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Inspection on 17/09/07 for Staveley House Residential Care Home

Also see our care home review for Staveley House Residential Care Home for more information

This inspection was carried out on 17th September 2007.

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

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

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

What the care home does well

The assessments completed before admission make sure the home can meet people`s needs and that it is a suitable place for them to live before they move in. Residents enjoy living in the home and get support from staff to lead a fulfilling lifestyle. There is a good range of activities for people to take part in and they get extra support from volunteers. There are a good number of volunteers who are involved with the home who complement the work of the staff and provide a valued service to the people living there. Staveley House is decorated and furnished to a very high standard and is well maintained, making sure residents live in a safe and comfortable home. The food provided to people was varied and good quality, which they enjoyed. Several people who I met talked about a "good staff team" one person said "it`s the staff who make it a good home, so kind and caring".The home has good systems in place to make sure it is safe and the people living there are protected.

What has improved since the last inspection?

The content of daily diary notes are appropriate with sufficient detail recorded about the care provided. Appropriate referrals have been made and a risk assessment completed when pressure care is required. The home makes sure all staff have completed satisfactory checks to make sure they are suitable for the role before taking up employment. The policies and procedures of the home are being reviewed to make sure they are up to date. Information is securely stored in line with Data protection guidelines.

What the care home could do better:

The assessment of a person`s needs and guidance for staff, resulting from referrals to specialist services should be recorded in more detail on the care plan to ensure a continuity of care is maintained. An audit of staff training needs should be completed and a suitable programme of training developed for all staff based on the findings. The planned supervision programme should be implemented as soon as possible to make sure all staff receive formal supervision.

