Inspection on 24/07/08 for St Helen`s Nursing Home

This inspection was carried out on 24th July 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

St Helen`s Nursing Home 31/07/07

St Helen`s Nursing Home 24/08/06

St Helen`s Nursing Home 16/11/05

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE St Helen`s Nursing Home 41 Avenue Victoria Scarborough North Yorkshire YO11 2QS Lead Inspector Karen Ritson Key Unannounced Inspection 24th July 2008 9:30am 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 Helen`s Nursing Home DS0000063755.V367950.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 Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Helen`s Nursing Home Address 41 Avenue Victoria Scarborough North Yorkshire YO11 2QS 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) 01723 372763 01723 501502 Hamilton Care Limited Post Vacant. Care Home 28 Category(ies) of Dementia (28), Mental disorder, excluding registration, with number learning disability or dementia (28) of places St Helen`s Nursing Home DS0000063755.V367950.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 service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Dementia - Code DE; Mental Disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 28 31st July 2007 2. Date of last inspection Brief Description of the Service: St Helens is a care home providing nursing care for up to 26 people from the age of 65 years of age who have dementia and/or mental disorder. The home is located near the town centre of Scarborough, its amenities and facilities. There is a small garden area to the front of the house and parking for visitors on the road at the side of the house. A local bus route serves the home. The accommodation provided is in both single and double bedrooms on three floors and there is a passenger lift giving access to the upper floors. The home has a statement of purpose and service user guide, which provide information about the scope and nature of the care and facilities on offer. These, with CSCI reports, are available on request at the home. St Helen`s Nursing Home DS0000063755.V367950.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 1 star. This means the people who use this service experience adequate quality outcomes. The inspection for this service took 10 hours. This includes time spent gathering information and examining documentation before and after an unannounced site visit and in writing the report. The site visit took place on 24/07/08 between 09:30 and 17:00. Information for this inspection was gathered from the following: • • • • • • • • • A tour of the premises Observations of care throughout the day of the site visit. Speaking with people living at the home. Speaking with staff on duty at the home. Case tracking service users on the day of the site visit. Notifications sent to the commission from the home since the last inspection. Examining policies, procedures and records kept at the home. Examining information regarding the home on the file kept by CSCI. Considering comments made by relatives, health care and social services staff. All key standards were looked at during this inspection. The manager and registered provider were available throughout the day and both were present for feedback following the inspection. What the service does well: What has improved since the last inspection? St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 6 There have been improvements to the environment of the home. Fire doors and window restrictors have been attended to, risk assessments have been put in place where required. There have been some improvements to the internal décor of the building. The manager is newly appointed and had plans to improve the service over all areas of care. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 People who use the service experience good quality outcomes in this area. People who may use the service and their representatives on the whole have the information needed to choose a home that will meet their needs. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Relatives said in surveys that they felt the home had gathered sufficient information prior to admission in order to understand the needs of the person admitted to the home. Assessment documentation was reasonably detailed, with life histories for most people, and most areas of care needs covered. There was an emphasis upon clinical health care needs and at times a lack of information about those needs that would be met through external health care provision. Also, more information on emotional, recreational, behavioural and wellbeing needs would improve the assessment so that a detailed plan of care St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 9 could be drawn up to meet the needs of each individual. The home does not provide intermediate care. St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience adequate quality outcomes in this area. Care planning is not fully based on individual needs. People have good access to health care support. People generally have their medication needs well attended. The principles of respect, dignity and privacy are not always put into practice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Care plans are not sufficiently detailed to give a full picture of what each person needs to live as independently as possible with regard to individual interests and preferences. Care areas were covered but were addressed rather briefly and with a clinical emphasis. Social and recreational needs in particular were not generally well covered, and nor were individual likes and dislikes. Each care plan contained a series of risk assessments but these were not well St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 11 balanced by also emphasising strengths and capacity. This means that although the home has an awareness of health related needs and people are cared for in a safe manner, they are not always cared for in a way which enhances wellbeing or the retention of existing skills. All health care and other professional visits are recorded separately and health care professionals spoken to said that the home called them appropriately and followed advice well. Care plans gave details of pressure areas, continence, nutritional wellbeing, and other specialist services as required. This ensures that people receive the health care they need. Only those staff who are registered nurses administer medication. A lunchtime medication round was observed. People received medication correctly and it was recorded in the correct way. There were a number of extra packages of stored medication not in the Boots MDS system which needed to be disposed of. The home does not keep a running total of stock non-MDS drugs, so that it is difficult to audit how much of a packet medication should remain. Returns are recorded but there are no checks on this. This means that the medication is not sufficiently audited to keep a close check on all drugs kept by the home. This could ultimately impact on the safety of those living at the home. On the day of the inspection people were observed being cared for with kindness and with regard to dignity and respect. However, the manager felt that some staff needed extra training in how to attend to personal care needs in a way which preserved dignity as she had observed some personal care tasks being carried out inappropriately in communal areas of the home. St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience adequate quality outcomes in this area. People who use services are not sufficiently enabled to make choices about their life style, or well supported to develop their life skills. Social, educational, cultural and recreational activities do not fully meet individual’s needs. People have a good diet they enjoy. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Although the AQAA returned by the home detailed activities available to people, at the moment these are not always planned with individual needs in mind. The new manager of the home is in the process of assessing the recreational needs of people living at the home particularly with reference to dementia. She had begun to arrange rummage boxes of interesting objects, and is looking into reminiscence relevant to each person using photographs, personal items, St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 13 books with pictures, music and other stimuli. She was encouraging numerous short meaningful social interactions to promote wellbeing and had plans for other individual activities, which would suit particular interests. She has drawn up a plan for a sensory garden with input from people living at the home, visitors and staff and has applied for a grant to assist with the funding of this. She has drawn up a business plan for the home to improve quality of life through the provision of more outings, inviting members of the community into the home, food therapy, singing and sensory stimulation. As the manager has only been in post a short time it is too early for these plans to have been put into place. Visitors are encouraged to visit any time and they said they were always made to feel welcome. This means that people living at the home are able to have the social contacts they are familiar with. A lunchtime meal was observed. The food was of a good quality and there was plenty of it. People said they enjoyed their food. Improvements have been planned to meet individual needs, with finger foods and more healthy options available. A list of personal likes and dislikes is being compiled with assistance from relatives and others where necessary. One of the cooks was spoken with. She is aware of those who require liquidised diets and presents liquidised foods separately to preserve variety of taste. The manager was looking into a method of presenting food in a moulded form, to give interest in appearance. The home also caters for diabetic diets. The cook had undertaken food hygiene and healthy eating training at Selby College. Meat and vegetables are all sourced locally. Vegetables are prepared fresh and there is little reliance on packets or frozen foods. This means people receive a varied diet they enjoy. St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. They are able to express their concerns, and have access to a robust, effective complaints procedure. People are protected from abuse through good through staff training and have their rights protected. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The home has a comprehensive complaints procedure in place and CSCI have received no complaints since the last inspection. Relatives and others stated they were encouraged to voice any concerns and that these were dealt with appropriately. A member of staff had written in a survey that some people were helped out of bed too early in the morning, which they did not choose to do and which fitted around what was convenient for the staff on shift. She did not feel she had been listened to or that her complaint had been addressed at all. However, the new manager has already begun to address staffing issues so that people living at the home may rise or retire to bed when they prefer. Staff said they thought they could trust the new manager to do what she said she would do and that they would go to her with any concerns. The manager has been employed at the home before as a deputy manager and she is familiar with a number of staff already. This means that staff feel comfortable in voicing concerns so that people are kept safe. St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 15 Staff have received external training in abuse awareness and challenging behaviour training. When spoken with, all were clear on what they would do if suspected abuse were taking place, and stated they felt confident that any concerns would be appropriately handled. The previous manager had referred a matter to social services and the police through the protection of vulnerable adults procedure and acted in a proper and timely manner to protect those living at the home. The new manager has past experience and training in the managing of challenging behaviour, safeguarding and abuse awareness. St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 16 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. People who use the service experience adequate quality outcomes in this area. The home is reasonably decorated but needs further refurbishment and attention to maintenance. People receive a good laundry service. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: A tour of the premises was carried out. The home has no handyperson at the moment and there are several jobs awaiting completion. The general impression was that many areas of the home were in need of re decoration and appeared tired. Net curtains were dirty and wallpaper was peeling in some areas. Some people living at the home were sitting in a lounge which was used as a route between one area of the home and another. This lounge was small St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 17 and had no natural light. It was an unpleasant area to sit in. A number of more dependent people were sitting here and did not all have the capacity to move or to express if they were unhappy there. Some radiator covers were damaged and several areas of carpet were threadbare. An area on the ground floor which led to the laundry room had no natural light and was not adequately lit by electric lighting. This area could be accessed by people living at the home, and was not pleasant to stand in. The COSHH cupboard was not locked which could result in the safety of the people living at the home being put in danger. Some vacuum cleaners were left out in corridors creating a trip hazard. Bathrooms were uninviting and clinical, some did not smell pleasant and most were rather shabby. The new manager had made her own appraisal of the internal environment and has plans to redecorate all bedrooms as they become vacant, or before with consent people living at the home or their representatives. She has plans to redecorate communal areas as required, organise a rebuild the ground floor toilet area identified as ill lit, to carry out a programme of thorough cleaning throughout the home to include curtains and carpets and to appoint a handyperson. This would improve the experience of those living at the home. The last inspection noted that window restrictors had not been replace upstairs following decoration, this has now been done. The latest environmental health and fire authority reports were available and the proprietor is addressing requirements with a plan in place. Fire doors, which did not close properly at the last inspection, now do so and all fire doors are now held back appropriately with magnetic catches, which release when the alarm is triggered. The laundry facilities were sufficient for the needs of the people living at the home. A laundry worker was spoken with who made sure that the correct clothing was returned to each person and also tidied and looked after each person’s wardrobe. There had been no complaints about the laundry. The manager said she had plans to improve the way laundry was carried out to avoid clothes becoming stained. St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience adequate quality outcomes in this area. Staff training must be more consistent to ensure full support for people who use the service. Staffing levels are good during the day but barely adequate at night to protect service user’s welfare. Staff are well recruited. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The home has six care staff on duty every morning and five each afternoon. There are usually two nurses on duty each shift, which staff said has sometimes led to misunderstandings about who is in charge of a shift. There have been occasions when staff have received conflicting instructions about what they need to do which has led to confusion and frustration. One member of staff said that the morning medication round takes two and a half hours to complete which is not easy for one member of staff to achieve, and creates the potential for this person to be interrupted. This could cause mistakes in the accuracy of administration. It is also difficult to make sure each person receives their medication at the time they require it. This could put the welfare of people at risk. St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 19 The new manager is aware of these problems and intends to address them. The home has two waking night staff. This was discussed at the last inspection. Best practice would require three to be on duty to make sure that people’s needs are fully met at night. All staff receive in house or external induction training. Staff said they were given a thorough induction and had the opportunity to shadow more experienced members of staff before taking on responsibilities for care. There were scant records of training in safe working practices on most files. The proprietor said that staff had received required training in these areas but that the training matrix was not up to date and records were not always at the home for examination. The new manager has drawn up a training plan where all new staff will receive training in the common induction standards and foundation training, with evidence kept on file. There was evidence on staff files that they had been properly recruited and that all checks against the list of those people who should not work with vulnerable adults had taken place. This protects those who live at the home from staff who may cause them harm. St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 20 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. People who use the service experience adequate quality outcomes in this area. The management and administration of the home is based on openness and respect, the manager is competent and qualified to run the home. Quality assurance systems have not yet been developed, people are protected by the way in which the home handles their personal allowances and thorough risk assessments, however, there is insufficient evidence of training in safe working practices to protect the welfare of people living at the home. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 21 The new manager is a Registered General Nurse and holds a BTEC in management studies. She has recently been managing another home. She has yet to be registered with CSCI. Staff said they found the manager to be approachable, however the inspection took place during the first week of her appointment and it was difficult to assess how effectively she would work with staff after such a short period of time. The quality assurance system provides some feedback that has influenced practice, however there are plans to improve this to enable people who use the service to give their views regularly and for their comments and preferences to inform the way care is offered. This is to be achieved through regular reviews with input from representatives where relevant. The manager will be visiting people to give them the opportunity to discuss their own care. Also, daily observations and responses to care will provide feedback on how people prefer to be cared for. A business plan gives a clear plan for doing this. People’s personal allowances are suitably managed with records of all transactions. Evidence was seen of an up to date electrical safety certificate, gas safety, servicing records for the lift and hoists. The home has an up to date fire risk assessment and the manager is working towards compliance with the Fire Authority and the Environmental Health Department. Staff training records in safe working practices must be available for and there was insufficient evidence to conclude that people’s safety was protected by well-trained staff. St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 22 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP27 Regulation 18(1(a)) Requirement The night staffing levels must be restored to previously agreed levels to ensure the continued safety of service users. Previous timescale of 22/9/06 not met. Excess stored medication must be disposed of to ensure people are kept safe. A running total of non-MDS medication must be kept to allow an accurate audit. People must at all times be treated with dignity and with regard to their privacy. The internal décor must be improved, carpets cleaned or replaced, bathrooms upgraded, the identified lounge area improved or taken out of use, lighting improved to the indicated areas, radiator guards repaired, COSHH cupboard kept locked and vacuum cleaners stored appropriately to protect people’s welfare. Timescale for action 31/08/08 2. 3. 4. 5. OP9 13(2) 13(2) 12(4) 23 16/08/08 16/08/08 16/08/08 31/01/09 OP9 OP10 OP19 St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 24 6 OP30 18( c)(1) Staff must have up to date training in all induction, foundation and safe working practice topics. 31/01/09 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 OP7 Good Practice Recommendations Care plans should be developed to include all areas of wellbeing including social and recreational needs, likes and dislikes. Care plans should include areas of strength and capacity in addition to needs. It is recommended that the quality assurance system that is in place is developed further to ensure people who live at the home and all stakeholders’ views are taken into account and acted upon. Each person should be assessed to develop a plan of social and recreational activities of relevance to each individual and with particular regard to best practice in dementia care. The manager should be registered with CSCI. 2. OP33 3. OP12 4. OP31 St Helen`s Nursing Home DS0000063755.V367950.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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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