Inspection on 07/06/06 for Swan House Care Home

This inspection was carried out on 7th June 2006.

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.

Other inspections for this house

Swan House Care Home 24/09/09

Swan House Care Home 03/04/09

Swan House Care Home 11/04/08

Swan House Care Home 05/12/07

Swan House Care Home 06/06/07

Swan House Care Home 26/01/06

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Swan House Care Home Swan House Care Home Pooles Lane Willenhall West Midlands WV12 5HJ Lead Inspector Mr Richard Eaves Key Unannounced Inspection 7th June 2006 08:30 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 Swan House Care Home DS0000066099.V297815.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. Swan House Care Home DS0000066099.V297815.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Swan House Care Home Address Swan House Care Home Pooles Lane Willenhall West Midlands WV12 5HJ 01922 407040 01922 407040 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) Ashbourne (Eton) Limited Ann Marie Simmonds Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45) of places Swan House Care Home DS0000066099.V297815.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th January 2006 Brief Description of the Service: Swan House Care Home is a purpose built two storey property situated on a local bus route, adjacent to local shops. A lift provides access between floors. Surrounded by a small garden the home provides accommodation for up to forty five older persons requiring residential and/or nursing care. Individual accommodation is spacious with the opportunity for service users to bring their own furniture and decorative items. There are two lounges with separate dining facilities. The home provides all support services in house including laundry, catering and housekeeping. Swan House Care Home DS0000066099.V297815.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken by a single Inspector and drew upon the following information: the action plan submitted by the home following the announced inspection during August 2005, reports from the organisation relating to the conduct of the home, the pre-inspection questionnaire and records held at the home The inspection included a tour of the building and meeting service users and visitors to obtain their views. The inspection covered the kitchen, laundry, sluice rooms, bathing facilities and the communal areas of the home. A large proportion of bedrooms were entered with permission as it was possible to obtain. Generally the home was found to be functioning calmly and efficiently and service users appear appropriately attired and comfortable and were willing to confirm that they were happy with life at the home. What the service does well: The home is well presented to prospective clients both in general appearance and in the excellent sources of information provided. The home provides person centred care in a friendly, homely atmosphere and a very pleasantly maintained environment. Residents receive good standards of care and support delivered in an individual way as the residents wish by well-trained staff. The home delivers safe services such as medication administration in a safe and healthy environment and holds adult protection as a priority. Service users are very positive about the home with comments such as, “ the staff are very good and kind”, “I think things are getting better the girls do their best”. Relatives also commented positively one saying, “My mother is very happy with the care she has”. “ The cleanliness of the home and the laundry is good”. The home is well presented to prospective clients both in general appearance and in the excellent sources of information provided. The home provides person centred care in a friendly, homely atmosphere and a very pleasantly maintained environment. Residents receive good standards of care and support delivered in an individual way as the residents wish by well-trained staff. The home delivers safe services such as medication administration in a safe and healthy environment and holds adult protection as a priority. Swan House Care Home DS0000066099.V297815.R01.S.doc Version 5.2 Page 6 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. Swan House Care Home DS0000066099.V297815.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 Swan House Care Home DS0000066099.V297815.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1-5 The overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good sources of information about the home and invites prospective service users to visit and spend time at the home prior to admission to enable them to make an informed decision about entering the home this is confirmed by contract. The most experienced staff undertake pre-admission assessments and confirmation is given to the service users that their needs can be met by the home. EVIDENCE: The home has recently reviewed and updated the statement of purpose and service user guide and are available in reception, a copy of the guide is also provided to each bedroom. Each document can be provided in large print format and tape if required. Swan House Care Home DS0000066099.V297815.R01.S.doc Version 5.2 Page 9 Each case file includes a contract and a letter confirming that the agreed assessed needs can be met by the home, the letter also invites prospective service users to take the opportunity to visit and trial the services offered. The case files contain a care manager assessment and an assessment by the home manager or deputy. A sample of 5 case files were randomly selected for case tracking and show that the assessment process is thorough, including all activities of daily living and an extensive range of risk assessments, these assessments are subject to monthly review. A small number of service users were able to express a view of their involvement by staff in the assessment process while others said they “left it to staff who, know what to do” and others said their family deal with it. The home does not offer an intermediate care service. Swan House Care Home DS0000066099.V297815.