Inspection on 13/11/07 for Sycamore & Poplars Care Centre

This inspection was carried out on 13th November 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 & Poplars Care Centre 08/02/07

Sycamore & Poplars Care Centre 24/11/05

Sycamore & Poplars Care Centre 26/07/05

Sycamore & Poplars Care Centre 11/10/04

Sycamore & Poplars Care Centre 13/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Sycamore & Poplars Care Centre High Street Market Warsop Nottinghamshire NG20 0AA Lead Inspector Karmon Hawley Key Unannounced Inspection 13th November 2007 10:00 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 Sycamore & Poplars Care Centre DS0000024656.V351847.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 & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sycamore & Poplars Care Centre Address High Street Market Warsop Nottinghamshire NG20 0AA 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) 01623 847303 01623 847396 the.sycamores@ashbourne.co.uk Exceler Healthcare Services Limited Elaine McAdams Care Home 72 Category(ies) of Dementia (72), Old age, not falling within any registration, with number other category (72) of places Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home with nursing - Code N The service users of the following gender: Either Whose primary care needs on the admission to the home are within the following categories: Old age, not falling within any other category - Code OP, Dementia Code DE The maximum number of service users who can be accommodated is 72. 8th February 2007 2. Date of last inspection Brief Description of the Service: Sycamore and Poplars Care Centre was opened in 1991 and consists of two buildings, which share the site. Sycamore unit caters for up to 40 service users, offering both nursing and personal care, whereas Poplars unit offers dementia care for up to 34 service users. The home provides short and long term care and operates a respite service and will accept emergency admissions. The home is located in the centre of Warsop and is close to shops, pubs, the post office and other amenities. Sixty-nine of the home’s bedrooms are single and seven of the bedrooms have en-suite facilities, six of which are single rooms and the other a double room. Bedrooms are located on two floors on both units and access is facilitated by a shaft lift. The home has a garden area that is well maintained and easily accessible. There is a good-sized car park to the front of each building. The current weekly fee range is £290 - £450.00. Additional costs are made for hairdressing, personal toiletries, newspapers and chiropody, these are all private arrangements and costs are met by individual service users. This information is made available to prospective service users on the point of enquiry. Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took into account previous information held by the Commission for Social Care Inspection, including previous inspection reports, the service history and records of any incidents that had been notified to the CSCI since the last inspection. The site visit consisted of a method called ‘case tracking’, which involves identifying individual service users who live at the home, and tracking the experience of the care and support they have received during the time they have lived there. This enables a judgement to be made about the outcomes for people living in the home. The inspector also spent time with staff and service users talking with them and observing the interaction and support staff offered service users. Two relatives were also spoken with who gave feed back about their experiences. General records maintained by the home were also looked at to ensure these were maintained and provided positive outcomes for service users. What the service does well: What has improved since the last inspection? The dementia care unit has continued to develop offering service users a more stimulating and secure environment. All areas of the home are kept in a good state of repair ensuring service users live in a well-maintained environment. Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 6 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. Sycamore & Poplars Care Centre DS0000024656.V351847.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 Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are assured that their needs will be assessed and that staff can meet these prior to admission to the home. The service does not offer intermediate care. EVIDENCE: The manager visits prospective service users in the community prior to admission, to carry out a preadmission assessment to ensure that staff are able to meet their needs. There was evidence of this taking place within service users case files examined. The manager said that prospective service users might also visit the home and spend time there, so that they can get a ‘feel’ for the home before they make a decision to move in. Staff spoken with said that they were informed of all new admissions and service users needs by a verbal handover. One service user spoken with stated that their family had come to have a look around before they moved in, they were anxious at first but have settled into the home and it is fantastic. Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 9 The service does not offer intermediate care. Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a risk that service users needs are not fully met due to assessed needs not being addressed within the care plans or the development of sufficient risk assessments. The recording of medication administered must be accurately maintained to ensure that service users are fully protected. EVIDENCE: The majority of service user’s plans of care were personalised and reflected individual needs to ensure that these could be met, however there were three instances where service users needs were not fully addressed. Two were in relation to medication administration and one was in regard to dementia care needs. This may result in service users not being supported as required and thus their needs not fully met. To ensure service users remain safe, risk assessments and management plans were in place for all identified risks, with the exception of one file where bedrails were in use, the risk of entrapment had not been addressed, which potentially exposes the person to injury. There was evidence within plans of care that reviews were taking place and any concerns were followed up promptly, ensuring that service user’s receive Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 11 continuous care according to their needs. Staff spoken with were able to discuss service users individual needs and the level of support they required to meet these. Service users said, “staff are very helpful, kind and patient, which is very important,” “staff are very good, they help me when I need a hand,” and “I have nothing but praise, all my needs are met.” There was evidence within service users case files to show that they can access specialist services such as