the care plan records. Care plan records need to be more fully completed so that members of staff have all the information they need to care for peoples changing needs. Records of complaints, concerns or areas of improvements and how the home had improved upon suggestions was not always recorded. Complaints, concerns and areas of improvements need to be recorded as further evidence of the homes good practice and as a monitoring tool to ensure all areas of any concerns are fully addressed. The home could be made safer by ensuring that risk assessments are completed and radiators guarded. Radiators that are not guarded may pose a risk to people who are prone to falls. Shortly after the inspection visit the owners confirmed in writing that a risk assessment had been completed and had made a commitment to guarding all radiators by 2008. This work should be carried out to prevent potential injuries to the people using the service Fifty per cent of staff should have a National Vocational Award Level 2 in care. The numbers of staff with a National Vocational Award Level 2 in care fell
St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 7 below the standard of fifty per cent of all care staff. The manager, owners and staff should continue to be working towards addressing this, as this would assist staff in maintaining and improving their skills and knowledge. Recording information could be improved across a number of areas; including the management of people finances, for those people who wished to manage their own finances, a more detailed quality assurance system that included people comments about the home, communication across all staff and in reporting events to the Commission. Good record keeping is important as records show continued improvements in the home, how people are being cared for safely and are legally required. The improvements needed in record keeping were not so significant that they meant that people were not well cared for. 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 Denis Lodge DS0000061609.V351007.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 St Denis Lodge DS0000061609.V351007.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people using the service were confidant that their care needs had been assessed and that their needs could be met, right from the start of their stay in the home. The services provided did not include intermediate care. EVIDENCE: People living at the home, said that they had an opportunity to visit the home and talk to the manager and staff, before making a commitment to moving into the home. For those people unable to visit, they said that relatives had visited on their behalf and discussed their needs with the manager and staff. The manager said that the basic pre- admission assessment forms were completed with discussion with people planning to come into the home. The pre- admission assessment forms gave some indication of the personal and individual needs of the people the home intended to care for. These
St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 10 documents were then extended into a more detailed assessment after people had settled into the home. The owner and manager said that people were informed about the services and facilities available, through discussion at the initial assessment and through the homes brochure and contract/ terms and conditions of stay. The owner and manager said that they were working on an extended brochure/pack that would include a wide range of information including the Service Users Guide. This pack would then be in every persons private rooms and available to people asking about the service. A sample of the proposed information packs was stored in the office. St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People using the service had their health, personal and social care needs met and this was set out in an individualised plan of care. Individuals were involved in decisions about their lives, and played an active role in planning the care and support they received. People were treated with dignity and respect and their privacy was upheld EVIDENCE: Two files were examined that included details of peoples care needs through care plans, daily records and risk assessments. Records showed that peoples needs, including health care needs had been considered and addressed. They also showed how the owner, manager and staff team tried to include people in making choices about how they wished to be cared for. St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 12 After speaking to staff and the people using the service it was clear that the high level of care and attention that people received was not always captured in the care plan records. For example one person’s needs had changed so that staff were continually reviewing and monitoring this persons needs, trying different approaches to assist them, which was not detailed in the care plan records. People said that they felt well cared for and that “nothing was too much trouble “ for the staff. People also described occasions when staff had assisted them in making appointments outside of the home to attend hospital or visit the Doctor. Medication administration policies, procedures and practices showed that, the home’s staff actively involved the people using the service, in their care. Members of Staff was observed following good medication administration practices such as staying with the person receiving medication until the medication had been taken. This ensured that medication has been taken as prescribed and that individuals had an opportunity to discuss any issues with staff. Some people had chosen to look after their own medication. This had been discussed and agreed with them and clearly recorded. So that any risks, in relation to the storage and taking of medication had been explored. Members of staff said that they had received training and updates on training to safely administer medication. Members of Staff were observed throughout the inspection and they treated people with courtesy, patience, kindness and respect. The people using the service said when assisting them, that staff always treated them with “kindness and patience”. St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People’ s lifestyle in the home met their expectations and satisfied their needs. People who used the services were able to make choices about their life style, and were supported to develop their life skills. Social, educational, cultural