Inspection on 08/02/07 for Sycamore & Poplars Care Centre

This inspection was carried out on 8th February 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 13/11/07

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 Elisabeth Pinder Key Unannounced Inspection 8th February 2007 9:30 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 Sycamore & Poplars Care Centre DS0000024656.V325562.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.V325562.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 Manager post vacant Care Home 74 Category(ies) of Dementia - over 65 years of age (34), Old age, registration, with number not falling within any other category (40) of places Sycamore & Poplars Care Centre DS0000024656.V325562.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 24 beds in the category of OP are reserved for nursing. Service users must be within categories OP(40), DE/E(34) Date of last inspection 24th November 2005 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 £283.00 £425.00. Additional costs are made for hairdressing, personal toiletries, newspapers and chiropody, these are all private arrangements and costs are met by individual service users. Sycamore & Poplars Care Centre DS0000024656.V325562.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home was undertaken by one inspector and formed part of a key inspection. The visit lasted five and a half hours and took into account previous information held by The Commission for Social Care Inspection (CSCI) including the homes pre-inspection questionnaire, previous inspection reports, their service history, records of any incidents that had been notified to the CSCI since the last inspection. Prior to the visit four service users ‘Have your say about’ questionnaires were received and comments from these will be mentioned throughout this report. The site visit consisted of case tracking a sample of four service users’ records, talking to them, observing staff interaction and assessing their care. Information received prior to the visit identified that all policies and procedures were in the process of being changed to show a change in company and during the visit the manager confirmed that these have now been completed. A general conversation was held with service users, two care staff, two unit managers and the general manager who is in the process of applying to the Commission for registration. One visitor was also spoken to. The site visit focussed on key standards and checking whether the three requirements made during the previous inspection had been addressed. What the service does well: What has improved since the last inspection? Sycamore & Poplars Care Centre DS0000024656.V325562.R01.S.doc Version 5.2 Page 6 Action has been taken to address the three requirement made during the previous visit. There is a rolling maintenance programme in progress and recent improvements include redecoration in the dementia unit and one room has been re-decorated to depict a sitting room in the 1950’s. 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.V325562.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.V325562.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): 1 & 3 standard 6 is not applicable Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available to help prospective service users to make a decision about moving into this home. Service users needs are assessed prior to their admission. EVIDENCE: All ‘have your say about’ questionnaires identified that enough information was given about the home before service users moved in. Specific comments read: ‘the information was very good’ ‘we were given plenty of information before we decided to place our relative in this home. We also had a visit to meet other residents and view the potential bedroom’. Three questionnaires identified that contracts/terms and conditions of residency had been received. Sycamore & Poplars Care Centre DS0000024656.V325562.R01.S.doc Version 5.2 Page 9 The Statement of Purpose and Service User Guide refer to the previous manager who left in August 2006, the current manager said that these documents are being amended and will be re-issued to service users when they are returned from head office. Care records examined showed that a full needs assessment had been carried out prior to admission, however, one record did not identify social care needs or current medication. Prospective service users or their representative are written to after the assessment confirming that the home can or cannot meet the service users care needs. Each individual file contained an admission check-list identifying when relevant information is obtained and it is recommended that these include when the service user guide is given to relatives/representatives. Sycamore & Poplars Care Centre DS0000024656.V325562.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care records give a clear indication of the needs of service users and enable staff to meet their needs with sensitivity and regard for their privacy and dignity. Service users are protected by the home’s policies for dealing with medication. EVIDENCE: Care records examined gave clear information on how the needs of service users should be met. Identified needs included personal care, physical and mental well being and most showed social interests and hobbies. However, not all identified cultural and religious wishes or service users choice regarding intimate personal care. Service users undergo various dependency assessments, for example manual handling and nutrition and body maps are used to show any injuries or scarring. Sycamore & Poplars Care Centre DS0000024656.V325562.R01.S.doc Version 5.2 Page 11 A requirement regarding appropriate risk assessments being in place was made during the previous visit and this had been addressed. Risk assessments had been written where risks had been identified and these clearly showed the action needed to take to minimise risk. Information taken from the pre-inspection questionnaire identified that two service users have pressure sores, both are being cared for in the nursing unit and the manager reported that these are healing slowly. She also said that a system is being put into place for the nursing staff and unit manger to regularly monitor progress. Care plans examined showed changes in care needs had been documented and these were signed and dated by staff and service users or their representatives showing their involvement in this process. Three ‘have your say about’ questionnaires