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 -10 The overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are derived from a comprehensive range of assessments and provide the basis for the delivery of care and detail the actions required of staff to meet the identified needs. Health care needs of service users are fully met. Medications are well managed all facilitating the promotion of service users health. Service users are treated with respect and their privacy upheld. EVIDENCE: A sample of five case files were selected for inspection and case tracking. It was observed that the care plans were derived from the assessment process, were relevant and maintained to a good standard. Each file is set out in a consistent way with the assessments including social, risk assessments, care plans, evaluations and monitoring records The care plans reflect actual care requirements and the service users preferences of how it should be delivered. Swan House Care Home DS0000066099.V297815.R01.S.doc Version 5.2 Page 11 In speaking with service users many were able to engage in conversation on how care is delivered and were complementary about relationships with staff. The file includes a record of service user and or relatives involvement in the care planning and reviews. The system of assessment and care planning while currently of a good standard is in the process of being replaced with the Southern Cross system. An example of a completed case file was examined and was seen to be completed to a very thoroughly. The current method of recording personal care given includes the delivery of oral care as part of the general statement and it is recommended that it be identified more individually. The case files show that service users all are allocated to a GP and receive other allied healthcare inputs on a regular basis. The home uses a Monitored dosage system of medication and the MAR sheets examined by the inspector were clearly printed with relevant details and prescription instructions. A photograph of each service user is securely attached to the corresponding MAR sheet to assist with identification, the homes self audit has shown a small number of omissions in completing the MAR charts and action implemented to correct this among staff. The manager advised that the home would be changing to the Boots MDS July. Controlled drugs are stored appropriately and accurate records are maintained of medication received and returned by the home, other medication storage is satisfactory with room and fridge temperatures monitored daily. A contract is in place for the disposal of pharmaceutical waste including that from the personal care only floor. An assessment of capacity to self medicate is included in the case files although none currently do self medicate. The homes staff induction programme includes a section on treating service users with respect and their privacy is upheld with locks fitted to bedroom doors. Over the day staff were observed to interact easily with service users on many occasions, were overheard to use the chosen names of service users, knock before entering bedrooms and were generally respectful and sensitive to the protection of privacy and dignity. In discussion with service users many were able to describe how they are assisted to make choices for themselves in such areas as clothes to wear, where they wish to spend time. The key worker documents individual wishes and routines and staff said that these were implemented flexibly to allow the service user opportunity to make other choices, the recent satisfaction survey of service users views shows a good deal of satisfaction in this aspect of life at the home. Swan House Care Home DS0000066099.V297815.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 – 15 The overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a well-organised and appropriately varied social and recreational activity programme that provides interest and pleasure for the service users. An open visiting policy assists service users to maintain contact with their family and friends. Service users exercise choice and control over their lives. Meals at the home are wholesome and meet the nutritional needs of service users while reflecting choice and taste. EVIDENCE: Two senior carers provide the activity co-ordinator role has been proactive establishing a broad range of events and activities and has progressed the documenting of a social assessment and life story that assists in providing insight into individual social and recreational likes and needs. A structured programme of activities is prepared on a weekly basis but this is open to providing spontaneous activity and allows time for one to one sessions. A number of service users undertake regular shopping trips, locally and further a field, others regularly go out with family. Favourite activities include, games, bingo, beauty therapies such as nails, hands and hair, some say they enjoy foot massage. One to one conversations, reminiscence sessions and current affairs are also popular as seen by the participation records. Religious Swan House Care Home DS0000066099.V297815.R01.S.doc Version 5.2 Page 13 observance tends to be individually arranged and the local vicar attends the home regularly. Visiting arrangements remain unchanged and service users continue to receive visitors at any reasonable time in the day and a number were observed to arrive and leave during the course of the day. Most