CARE HOMES FOR OLDER PEOPLE Staveley House Residential Care Home Greystone Lane Dalton-in-Furness Cumbria LA15 8QQ Lead Inspector Ray Mowat Unannounced Inspection 17th September 2007 11:00 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 Staveley House Residential Care Home DS0000022661.V346804.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. Staveley House Residential Care Home DS0000022661.V346804.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Staveley House Residential Care Home Address Greystone Lane Dalton-in-Furness Cumbria LA15 8QQ 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) 01229 468210 Abbeyfield Furness Extra Care Society Limited Mrs Carmela McCullagh Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Staveley House Residential Care Home DS0000022661.V346804.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The home is registered for a maximum of 31 service users to include: up to 31 service users in the category OP (old age not falling within any other category) 14th December 2006 Date of last inspection Brief Description of the Service: Staveley House is registered to provide residential accommodation and personal care for up to 31 older people. It is owned and operated by the Abbeyfield Furness Extra Care Society Limited, through a volunteer executive committee and is member of the national Abbeyfield charity. A six-bedroom extension is currently being built, which will be operational early in 2008. The home is situated on the edge of a residential housing estate, on the outskirts of Dalton-in-Furness, Cumbria. It is a purpose built two-storey building, with two passenger lifts giving access to the first floor. All the rooms are single occupancy and have en-suite shower and toilet facilities. There are also two communal bathrooms with accessible bathing facilities. There are two large lounges, one on each floor, with a further four smaller lounges, one of which is a dedicated smoking area. In addition there is a spacious dining room. There is ample parking to the side of the home and a large, private well-kept garden area to the rear, which is fully accessible, with seating and patio areas, which are used extensively in the summer months. The home provides suitable information to prospective residents in an informative brochure and residents handbook. The current level of fees charged is from £373 per week for long term care, to £410 for private respite care. There are additional charges for personal expenses such as hairdressing and toiletries. Staveley House Residential Care Home DS0000022661.V346804.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit took place between 11am and 6pm to enable me to see the afternoon and early evening routines of the home. During the visit I met with people living in the home, visitors and relatives and spent time with the manager and assistant manager. I also spoke to staff as they went about their duties as well as interviewing three staff on their own. Prior to the visit the manager completed a self-assessment questionnaire called an Annual Quality Assurance Assessment. This provided me with information about how the home is run and the manager’s views on what the home does well and where they need to improve. There is also information about people living in the home and the staff. Surveys were also sent to people living in the home, their relatives, staff and other professionals to get feedback about their experiences of the home. I examined records relating to the running of the home as required by legislation and also personal files about the people living there, which provides staff with information about what is important to people and how they like to live their lives. I also examined staff files and records relating to the maintenance and safety of the home. What the service does well: The assessments completed before admission make sure the home can meet people’s needs and that it is a suitable place for them to live before they move in. Residents enjoy living in the home and get support from staff to lead a fulfilling lifestyle. There is a good range of activities for people to take part in and they get extra support from volunteers. There are a good number of volunteers who are involved with the home who complement the work of the staff and provide a valued service to the people living there. Staveley House is decorated and furnished to a very high standard and is well maintained, making sure residents live in a safe and comfortable home. The food provided to people was varied and good quality, which they enjoyed. Several people who I met talked about a “good staff team” one person said “it’s the staff who make it a good home, so kind and caring”. Staveley House Residential Care Home DS0000022661.V346804.R01.S.doc Version 5.2 Page 6 The home has good systems in place to make sure it is safe and the people living there are protected. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Staveley House Residential Care Home DS0000022661.V346804.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 Staveley House Residential Care Home DS0000022661.V346804.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, 4, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are assessed prior to admission, ensuring the staff have the right skills and knowledge and the home has suitable resources, to provide an appropriate service. EVIDENCE: A detailed needs assessment is completed by the manager or assistant manager, which gathers relevant information about people’s personal and healthcare needs. This includes any specialist needs and other professionals involved. During the assessment process specific risks are identified and risk assessments completed to maintain the safety and welfare of the person and the staff supporting them. These include detailed manual handling risk Staveley House Residential Care Home DS0000022661.V346804.R01.S.doc Version 5.2 Page 9 assessments and risk assessments for the prevention of falls, with guidance for staff, to ensure a consistent approach is followed by all staff. The benefits of more detailed nutritional assessments were discussed with the manager who is planning to incorporate these into the initial assessment. Based on these assessments a plan of care is developed, which in some cases should be more detailed, this is addressed in the next section. The home works closely with a number of other professionals to ensure people with complex or specialist needs receive an appropriate service and equipment and their health and welfare is maintained. These include the continence nurse, Occupational Therapist and the District Nursing Team. Staveley House Residential Care Home DS0000022661.V346804.