the doctor, district nurse, optician or dentist as required to ensure that their health care needs are met. The manager said that good relationships are maintained with the health care team and appropriate equipment is supplied as needed. There was evidence of specialist equipment such as mattresses and cushions being available within the home. One service user discussed how the district nurse visits them regularly to do their dressings and also said that they rest on their bed every day to help prevent pressure sores. Another service user said that they could see the doctor at any time and in fact they were seeing them that day. All staff who administer medication have been trained to do so, ensuring appropriate procedures are followed. Both the morning and lunchtime medication round were observed and staff were seen to carry out good practice to ensure that service users are protected. On checking the medication records it showed that all handwritten entries are signed by two members of staff to show that these had been checked as correct. There was one instance where medication had been administered but not signed for; this may result in the medication being administered twice, causing ill effects to the service user. Fridge and room temperatures are recorded on a daily basis, however records showed that the fridge temperatures were above the recommended temperature on a number of occasions, which may result in medication being ruined or ineffective. Three service users spoken with said that staff looked after all their medication and that they were happy with these arrangements. Service users spoken with said that staff were respectful at all times, listened to them and treated them as individuals. Staff spoken with were able to discuss how they ensure that they respect service users privacy and dignity whilst assisting them with their needs, such as knocking on doors and ensuring they are covered up appropriately. There was reference to ensuring staff maintain service users privacy and dignity within the plans of care. All staff were observed to treat service users in a respectful manner and observe their privacy when attending to their needs. Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are enabled to live a life of their choosing, making their own decisions and choices as able in their daily lives and maintaining important contacts with their family and friends. EVIDENCE: On both units a warm and welcoming atmosphere was evident. Staff, service users and visitors were seen to maintain good relationships and chat comfortably and freely. Service users were observed to move freely around the home and occupy themselves if they wished. A variety of activities are available to offer service users stimulation such as quizzes, cooking, trips out, reminiscence and bingo. During the visit a quiz was taking place, this took the form of service users listening to a historical story then answering the questions. One service user spoken with afterwards said that they had particularly enjoyed this, as they were very interested in history. On the dementia unit there are various things available to entertain and stimulate service users such as, the sensory garden, the doll therapy corner, a pub room, tactile boards (boards which display items such as crockery and everyday items) and various types of material hanging from the handrails for service users to feel. One service user spoken with said some people enjoy these and several were observed to use them. Other comments received from Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 13 service users were as follows; “I am settled here, I join in the activites if I want but also can have some quiet time,” and “I am happy here, I have friends and company, I enjoy some of the activites, I am happy with what is on offer.” Staff were observed to assist service users in a kind and compassionate manner and ask after their welfare. To ensure that service users are enabled to maintain contact with their family and friends there are no restrictions on visiting, one service user said “my daughter comes to see me everyday, I can see her in my room if I want to,” and another said, “visitors are always made very welcome, they can come at any time.” Two relatives spoken with said that staff welcomed them with open arms and they felt supported by them. Visitors were observed to enter the home freely and spend time with their relatives. A wholesome and appealing diet is on offer and choices are available at each meal. The lunchtime meal looked appealing and service users were seen to have different meals. The cook was seen asking service users what they wanted for tea, ensuring that they had a choice. One service user said, “the food is wonderful, there is plenty you can have what you want,” and another said “the food is very good, plenty of choices and too much!” Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their relatives feel that they can comfortably approach staff, express any concerns they may have and know that these will be dealt with. A well-trained staff team ensures that service users are protected from abuse. EVIDENCE: The service has received five complaints since the previous inspection regarding aspects of care, nutrition, odour control and taking service users away from the table. These had all been investigated using the services complaints procedure and had been resolved. The manager said that so they learn from complaints, action plans are devised to address any issues needing attention following investigation. Staff spoken with were able to discuss how they would deal with a complaint should it be received. All the service users and relatives spoken with said that they knew how to complain should they need to, staff were very approachable and listened to them. One relative said “I have nothing but praise for them.” Staff have undergone training in safeguarding adults to ensure that they are aware of their responsibilities in regard to preventing and reporting safeguarding issues. Staff spoken with were able to discuss what they thought constituted abuse and how they would deal with it if they suspected it was occurring. There was evidence that the manager had referred an incident to the safeguarding adults team to ensure that appropriate support and guidance was obtained in dealing with a difficult situation, this lead to this being resolved and appropriate support put into place for those who needed it. Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 15 Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a well-maintained and comfortable environment, which is clean and tidy. EVIDENCE: A maintaince person is employed to ensure that the environment remains well maintained and comfortable for service users. All areas of the home accessed were well maintained, clean and tidy. One service user spoken with said that they had brought in their own pictures to make their room feel more homely. Many improvements have taken place within the dementia care unit to incorporate bright colours and sensory areas to stimulate service users. The manager discussed how the service has begun implementing the ‘essential steps to infection control’ and the infection control hospital team will carry out an audit once it has been fully implemented, to ensure that good practices are taking place and service users are protected. Staff spoken with were able to discuss infection control procedures and stated that enough Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 17 equipment was available to maintain this. Staff were observed to maintain good hygiene practices throughout the visit. Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported to meet their needs by a well-trained, competent staff team, but the current practices in recruitment and selection potentially put service users at risk from being cared for by unsuitable staff. EVIDENCE: The duty rotas observed evidenced that sufficient staff were available to meet service users needs. Staff spoken with confirmed this and said that they all worked well together as a team. Service users spoken with said, “the staff are very good, they are always here to help me,” and “staff are wonderful, they work very hard, they are busy but they do make time for you.” Two relatives spoken with also felt that sufficient staff were available for to meet service users needs. All new staff undergo an induction to ensure they are aware of their roles and responsibilities and service users needs. There was evidence of new staff undergoing an induction when they commence employment. One member of staff spoken with confirmed that this training takes place. Nineteen members of staff have attained the National Vocational Qualification level 2 or above (a nationally recognised work and theory based qualification) this ensures that staff have the relevant knowledge and skills needed to care for service users needs. Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 19 Four staff files were observed to see if the necessary documentation required by law was in place. All files seen had the required documentation in place with the exception of one, where only one reference was available; this is not good practice and leaves service users at risk from potentially unsuitable staff. Staff spoken with confirmed that they had undergone the necessary checks before the started work, such as a Criminal Record Bureau check (a police check to see if an individual has a police caution or criminal record). A staff training matrix is available which shows that staff have undertaken compulsory training such as manual handling, fire safety and health and safety to ensure they have the necessary skills and knowledge to meet service users needs. There was also evidence that registered nurses were undertaking specific training related to their job role to ensure good practices are maintained. Staff spoken with said that training was at a good standard and they felt supported by the management. One service user spoken with said that they felt that staff were well trained to look after them. Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home, which is well managed, and where they are enabled to express their views and opinions and be assured that these will be listened to. EVIDENCE: The manager is registered with the Commission for Social Care Inspection and is deemed to be fit to run the home. She has completed the registered managers award (nationally recognised work and theory based qualification), which will ensure she has all the necessary skills and knowledge to meet service users needs. Staff spoken with said that the manager was approachable if needed and they also feel supported by their unit managers. Service users and relatives also spoke highly of the manager and said that the home was well run. Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 21 Monthly audits such as the environment, care planning, food delivery and health and safety take place to ensure that a quality service is offered to service users. The manager and activites coordinator also hold service user and relative meetings to give them the opportunity to offer feedback about the service and to be involved in decision making. The latest minutes of the service users meeting were seen, which showed that issues such as activites and the menu had been discussed. A satisfaction survey had also been completed which showed that 86 of the people that completed them were very satisfied with the service on offer. Within service users plans of care their financial arrangements were documented to ensure that these are dealt with appropriately. The service also offers the facility to keep money in safe keeping within the home. One service user was seen to ask for some money out of their account. Staff spoken with discussed how service users are supported if needed in dealing with their finances and how they may access these. The manager said that staff supervisions are continuing to develop and these are now offered on a more frequent basis. Staff spoken with confirmed that supervisions take place approximately every 3 to 6 months and they felt that these were beneficial to them. There were records of staff supervisions taking place available. All staff have undertaken training in health and safety and they were able to discuss relevant health and safety matters such as using the hoist safely. The hoist certificate was observed which showed that this had been serviced as required. There were no obvious hazards noted during the tour of the home. Sycamore & Poplars Care Centre DS0000024656.V351847.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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 OP7 Regulation 13(4,c) Requirement Risks to service users must be identified and reduced as far as reasonably practicable to ensure they are fully protected. Service users needs must be highlighted in a plan of care to ensure that their needs are fully met. All medication administered must be signed for to ensure that service users are protected. Medication must be stored safely to ensure that this is not spoiled and therefore service users are protected and receive effective medication. All staff records must contain 2 written, including a reference relating to the person’s last period of employment, which involved care work for not less than 3 months to ensure that service users are protected from unsuitable staff. Timescale for action 30/12/07 2 OP7 15(1) 30/12/07 3 4 OP9 OP9 13(2) 13(2) 30/12/07 30/12/07 5 OP29 19(1,b,i) 30/12/07 Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 24 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 OP36 Good Practice Recommendations Staff supervision should take place and cover the areas stated in the National Minimum Standards (NMS) 36 Sycamore & Poplars Care Centre DS0000024656.V351847.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 & Poplars Care Centre DS0000024656.V351847.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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