service users receive their visitors in one of the lounges and there appears to be a good relationship between visitors and other service users. Visitors spoken with said they were very pleased with all aspects of life at the home for their relative. Information in respect of advocacy services are displayed in the reception area. The case files include a section that identifies personal likes and wishes such as rising and settling time and their ability to make their own choices of clothes to wear. In conversation with service users they were content that these wishes are fully taken into account by care staff in the assistance they provide. The menus provide for a balanced and nutritious diet and is well received by the residents many able to recall the choices offered at each of the meals and that the three main meals offered a cooked option. Service users receiving the soft option diet also choose their meal from the menu. A supper is provided and snacks such as toast, biscuits and crisps are always available. The menus have been assessed as nutritionally sound and are put together using a high proportion of fresh produce. The kitchens were clean and all aspects of hazard analysis and critical control points were in place to provide safe food production area. The home has decided to bring the meals service back inhouse and anticipate more flexibility in providing the catering service. One respondent to the home survey identified the only concern was the ready supply of snacks and drinks in addition to the planned service. The manager identified that there is a tuck trolley and the planned in-house service would bring about further improvements. Swan House Care Home DS0000066099.V297815.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 – 18 The overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home complaints and protection policies are robust providing a safe environment in which service users feel they can voice concerns and that these will be listened and responded to. Service users rights are protected and staff demonstrate excellent knowledge and understanding of adult protection issues which contributes in providing an environment safe from abuse. EVIDENCE: The complaints procedure is readily accessible to service users and their relatives with reference in the contract and the statement of purpose which is readily available in the entrance. No complaints have been received since the previous inspection. The survey responses all indicated they new who to speak with if unhappy and wanted to make a complaint. A number of service users and relatives spoken with said they new who to speak with but had never had reason to make a complaint. Records demonstrate that concerns raised are acted on and that the staff are receptive to personal wishes. Advocacy services are also displayed in the main reception area. The manager identified that the electoral roll is completed each year and confirmed that postal votes had been taken up at the recent elections. The home has robust procedures for responding to any suggestion of abuse and in-house training is given in adult protection procedures. All staff have undertaken adult protection training through social services. Swan House Care Home DS0000066099.V297815.R01.S.doc Version 5.2 Page 15 Swan House Care Home DS0000066099.V297815.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 – 26 The overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a good standard of décor, furnishings and managed services providing a safe, disabled accessible environment and an attractive, and homely place to live. The bedrooms have bathrooms in close proximity for the convenience of service users. The home is clean, free from odours and hygienic. EVIDENCE: The home has garden areas for service users both front and back of the home with appropriate garden furnishings, the home has the facility to provide shade but was not in use during the inspection. The garden areas are of very pleasant appearance with hanging baskets and Patio potted plants. The borders have been weeded and fence painting is well progressed A tour of the building found the home to be clean, hygienic and free from offensive odours. Decoration is in good order with some having been Swan House Care Home DS0000066099.V297815.R01.S.doc Version 5.2 Page 17 undertaken recently and a programme of decoration of the corridors planned for this August. Since the previous inspection a number of rooms have been decorated as they become free. The bedrooms and communal areas are comfortably furnished to provide a homely environment, profiling beds are available for service users nursed in bed. Records are kept which detail routine maintenance and redecoration, the records of monitoring services such as fire, emergency lighting and water temperatures were up to date and show actions taken if adjustments have been required. The laundry is well equipped with washers that meet the requirements for sluicing and disinfection of linen. Laundry problems are minimal and lost items are displayed on a regular basis for service users and families to identify missing items. Sluice disinfectors are provided for cleansing of toileting items such as bedpans and urinals. Staff hand wash facilities have controlled hot water that promotes good hand washing practice. Swan House Care Home DS0000066099.V297815.