Inspection on 24/04/08 for St George`s Nursing Home

This inspection was carried out on 24th April 2008.

CSCI found this care home to be providing an Good service.

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

Other inspections for this house

St George`s Nursing Home 16/08/07

St George`s Nursing Home 01/02/07

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE St George`s Nursing Home 30 Stamford Street Stalybridge Tameside SK15 1LD Lead Inspector Ann Connolly Unannounced Inspection 24th April 2008 10:30 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 George`s Nursing Home DS0000067061.V363051.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 George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St George`s Nursing Home Address 30 Stamford Street Stalybridge Tameside SK15 1LD 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) 0161 338 6908 0161 338 5858 Mr David Hetherington Messenger Lynne Berry Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing: Code N, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP. The maximum number of people who can be accommodated is: 50. Date of last inspection 16th August 2007 Brief Description of the Service: St George’s is a converted school, which has been extended, standing in an elevated position above Stalybridge town centre. St George’s provides nursing care or personal care for up to 50 service users. The home is owned and operated by Mr David Messenger. The home is under the day-to-day control of a full time manager, who is also a registered nurse. Accommodation is provided over two floors serviced by a lift. All of the bedrooms are single. All the rooms in the extension have en-suite facilities. Sixteen of the 28 bedrooms in the original building have en-suite facilities, whilst the others have toilet accommodation nearby. Four communal rooms offer a variety of settings in which service users are able to receive visitors, socialise and participate in activities. The home is situated near to Stalybridge town centre, close to local shops and bus routes. There is ample parking for those who choose to travel to the home by car. Fees for accommodation and care at the home range from £393. 28 to £517.02 per week. Additional charges are also made for hairdressing and chiropody services, newspapers and personal toiletries. St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was a key inspection that included a site visit to the home. This was an unannounced inspection and the manager was not told beforehand that we were coming to inspect. On the inspection we looked at all the key standards and included a review of all available information received by the Commission for Social Care Inspection (CSCI) about the service provided at the home since the last inspection. During the site visit a selection of records, care plans, policies and procedures were examined. Discussions took place with the residents, the deputy manager and staff working in the home and visitors. A tour of the home was undertaken. Several residents living in the home were spoken to in private during the visit, and discussions took place with them to find out what they thought about the home and what they felt about how the staff supported them. Some relatives who were visiting were spoken to. Other feedback was obtained from residents in the form of a service user survey. These comments have been included in this report. Before the inspection, we also asked the manager of the service to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well and what they needed to do better. This is one of the ways that we get information from the manager of the service about how they are meeting outcomes for people using their service. Information that was provided in the (AQAA) for this service was detailed and comprehensive and provided evidence of a service that was committed to focusing on positive outcomes for the people who use the service. Since the last inspection visit the Commission for Social Care Inspection has not received any concerns about this service. There was evidence during this visit that the manager was managing complaints well, and that procedures were followed appropriately. St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 7 Most of the requirements from the previous inspection have been addressed. There have been ongoing improvements to the building, including a complete overhaul of the TV system to ensure better viewing quality for residents. The quality of meals in the home has improved, and most of the comments from residents were positive about meals served. Some work had been carried out on the care plans and staff who were spoken to were able to demonstrate a good understanding of the care planning process. There was a general recognition that, as far as was practically possible, residents should be supported to participate in developing the care plan, and that seeking their views on how they wanted to be supported was key to the whole process. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 8 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 George`s Nursing Home DS0000067061.V363051.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 George`s Nursing Home DS0000067061.V363051.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): 1 and 3 (Standard 6- intermediate care is not provided at St Georges). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are given sufficient information about the home to help them in making a decision about their care arrangement. Residents’ needs are assessed prior to admission to the home so they are confident their needs will be met, and the home is sure it can meet their personal needs. EVIDENCE: The service user guide was currently being updated to reflect changes in the home. Information about the home was made available to existing and prospective residents in the form of a service user guide and statement of purpose. This provided important information about the qualifications and experience of staff, details of the complaints procedure, and the types of facilities made available. A copy of this was located in the reception area of the St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 11 home together with a copy of the latest inspection report. This is useful in helping prospective residents to make an informed decision about their future care arrangements and what they can expect if they decide to move into St Georges. Three care plans files were examined and all of these contained a preadmission assessment, which provided staff with information on individual care needs and how that person wanted to be supported. The quality of information in the assessment details varied, and some files had not been dated to reflect when the assessment had been undertaken. However, through discussion with the manager, and information provided in the AQAA, it was evident that the value of a structured admission process was recognised by the manager and staff in the home. The information in the AQAA provides confirmation that the manager, or a senior member of staff undertakes a pre-admission assessment for new and prospective residents. Prospective residents and their families or representatives are encouraged to visit the home prior to making a decision about their future care arrangements. Information from the manager also confirms that where possible emergency admissions are avoided, but when they do take place, residents are only admitted when sufficient information about care needs has been obtained. St George`s Nursing Home DS0000067061.V363051.