and recreational activities met individual’s expectations. People enjoyed an appealing, varied diet, at a time that suited them, with support from staff. EVIDENCE: The people living at the home said that they had a choice of activities and entertainments available to them, such as exercises classes, quizzes, musical events, guest speakers and community church events. The hairdresser was on the premises at the time of the site visit and she said that she visits the home each week and brings her small dog with her. The people using the service clearly enjoyed her visits and were pleased to be able to have a pet that visited them in the home. St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 14 The owners had provided satellite television in the main lounge. People said that they enjoyed film evenings and being able to watch a wide range of programmes. At the previous inspection it was recommended that that the home develop individual social care plans, so that individual and group activities, preferences and expectations may be more fully met. This was to focus on the individuals rather than group activities. The manager and owner had started work in this area and had started to record on a more individual basis how people wished to spend their time. Examples of how the home considered individuals choices were; in one persons wish to go swimming, others wishing to go independently to the local stores and one person taking a stroll around the grounds and building independently. For each example the owner, managers and staff had discussed what the person wished to do with them, had considered possible risks, had minimised risks and supported them to try to complete these activities safely. The home also had a ‘residents meeting’, which was recorded, that was an opportunity for people to express their wishes in the day to day events in the home. The people using the service praised the quality of the meals provided and said that they were pleased with the level of choice of menu on offer. Staff said that there was always a choice of menu and the people using the service said that they could “have what ever we want”. One person said that the meals were “wonderful”. St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who used the service were able to express their concerns, and complaints and suggestions from those using the service, relatives or other visitors to the home were treated seriously. People were protected from abuse, and had their rights protected EVIDENCE: The people using the service said that they felt able to talk to all the staff including the manager about any concerns issues or worries. Most of the people spoken too were unable to describe a time when they had raised a complaint as “the staff, attend to everything I ask for”. Surveys returned to the Commission said that the people using the service and their relatives knew how to make a complaint but “had never needed too”. The manager said the home did not have any complaints so that they did not need to record complaints. In further discussion with staff and the people using the service points had been raised with the owners, managers and staff and had been addressed. So although they were not ‘formal’ complaints, they were areas that the home had addressed and improved upon. The manager agreed to re-introduce a
St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 16 written record of such improvements and discussions, as further evidence of the homes good practice and as a monitoring tool to ensure all areas of any concerns are fully addressed. The owner, manager and the person allocated to monitor and implement training for staff, said that all care staff had received training in issues relating to the protection of vulnerable adults. Members of staff spoken to were aware of adult protection issues and how to raise any concerns they may have with the homes management team and outside agencies. St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People lived in a well maintained house, which offered a range of facilities and was comfortable, clean and safe. EVIDENCE: St Denis Lodge provided homely, comfortable accommodation to a high standard. Rooms were personalised with people’s photographs, items of furniture and personal affects. The premises and garden areas were well maintained. The house was decorated and furnished to a high standard and the people living at the home said that the home was always “clean and fresh”. People said that they enjoyed using the gardens (weather permitting) and the conservatory, lounge and dining areas were “beautiful places to rest in”.
St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 18 On the day of the site visit people were enjoying receiving guests in the conservatory area and in their private rooms. Staff said that they had received infection control training and that routines in the home ensured that the home was kept clean and infection free. There were no odours detected in any of the areas visited. The home had a number of radiators that were not guarded. They may pose a risk to people who are prone to falls. Risk assessments for the premises, including guarding radiators were not examined. Shortly after the inspection visit the owners confirmed in writing that a risk assessment had been completed and had made a commitment to guarding all radiators by 2008. St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people using the service, were supported by Staff, who were trained, skilled and competent. Staff had been subject to rigorous recruitment checks EVIDENCE: The owner took an active part in the day- to -day running of the home, as additional to care, domestic and management staff. The staff said that most of the staff had either worked at the home for a long time or had left and then returned the home. Staff said that this meant that, they knew the people using the service well and knew the routines in the home well. The people using the service said that there never seemed to be a shortage of staff, as staff always responded quickly if people needed anything. One member of staff had completed a teaching and assessing qualification to provide moving and handling training to all staff. This member of staff, also co-ordinated, a range of ‘core training’ for staff, such as First Aid, Health and Safety and Adult Protection. In addition to this staff were encouraged and supported to attend training outside of the home such as National Vocational Awards.