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, 10, 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are receiving appropriate personal and healthcare services. Their privacy and dignity is respected and they feel “well looked after”. EVIDENCE: I looked at the care plans for three people living in the home. These contained the detailed needs assessments and risk assessments mentioned previously. A front sheet is completed which contains personal information such as next of kin, GP and other relevant information and also includes a recent photograph. Informative pen pictures that record significant events and relationships in people’s lives have been developed, which give staff a good insight and a better understanding of the person they are supporting. People funded by the Adult Social Care Team also have a Social Work assessment in place, which is reviewed annually. The care plan is reviewed on a monthly basis with a record of any changes or updates included and signed by staff. Staveley House Residential Care Home DS0000022661.V346804.R01.S.doc Version 5.2 Page 11 Daily diary notes are completed by staff, which record the events of the day and support provided. Significant events or changes are recorded and the shift supervisor informed to ensure appropriate action is taken. Contact with the GP and other health professionals are also recorded separately, to enable people’s health and personal care to be closely monitored. There were examples of referrals to the Dietician for advice regarding a persons special dietary needs, referrals to the continence nurse for assessment and guidance and District nurse referrals regarding pressure care assessments and advice. The assessment and guidance for staff resulting from these referrals should be recorded in more detail on the care plan to ensure a continuity of care is maintained. I observed the shift supervisor administering medication at teatime and examined the contents of the medication cabinet against the records held. Medical record sheets were all signed and up to date. All medication coming into or leaving the home was recorded and suitable stocks were held. The supervisor and other staff responsible for administering medication had all completed the safe handling of medicines training. Based on discussion with people and feedback from the surveys “people feel safe” and as one person described it they “get well looked after by some very nice staff”. There was a “friendly banter” between staff and the people they cared for and they obviously enjoyed a friendly but respectful relationship. People’s privacy was respected throughout this inspection with doors being closed, personal care being provided discreetly and staff knocking before entering rooms. People’s religious beliefs and wishes upon death were recorded in personal care plan files, which included personal preferences and family arrangements and contacts. Staveley House Residential Care Home DS0000022661.V346804.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, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Staveley House enjoy a good quality of life, enjoying social contact and activities in the home and in the local community. EVIDENCE: People’s personal preferences in relation to social and recreational activities are recorded in their care plan. They choose where to eat their meals and although there are set mealtimes these are flexible if a person prefers to eat at a different time. Throughout the day there were frequent visitors to the home. There is also an active group of volunteers who support staff in providing a good range of activities and entertainment that is appreciated and valued by people living in the home. These include sedentary activities such as craft sessions, flower arranging or board games to more energetic activities such as exercise classes, bus trips, meals out or attending a local musical show. Entertainment is also arranged in the home, which has included dancing groups, bell ringers and choirs. Staveley House Residential Care Home DS0000022661.V346804.R01.S.doc Version 5.2 Page 13 People are regularly consulted with regard to the different aspects of home life, with regular meetings held when they can raise any issues or concerns. A monthly newsletter is also produced to keep people updated about what is happening in the home. Advocacy services are advertised on the notice board, with staff supporting people to contact people who are acting on their behalf. People are encouraged and supported to continue their religious beliefs when coming into the home. Some people are able continue to attend church or receive services in the home depending on personal choice. Meals are served in the main dining room or in a person’s own room. The dining room is nicely decorated and provides a pleasant environment to enjoy a meal. Mealtimes are a social occasion with people enjoying each other’s company and also talking to staff. All the people I spoke to during my visit were complimentary about the quality and variety of the food provided. I examined menus that reflected a good choice of fresh and nutritious food. Special diets are well catered for with suitable alternatives provided. Staveley House Residential Care Home DS0000022661.V346804.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): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People feel safe in the home and their concerns are taken seriously. The staff team have a good awareness of their role and responsibilities in safeguarding people. EVIDENCE: The home’s complaints procedure is displayed on the notice board in the hall and is issued to people in the resident’s handbook. The manager maintains a record of all complaints and their investigation. People spoken to and who responded to the surveys were aware of how to complain and felt their views and concerns were taken seriously. Since the last key inspection visit the Commission investigated a complaint regarding a staff member not having a CRB disclosure in place before starting work in the home. It was found that a new member of staff had completed some induction shifts under the supervision of other staff prior to receiving their disclosure. A requirement and two recommendations relating to the management of CRB disclosures were made as a result of this investigation and have subsequently been complied with. Staveley House Residential Care Home DS0000022661.V346804.R01.S.doc Version 5.2 Page 15 All staff have been issued with local authority multi-agency procedure and guidelines for safeguarding vulnerable adults. The manager is planning to complete the “training the trainer” course to enable her to provide suitable training to staff regarding safeguarding adults. Based on discussions with staff they were aware of their responsibilities in identifying and reporting abuse. The home’s policies and procedures are currently under review to ensure they are up to date and in line with new legislation. Staveley House Residential Care Home DS0000022661.V346804.