Inspection on 30/10/07 for Sycamore Court Nursing And Residential Care Home

This inspection was carried out on 30th October 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.

Other inspections for this house

Sycamore Court Nursing And... 08/08/06

Sycamore Court Nursing And... 06/12/05

Sycamore Court Nursing And... 01/06/05

Sycamore Court Nursing And... 05/11/04

Sycamore Court Nursing And... 07/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Sycamore Court Nursing And Residential Care Home Fitzherbert Drive Bear Road Brighton East Sussex BN2 4DU Lead Inspector Gary Bartlett Key Unannounced Inspection 08:45 30th October 2007 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 Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.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. Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sycamore Court Nursing And Residential Care Home Fitzherbert Drive Bear Road Brighton East Sussex BN2 4DU 01273-697331 01273 621163 Address 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) sharon.blackwell@anchor.org Anchor Trust Suzan Frances Green Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service users must be older people aged sixty-five (65) years or over on admission The maximum number of service users to be accommodated is forty (40) The maximum number of service users forty (40) in receipt of nursing care can include five (5) in receipt of personal care One named service user aged sixty-one (61) years on admission Date of last inspection 8th August 2006 Brief Description of the Service: Sycamore Court is a purpose built home owned and run by Anchor Trust, it is registered to offer both nursing and residential care to people over 65 years of age. The home is situated in a residential area on the outskirts of Brighton within approximately five minutes walk of local transport services. The home can also offer parking for around 14 cars. Spanning three floors, all of which are served by a shaft lift, the home has a large lounge/ dining area on the first floor and small lounge areas on each of the other floors. The small lounges have tea and coffee making facilities for relatives and friends of residents. There is also a small well-maintained garden, which is accessible to all from the ground floor. There are five assisted bathrooms and all residents rooms have an en-suite facility consisting of shower, washbasin and w.c. The home is staffed by registered nurses twenty four hours a day. The home is now contracted to provide five beds for transitional and interim care for Brighton and Hove Social Services. Current fees range from £637 to £663 per week. For more information about the fee and what it includes please contact the Provider. Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was conducted by Gary Bartlett, Regulatory Inspector, who was in Sycamore Court from 8:45 a.m. until 2:50 pm. During that time the Inspector spoke with some residents, 4 visitors, visiting health care professionals and some staff. Parts of the home and some records were inspected and care practices observed. The Manager had completed an Annual Quality Assurance Assessment prior to the inspection. The Manager and staff gave their full co-operation throughout the inspection. A large number of survey forms were received prior to the inspection. Residents, their relatives and health care professionals responded that they like the home and think there are good standards of care. Survey forms included the comments: • “I am very happy with Sycamore Court. It’s the best one my (relative) has been in” • “Nothing is too much for staff and management alike and the residents’ needs are always put first” Other statements made are quoted in the text of the report. The Care Homes Regulations 2001 and the National Minimum Standards for Care Homes for Older People refer to people who use the service as “service users”. People living at Sycamore Court prefer to be referred to as “residents”. Accordingly this shall be done in the text of this report. What the service does well: Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 6 Sycamore Court provides a caring and pleasant home for residents, dealing with any problems they may have in an empathetic and practical manner. There is an open and friendly atmosphere with good interaction between residents, staff and visitors. Staff are kind and caring. Information about the home is easily accessible and staff are good at helping residents to settle in. Personal health care needs are well supported and residents’ individual preferences are catered for where practicable. The standard of catering is excellent, providing a well balanced diet and choice of menus. There is encouragement for residents to partake in activities suited to their preferences and capabilities. Staff are encouraged to undertake training and receive effective supervision. Residents and/or their representatives are regularly asked for their views about the home. What has improved since the last inspection? What they could do better: The forthcoming redecoration programme will enhance the environment. Whilst clean, the home should endeavour to keep all areas free from offensive odours. If appropriate training is identified and made available to staff organising activities, this will give them further skills in providing meaningful activities for service users, in particular those with cognitive and sensory impairments. The number of staff completing the National Vocational Level 2 in Care falls below that which would be expected. The National Minimum Standards state that 50 of staff must have achieved this by 2005. Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 7 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. Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that they are appropriately placed due to good preadmission assessments and benefit from being able to visit the home prior to admission. The home does not provide intermediate care. EVIDENCE: The Manager described how a pre-admission assessment is made of each prospective resident. Records show that prospective residents, their families, advocates, and relevant health care professionals are involved in the Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 10 assessment process. Specialist advice is sought from external sources where required. Residents said they or their families had been able to visit Sycamore Court before moving in. They also said staff had been very helpful in assisting them to settle in; this was confirmed by two relatives who were present. Intermediate care is not offered at the home. Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ personal health needs are assessed and maintained through their individual care plans and with good liaison with relevant health care professionals. Residents are protected by staff adhering to good practice guidelines in the storage and administration of medicines. Staff treat residents with respect and maintain their privacy and dignity. EVIDENCE: Survey forms completed by Care Managers included the comments: Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 12 • • “I have always found the staff to be very aware of their service users’ needs”. “The management in particular have extensive knowledge of resources etc and an excellent awareness of individual needs”. Each resident has a care plan and the home is in the process of introducing a new care plan format. The Manager considers the structure of the new system will make it easier for a person to find details of the care to be given. Four plans, a mixture of old and new, were inspected in detail. The standard of daily record keeping is generally good. The Manager is aware that some records need to be more informative to comprehensively reflect the daily care given and is addressing this through the regular review of care plans and risk assessments and by staff training. The care plans contain risk assessments and consent forms for any form of restraint required, which include bedrails or specialist chairs. They are kept in the resident’s rooms therefore being accessible to the resident or their representative. Visiting relatives said staff are very good at keeping them informed. The home has three clinical rooms for the administration and storage of drugs and dressings, with the application of dressings taking place in the resident’s room. The clinical rooms are clean and well maintained. Since the last inspection, air-conditioning has been added to the clinical rooms to ensure medicines are stored at an appropriate temperature. The home undertakes a medication audit on a weekly basis. Records show that all staff administering medications have been trained and signed off as being competent to do so. The Medication Record Administration Record (MAR) sheets seen were completed appropriately. Sycamore Court continues to have a good working relationship with the specialist and local health care professionals. This greatly assists in supporting residents in their health care needs. A chiropodist and visiting opticians were at the home on the day of inspection. Residents felt that staff are kind and gentle, this was confirmed by observation. Staff are considerate of the age and dignity of residents and treat them with courtesy. Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can enjoy a fulfilling lifestyle with good outside links maintained and have as much choice and control over all aspects of their lives as their individual abilities allow. Dietary needs of residents are very well catered for with a balanced and varied selection of food that meets their tastes. EVIDENCE: The home now employs a full time Activities Co-ordinator who works Monday to Friday and occasionally at weekends, depending on the home’s social activities. The Activities Co-ordinator has been very busy in ascertaining residents’ preferences with a view to developing a meaningful activities programme for them. Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 14 On the day of the inspection some residents were having their hair done by a visiting hairdresser. They spoke very highly of this service. The Manager stated residents are supported to manage their own affairs for as long as they wish and are able. Access to independent advocacy schemes can be made available. Family and friends feel welcome and know they can visit at any reasonable time. During the inspection a number of visitors were seen in the home and the visitors book records regular visits by families, friends and others. The design of the Sycamore Court provides seating areas within various communal areas where residents can entertain their visitors, in addition to the privacy of their own room. The home encourages individuals and groups from the community to visit. A survey form completed by a Care Manager included the comment: • “Care staff are welcoming to visitors to the home and there is a very relaxed atmosphere there”. Residents’ wishes in respect of any religious observances are ascertained at time of admission and a religious minister visits regularly to conduct a service. Meal times are set for practical reasons but can be flexible to accommodate activities when necessary. Residents are very complementary of the food served and say their tastes are met as best possible with a choice of menu always being offered. The majority of cakes and puddings are home made, there is fresh fruit available and a cooked breakfast is offered twice a week. The meals are generous in portions and look appetising. A sweet trolley is taken around containing several different types of dessert. Mealtimes are relaxed; staff are patient and helpful and allow residents the time they need to finish their meal comfortably. Hot and cold drinks are available through out the day, as well as snacks. The home has a licensed bar with drinks being available to residents either in the evenings or at events held within the home. A resident’s comment card received prior to the inspection included the statement: • “The food is 1st class and always as much as I can eat” Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives know their complaints are listened to and acted on. There are systems to protect residents from abuse. EVIDENCE: A survey form completed by a Care Manager included the comment: • “On the few occasions where issues have arisen the home has acted in a professional and appropriate manner”. The complaints procedure is readily available to residents and their relatives. They said they feel confident that they would be listened to and any necessary action would be taken. A visitor said: • “If I have ever had any sort of worry it has always been resolved very quickly”. The Home keeps a record is of all complaints received by them. The Annual Quality Assurance Assessment received prior to the inspection indicates there Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 16 have been 2 complaints received by the home in the last 12 months. One of these was upheld and both resolved within an appropriate timescale. The Commission has not received any formal complaints about the home in that time. There are procedures for responding to suspicion or evidence of abuse or neglect to ensure the safety and protection of residents. The Manager and other staff spoken with have a sound understanding of safeguarding adult procedures. During the last year, there have been 5 alerts raised, two of which have been upheld, two not upheld and one is currently being investigated. Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a pleasant and comfortable home. EVIDENCE: The home continues to be fairly well maintained but the décor in some parts looks “tired”. The Manager described how a programme of redecoration and refurbishment is due to be started in the very near future, commencing with improvement to the lighting. All parts of the home seen are generally clean and most are free from unpleasant odours. Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 18 There is a large dining room and lounge area available on the ground floor and small lounges on each floor with tea and coffee making facilities. The ground floor lounge has access to the garden area. The home has been assessed by a qualified occupational therapist to ensure that it has sufficient equipment and there is a range of equipment, which includes variable height beds, full body hoists, grab rails and other aids for those who are disabled. Residents are encouraged to personalise their bedrooms and can bring in furniture following discussion with the Manager. Many bedrooms have televisions, radios etc and some have telephones. All bedrooms have a lockable facility and a lockable door. All bathrooms, toilets and sluices seen are clean and well maintained. They are equipped with appropriate hand washing and drying facilities. Since the last inspection, two new baths have been acquired and the toilets for disabled people have been redecorated. Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment processes are robust and offer protection to people living at the Home. Training is available to the staff so they have the skills to meet the needs of the residents. EVIDENCE: A resident’s survey form received prior to the inspection included the statement: • “The staff are really lovely and always help me when asked”. A survey form completed by a Care Manager included the comment: • “Both the Manager and her staff cannot be faulted for their dedication to their roles”. Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 20 Residents and their relatives speak very highly of the staff, saying they are hard working. Records seen indicate that robust recruitment procedures are used and the home directly employs only staff that have been properly vetted. There was some discussion about ensuring references for applicants were always obtained from appropriate people. The home has to occasionally use agency staff to maintain staffing levels. Staff are required to undertake an induction programme and a training matrix is used to give a management overview of staff training needs. Records show that seven staff have NVQ level 2 in care and nine are working towards it. Whilst improving, this is still below the numbers expected. Some survey forms questioned the adequacy of staffing levels and a few referred to constantly ringing staff-call bells. The staff rosters seen indicate staffing levels are geared to peak times of activity. During the inspection staff were seen to be busy but residents did not have to wait for long before receiving help. Inspection of the call system log showed that there are very many calls being made but these are all being answered in a very short period of time. Staff and residents spoken with said they considered the staffing levels to be generally adequate. The home employs laundry and cleaning staff to work 7 days per week. There is very good interaction between residents and staff. Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home benefits from a management team that is experienced, accessible and supportive. EVIDENCE: A survey form completed by a Care Manager included the comment: • “Management at this particular home are excellent”. Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 22 Mrs Suzan Green has been the Manager for almost three years. She is a registered nurse, has attained the Registered Managers Award and has many years experience in the care of older people The home has an on-going quality assurance programme, which is being updated. This involves the sending out of questionnaires and talking to residents and visitors to get their views on the home, the results being collated. Formal supervision of staff is being undertaken and this takes generally takes place within the time scales dictated by the National Minimum Standards. Staff meetings take place at regular intervals. It was established at the last inspection that the accounting for resident’s monies is satisfactory. Residents and relatives did not express any concerns about the Home’s management of monies or valuables held on the residents’ behalf. Records seen are kept in a manner that preserve confidentiality. The standard of cleanliness in the kitchen and surrounding area is good. An Environmental Health Officer had inspected the kitchen in February 2007 and awarded four stars. There are records of fire systems checks and fire drills/training. The Annual Quality Assurance Assessment received prior to the inspection indicates records of maintenance and safety checks are up to date and the Trust regularly reviewes policies and procedures to ensure they comply with current legislation and good practice advice Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 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 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 3 3 X X 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP12 Good Practice Recommendations It is recommended appropriate training is identified and made available to staff organising activities to give them further skills in providing meaningful activities for service users, in particular those with cognitive and sensory impairments. It is strongly recommended that all parts of the home are kept free from offensive odours at al times. It is recommended that more staff are trained to at least NVQ level 2 or equivalent 2. 3. OP26 OP28 Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Sycamore Court Nursing And Residential Care Home DS0000014065.V348193.R01.S.doc Version 5.2 Page 26 - 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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