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 – 30 The overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good mix of staff in sufficient numbers to provide consistency of care that meets service users needs. The home has been proactive in developing a skilled staff group with understanding of service users needs. Recruitment and selection processes are to a good standard protecting vulnerable people. EVIDENCE: The rotas confirm that numbers across the 24hour period and skill mix of qualified and unqualified staff are appropriate to the needs of service users. Staff allocations are a Nurse for each shift with 8 carers during the day and 4 at night, the manager and deputy are supernumary. The ancillary services provide a full 7-day service. Staff met and spoken with were enthusiastic and those who were recently employed received formal induction that meets TOPPS standard. The standard of 50 of care staff being trained to NVQ level 2 standard has been exceeded, currently 55 and continues to be increased with further carers enrolled. Swan House Care Home DS0000066099.V297815.R01.S.doc Version 5.2 Page 19 Each member of staff has their own training folder and a matrix is maintained for ease of monitoring completion of mandatory training. A sample of 5 staff files were selected for inspection and shows that recruitment and selection is completed to a good standard and includes all necessary checks such as CRB, POVA and nursing registration. Staff files also show that two references are obtained and records kept of interviews. An inspection of training records shows that mandatory training is up to date and recently employed staff have undertaken the TOPPS standard induction and foundation programmes. Over the past year the manager has completed the Registered Managers award and the deputy commenced it, senior carers have all engaged on a senior care package of training and NVQ training is ongoing at levels 2, 3 and 4. Mandatory training is provided on a rolling programme with monitoring arrangements in place to ensure uptake. Swan House Care Home DS0000066099.V297815.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 & 35 – 38 The overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Leadership of this home is good and staff demonstrate an awareness of their roles and responsibilities. The home regularly reviews its performance which includes consultation and seeking the views of service users and their families and evidenced that it is acted upon. The sound financial management of the home and arrangements for safekeeping of their money safeguards service users interests personal and financial. Staff receive supervision and direction to ensure that the service users receive consistent quality care, the documentary evidence of supervision is weak and distracts from the certainty of the delivery of care. The best interests of service users are safeguarded by the homes record keeping, policies and procedures. Environment management and staff training in respect of health and safety ensures service users safety and welfare are protected. EVIDENCE: Swan House Care Home DS0000066099.V297815.R01.S.doc Version 5.2 Page 21 The home is led by an experienced and well qualified nurse manager and is supported in this by a stable committed staff group at all levels. On the day of the inspection it was apparent that there was a very good atmosphere amongst the staff. Staff in each area of the home were engaged in conversation and said they were happy with their work, supervisions and training opportunities. The manager holds frequent staff meetings and maintains a record and actions taken in response to staff inputs. A survey of service users views undertaken has been analysed and report of findings and an action plan implemented. The manager also undertakes regular topic satisfaction surveys and feeds back the findings and actions resulting to the service users meetings. The area manager undertakes monthly regulation 26 visits providing a report for the Commission. In-house audits are undertaken monthly and cover all aspects of home management including care, complaints, accidents and medication. The manager agrees a budget for each year to meet the agreed business plan, which reflects the findings of the auditing undertaken. The home does not act as appointee for service users, arrangements with full accounting practice is in place for personal allowances held for safekeeping. Staff supervision is now well established and staff confirm that they get benefit from the process. An inspection of records required by regulation and listed in the schedules show these to be maintained, up to date, accurate, kept secure and used in accordance with the Data Protection Act. The home is subject to a health and safety audits, which cover all areas of the home with recent findings show good standards maintained. Inspection of the health and safety monitoring records show these to be up to date and that very good standards are being maintained consistently. Certification of services and equipment are all in date. Staff training in health and safety, fire safety training is satisfactory. Swan House Care Home DS0000066099.V297815.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 4 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 2 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 Swan House Care Home DS0000066099.V297815.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. 1 Standard OP20 Regulation 23(2)(o) Requirement The registered person must ensure that service users are kept save from over exposure to sunlight when using the garden areas by the provision of shaded areas. Timescale for action 10/06/06 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 inclusion of oral hygiene in the care plan would be better identified separately rather than included under general hygiene needs. Swan House Care Home DS0000066099.V297815.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA National Enquiry Line: 0845 015 0120 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 Swan House Care Home DS0000066099.V297815.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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