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): 7,8,9 and10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ health and personal care needs were being met and personal care and support was offered in such a way as to promote and protect residents privacy, dignity and independence. EVIDENCE: Three care plan files were examined during this visit. There was evidence to show that some improvements had been made to care plans, and that the manager had been pro-active in encouraging staff to work with residents in developing their own care plans. Residents spoken to said they felt that the staff listened to their views about how they wanted to be supported. St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 13 Since the last inspection visit, the manager has developed a care plan audit to check that staff are using the care plans appropriately, and making recordings in them that are relevant and specific to the documented care needs. During discussions, and in the information provided in the AQAA, the manager stated that improvements in the care plans had been mainly in developing a person centred approach. Whilst improvements were noted, further developments are required, especially in the review process. There should be clear documentation in place to demonstrate that residents have been involved, and show their perception of their care needs and how they want to be supported. Also recordings need to be more specific and show how outcomes for residents had been evaluated. For example, the term ‘no change’ was documented against the review date, and no recordings to show that residents had been involved. Residents said that staff were very good in the way that they provided care and support. One resident said, “ I live in my room and I have my meals there. I wouldn’t live anywhere else. It couldn’t be nicer. The girls ( staff) couldn’t be nicer, they are really lovely. They fall over themselves to help you and they are always respectful”. Records were in place to monitor nutrition, weight, falls and general risk assessments including moving and handling. Records were in place to show that residents in the home had access to healthcare professionals such as General Practitioners, chiropody services, optician etc. One of the relatives who was spoken to during this visit said he felt confident in the way in which the home monitored health conditions and the way in which they kept him informed of any significant changes in care needs. Medication was looked at during this visit including the storage of controlled medication. A representative from the Primary Care Trust (PCT) had already raised several concerns. The manager said that the PCT was currently supporting and monitoring the medication practices in the home. As a result of this input the manager said that she had taken over the responsibility of ordering medication to ensure stock levels were accurately reflected in the records for the receipt and disposal of medication. It was noted during this visit that there were some gaps on the medication administration records. The manager must ensure that a regular audit and monitoring takes place of medication administration so that the potential for errors is minimised and so that residents in the home receive their medication safely. St George`s Nursing Home DS0000067061.V363051.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): 12,13,14 and 15 Quality in this outcome area is good. Residents are supported to maintain links with their family and friends and they are encouraged to exercise as much choice and control over their lives as they can. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an open visiting policy, and information about visiting arrangements was included in the statement of purpose and service user guide. Residents who were spoken to confirm that they could receive visitors at any time and a number of visitors were seen coming and going during the course of this inspection visit. It was noted that visitors were made welcome on arrival, and from discussions with some of them, it was evident that visits to the home were generally seen as a positive and pleasant experience. There was evidence that residents were helped to exercise choice and control over their lives. Residents spoke about going out with their relatives and St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 15 friends and about the flexible arrangements in the home. Residents spoke positively about their life experiences in the home, although some residents that this could be improved if activities were offered on a regular and consistent basis. One resident said, “We used to have a lot of activities when I first came, but there’s not as many now. I used to like it when we had a quiz or film afternoon”. One resident spoke positively about the flexibility of the home, “What I like the most is the freedom. I can do what I want and staff help you to enjoy the facilities if you want to”. There was evidence of this relaxed approach as staff were seen supporting residents in their own rooms. These residents had made a choice to use their bedroom as a bed sit where they spent most of their time, took their meals there, and entertained fellow residents by inviting them in for a cup of tea and a chat. The manager acknowledged that activities in the home needed to be prioritised and this was acknowledged in the Annual Quality Assurance Assessment (AQAA) which was completed by the manager. The residents should be consulted about their interests and hobbies so that they may continue with their previous lifestyle. All comments from residents about the meals served in the home were positive. One resident said, “The meals are really good”. Staff who were spoken to had a good understanding about good practice in helping residents to maintain control over their lives. St George`s Nursing Home DS0000067061.V363051.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): 16 and 18 Quality in this outcome area is good. Residents rights are protected by robust polices and procedures and there is an open transparent approach to managing complaints. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a comprehensive complaints procedure, which is made available to existing and prospective residents and their representatives. The complaints procedure is displayed in a prominent position in the reception area of the home. The complaints record was examined during this visit, and provided evidence of an organisation that took all complaints seriously, even those of a minor nature. Complaints received directly by the home had been fully investigated within a 28 day period, and written responses had been sent to the complainant. Information provided by the manager in the Annual Quality Assurance Assessment (AQAA), stated that six complaints had been received by the St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 17 home, and that all six had been investigated. None of these complaints had been upheld. The Commission for Social Care Inspection has not received any recent concerns or complaints about this service. During discussions with the manager, there was evidence of an open and transparent approach to any complaint and concern. During this visit a relative raised some issues directly with the manager. The response was positive and open. This relative said she felt confident in raising any issues with