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, 20, 25, 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staveley house continues to provide a high quality living environment that is well maintained and suitable for the needs of the current residents. EVIDENCE: Staveley House provides a safe and very comfortable home, which is decorated and furnished to a high standard throughout. It is well maintained with all repairs and maintenance issues being addressed in a timely manner. There is a good choice of communal space in the home, which provides a range of different environments for the residents to relax and socialise. There is also a designated smoking area in one of the small lounges on the first floor. The gardens and grounds surrounding the home are also maintained to a high standard and bring a lot of pleasure to the people living in the home. One Staveley House Residential Care Home DS0000022661.V346804.R01.S.doc Version 5.2 Page 17 person I spoke to said how much they “enjoyed having a walk around the garden or just sitting out and enjoying the flowers”. The gardens are also accessible and have pleasant patio and seating areas. Access throughout the home is good with two passenger lifts to the first floor. On the first floor there is a kitchenette for residents to use to make drinks and snacks, which encourages people to retain their independence. Specialist equipment is in place to maintain resident’s mobility and independence. The laundry is well ordered with suitable industrial size machines to cope with all the laundry from the home. Staveley House Residential Care Home DS0000022661.V346804.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, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. On the whole the skill mix and knowledge of staff is good and they are competent in their role, however the range of training provided to some staff should be improved. EVIDENCE: The manager is currently reviewing the staffing levels in the home in preparation for the opening of the new extension with six extra bedrooms. During this visit there was a good skill mix of staff on duty and there appeared to be sufficient staff to meet the needs of people. Some staff commented on how the dependency level of people had increased but on the whole felt there was sufficient staff to meet people’s needs. There are also suitable amounts of domestic staff to maintain a clean and hygienic environment at all times. The home has exceeded the qualification standard with over 80 of staff having completed or are working toward their NVQ qualification. There are appropriate recruitment procedures in place, which ensure staff are suitable for the role and that people are safeguarded. Staff files were sampled which contained relevant information in line with the National Minimum Standards. Staveley House Residential Care Home DS0000022661.V346804.R01.S.doc Version 5.2 Page 19 All staff have a training record in place that identified what training had taken place, with copies of certificates also held on file. It was evident from examining these records that some staff are not receiving the minimum amounts of training as specified in the standards. It is recommended an audit of staff training needs is completed and a suitable programme of training planned, based on these findings. This should include specialist training such as Catheter care and Dementia awareness. Staveley House Residential Care Home DS0000022661.V346804.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, 32, 33, 35, 36, 37, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The new management structure is supporting the manager in the smooth running of the home and ensuring the safety and welfare of people living and working there. EVIDENCE: The manager is suitably qualified and experienced to run the home in an efficient and effective manner. A second assistant manager has been appointed on a part time basis who is currently being inducted. They will take on a full time role once the new extension is operational. This has strengthened the management team and will enable planned improvements to be implemented fully. Staveley House Residential Care Home DS0000022661.V346804.R01.S.doc Version 5.2 Page 21 As well as informal day-to-day contact with management, regular meetings are held for people living in the home and with care staff that ensure people’s views are heard and the home is operating in their best interests. A newsletter is also produced on a monthly basis to keep people informed about what is going on around the home. I spot-checked the personal finances held by the home and found these to be in order with an accurate record kept of all transactions. Two members of staff signed these. The organisations bursar and treasurer also checked the records on a regular basis. The home issues an annual quality survey to all the people living in the home that gives people the opportunity to feedback to the management about the quality of the service received. As a result of previous consultation changes have occurred such as alterations to menus, entertainments and the layout of the garden. I examined staff files and talked to several staff about the supervision arrangements in the home. Although staff knew who should be providing supervision it was evident that formal supervision had been very inconsistent over the last year. Staff said they got good support on a day-to-day basis from the shift leader and management team. It is recommended the planned supervision programme is implemented as soon as possible. Information supplied by the manager in the Annual Quality Assurance Assessment regarding servicing and maintenance records were up to date and accurate ensuring the safety of residents and staff. This included gas, electric and water services as well as the equipment within the home. Staveley House Residential Care Home DS0000022661.V346804.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 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 X X X X 4 4 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 3 3 X 3 2 3 3 Staveley House Residential Care Home DS0000022661.V346804.R01.S.doc Version 5.2 Page 23 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. Refer to Standard OP7 Good Practice Recommendations The needs assessment and guidance for staff resulting from referrals to specialist services should be recorded in more detail on the care plan to ensure a continuity of care is maintained. An audit of staff training needs should be completed and a suitable programme of training planned for all staff based on the findings. The planned supervision programme should be implemented as soon as possible. 2. OP30 3. OP36 Staveley House Residential Care Home DS0000022661.V346804.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Staveley House Residential Care Home DS0000022661.V346804.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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