St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 20 The numbers of staff with a National Vocational Award Level 2 in care fell below the standard of 50 of all care staff. The manager, owners and staff were working towards addressing this. This was also raised at the previous inspection. The people using the service praised staff for the “care and attention” they gave “everyone”. People said that members of staff were “just lovely” and “so helpful”. A sample of staff files were examined and they included completed application forms, interview notes, proof of identity, reference and police checks. Staff files also held details of staff induction into the home, staff supervision and any disciplinary action the home had taken. These records demonstrated the homes commitment to ensuring that only those suitable to work with vulnerable adults were employed in the home. St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People lived in a well managed home, with management systems in place to keep people safe. The staff team and owners, worked together to respect and protect peoples’ rights EVIDENCE: The manager was registered with the Commission and had a range of qualifications and experience relevant to the care of older people. The manager worked along side the owners, care and domestic staff to provide good services to the people in their care. The owner said that as much as possible people manage their own finances with support from outside advocates such as relatives and solicitors. For those people who wished to manage their own finances the manager and owner discussed and planned this with them. This was not always fully recorded.
St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 22 Staff said that they felt supported by each other, the manager and owner. Some staff received formal regular supervision, which had been recorded. This was not always fully completed for all staff. The manager said that she was aware that this was an area that had slipped a little. Members of Staff were also supervised through staff meetings, which were recorded, and through a formal induction process. Members of staff were observed ‘handing over’ information from staff who had worked in the morning to staff who were working that evening. Staff in the handover decided to resolve a small communication issue by introducing a communication book to record events that the staff and management should be aware of. This demonstrated the managers and staffs commitment to continually improve upon communication and services to the people living at the home. The home had also been awarded an; ‘investors in people’ award, which was an award gained from an independent body as recognition of the way in which the home is run. This also demonstrated a commitment to improving services for people. The homes owner and manager said that they were continuing to develop a quality assurance system that included people comments about the home. This was also a recommendation made at the previous inspection. In discussion with the manager it was clear that incidents in the home were not always reported to the Commission, as the Regulations under The Care Standards Act 2000 require. The manager said that in the future all incidents reportable under regulation 37 of The Care Standards Act 2000 would be fully recorded and sent into the Commission. St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 23 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 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 2 17 x 18 3 4 x x x x x x 4 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 3 x 3 x 3 2 3 3 St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP16 Good Practice Recommendations Extend the care plan and assessment records to ensure that all information is more fully captured. Re-introduce a written record of complaints and concerns, as further evidence of the homes good practice and as a monitoring tool to ensure all areas of any concerns are fully addressed Continue to follow the homes risk assessment and guard all radiators posing a risk as planned by 2008 50 of the staff team should achieve NVQ 2 The home should develop quality assurance methods based upon seeking the views of service users and other interested parties, to ensure success in achieving the aims and objectives of the home. An annual development plan must be produced in an accessible format reflecting the outcome of the consultation. Record through a risk assessment process details of those people who wished to manage their own finances
DS0000061609.V351007.R01.S.doc Version 5.2 Page 25 3 4 5 OP19 OP28 OP33 6 OP35 St Denis Lodge 7 8 OP36 OP38 Introduce as planned a communication book to record events that the staff and management should be aware of. All incidents reportable under regulation 37 of The Care Standards Act 2000 should be fully recorded and sent into the Commission. St Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Denis Lodge DS0000061609.V351007.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