the manager and always felt confident that they would be addressed quickly. A number of residents were spoken with during this visit. All of them expressed confidence in approaching the staff team, or the manager with any issues of concern. One resident said, “ In general the staff are brilliant. I had some problems but they got sorted. I know I can always speak to the manager or the staff”. There was evidence in documentation and in the information provided by the manager in the AQAA document, that safeguarding and adult abuse issues were re-inforced to staff in supervision sessions and staff meetings. The training programme included training in the protection of vulnerable adults. The manager had recently completed safeguarding adults manager training. The certificate for this was seen and was dated March 2008. This shows that the home is committed to putting polices and procedures in place that safeguard the well being of residents living in the home. The staff who were spoken to had a good understanding of issues around abuse and what to do in the event of an allegation of abuse. Information in the AQAA shows that there have been seven safeguarding issues. All of these were reported appropriately to the local authority and safeguarding procedures were followed. St George`s Nursing Home DS0000067061.V363051.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): 19 and 26 Quality in this outcome area is good. The home is appropriately maintained, decorated and cleaned to ensure that residents are provided with a safe, pleasant and hygienic environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This was an unannounced visit to the home. As part of the visit, a tour of the building took place. All communal areas and bedrooms were found to be cleaned to a high standard. Information provided by the manager in the AQAA stated that all staff have received training in infection control and that protective clothing was provided and used by staff. St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 19 The manager provided information in the AQAA confirming that all health and safety checks had been carried out in the environment and on equipment as required. There was evidence of an ongoing rolling programme of decoration and refurbishment which ensured that a pleasant environment was provided for residents and visitors. The home was in the process of arranging for automatic door closures to be installed for those residents wishing to have their door open. Some communal lounge areas were dimly lit and thought should be given to improving the lighting in these areas. Consideration should be given to providing supplementary lighting in the lounges for those residents who may wish to read or carry out handicrafts. The external grounds provided a pleasant and safe area for residents to enjoy all year round. There was evidence that bedrooms had been personalised with personal effects and furnishings. All residents and visitors spoken to were highly complimentary of the standards in the home. St George`s Nursing Home DS0000067061.V363051.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): Quality in this outcome area is good. The numbers of staff meet the residents’ identified needs and residents are protected by robust recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During this visit, there were sufficient staff on duty to meet the needs of the residents in the home. Staff were observed engaging in meaningful conversations and seemed to respond quickly to any resident asking for support. Information provided in the annual quality assessment shows that the home is well below the expected standard of 50 of carers’ qualified to NVQ Level 2 or above. Training for staff is ongoing, however, slow progress is being made to obtain qualifications for staff at NVQ level 2 or above, and this means that some staff may not be up to date with good practice which may impact negatively on residents. Training programmes must be in place to ensure that residents receive care and support from a qualified staff team. St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 21 Three staff files were examined and contained the appropriate paperwork and documentation as required by regulation. Files examined contained two written references and Criminal Record Bureau (CRB) checks. Residents who were spoken to expressed confidence in the ability of the staff and were complimentary about how the staff supported them. Comments included: “ The staff are so helpful”. “I like it here. Staff are very good. I like them all. You only have to ring the buzzer and they come. They are like my family and they are always very respectful”. St George`s Nursing Home DS0000067061.V363051.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): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The service is run in the best interests of the residents, and the management ensure that the safety and welfare of residents and staff are promoted. EVIDENCE: The registered manager completed NVQ 4 in management five years ago. The manager has a training portfolio which demonstrates a commitment to ongoing training and development. Staff who were spoken to said that they found the St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 23 manager approachable and that they could talk to the manager about any concerns. Information in the AQAA provided evidence that good standards were maintained for the maintenance of equipment for health and safety, including fire prevention equipment. The organisation completed an internal quality assurance audit, which ensures that the views of residents are sought formally and informally on a regular basis. Informal and formal meetings are held with residents so that they can play an active part in saying how the home is run. Staff in the home confirmed that they were in receipt of supervision, however, there was an acknowledgement from the manager that these needed to be more structured and the frequency needed to be improved. Since the last inspection the home has invested money in improving the television aerial system in the home so that residents can enjoy television viewing. St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 24 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 25 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 OP9 Regulation 13 Requirement The manager must ensure that a regular audit and monitoring takes place of medication administration so that the potential for errors is minimised and so that residents in the home receive their medication safely. The lighting in the communal rooms must be appropriate and adequate for the residents needs. Training programmes must be in place to ensure that residents receive care and support from a qualified staff team. Timescale for action 01/06/08 2. OP19 13 01/06/08 3 OP30 18 01/06/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 26 1. OP7 2. OP12 Further work is required in care plans in order to fully deliver a person centred approach. Documentation should demonstrate that residents have been involved in developing and reviewing their care plans and include their perception of their care needs. The residents should be consulted about their interests and hobbies so that they may continue with their previous lifestyle. St George`s Nursing Home DS0000067061.V363051.R01.S.doc Version 5.2 Page 27 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. 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