identified that service users ‘always’ receive the care and support they need and one identified ‘usually’. Specific comments read: ‘if there are any issues arising from care, I usually go down to the office to discuss with staff, should action need to be taken this is then recorded’. A key worker system is used and one service user spoken to was aware of who his key worker was and said that he had a very good relationship with her. He confirmed that his needs are regularly discussed and felt that his current needs were being met. This member of staff was spoken to and she had a clear knowledge of this service users needs and the action to take to how to meet these. Service users spoken to in a general conversation said they felt their privacy and dignity are always respected. A requirement given during the previous inspection regarding medication records had been addressed and medication administration record (MAR) sheets examined had been signed appropriately. The company has policies and procedures for medication and staff spoken to were aware of these and said that they had followed their guidance. Currently there are no service users who self-administer their medication. All staff administering medication have completed training and medication given during the visit was administered safety. A pharmacy visit was undertaken on 16/10/06 and seven recommendations were made. The manager said she was unaware of these and will check their compliance through her monthly medication audits. Sycamore & Poplars Care Centre DS0000024656.V325562.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users living in this home are able to express choices in their daily lives and receive a nutritious, varied diet meeting individual preferences and health requirements. Visitors are made to feel welcome in this home. EVIDENCE: Information received prior to the visit identified recreational activities that the home offers and records available during the visit showed that there is a good choice of activities available. A comment from a completed questionnaire read ‘individual needs mean that access to some activities are limited’. Records showed that in-house activities include hand massage and music for service users who are unable to join in with other activities. During the visit the activity co-ordinator was on holiday, however, service users were observed to be enjoying a game of bingo and in the dementia unit service users were having a finger buffet and playing soft ball. Sycamore & Poplars Care Centre DS0000024656.V325562.R01.S.doc Version 5.2 Page 13 One service user spoken to said he loves to play bingo and darts and enjoys the quizzes, he also said how much he enjoyed going to a local pub for a meal at Christmas. Other service users confirmed that visitors are always welcomed and they are able to see them privately if desired. One visitor spoken to said she is extremely pleased with the home and is very satisfied with the care provided and said how much her relative had improved since being admitted a few weeks ago. The local community is involved with the home and attend main events such as fetes. Regular church services are held including communion for those wishing to participate, however, as previously stated, not all care records clearly identified religious needs. Two questionnaires received identified that service users ‘always’ like the meals and two identified ‘sometimes’. Specific comments read ‘not a great lover of meat, perhaps more fresh vegetables and fruit would be an idea’ and I’ am quite concerned about the current standard and quantity of food, over the last few weeks the staff were rationing sandwiches as there was not enough to go round’. This was brought to the attention of the manager who will address this immediately. Details of peoples’ preferences including nutritional requirements, likes and dislikes are recorded in their care plans so that staff are aware of them. During the visit the main meal was liver and onions or turkey casserole, carrots, beans and potatoes. This was nicely presented and service users said their lunch was very nice and plenty hot enough. Food is prepared and cooked in one building and transported to the other using hot trolleys. The cook was spoken to and she confirmed that temperatures were taken before and after transporting the food and mid-serve. She also spoke of a new computerised system which is being implemented which will identify nutritional risks for individual service users. Menus provided showed that a varied, well balanced diet is offered, alternatives for people requiring special diets, such as diabetics and service users needing a soft diet are provided. Sycamore & Poplars Care Centre DS0000024656.V325562.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: A review of information held by the Commission showed that two complaints had been made during the last twelve months and both had been responded to and dealt with appropriately. The home’s complaints procedure is on display in the entrance area of the main home and the majority of ‘have your say about’ questionnaires identified that service users and/or their representatives know who to speak to if they were unhappy and two identified that they ‘always’ know how to make a complaint and two ‘usually’. Specific comments read; ‘I think there is a complaints procedure to follow but I’m not sure’ and ‘as I usually visit everyday, if there is a complaint then I deal with it’. Information was given to the manager about the Commission’s procedures for reporting complaints and the address and telephone number was given for the Central Registration and Compliance Team (CRCT). The manager said she would include this information in a newsletter shortly to go out to all relatives and representatives. Sycamore & Poplars Care Centre DS0000024656.V325562.R01.S.doc Version 5.2 Page 15 The Company has a safeguarding adults procedure and information about whistle blowing is on display in the main entrance. The company has its own trainer and annual training in adult protection is due shortly. Staff spoken to had a clear understanding of abuse and the correct reporting process to follow. No safeguarding adults referrals have been made in the last twelve months. Sycamore & Poplars Care Centre DS0000024656.V325562.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, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users living in this home live in a clean, pleasant and hygienic environment. EVIDENCE: Information taken from the pre-inspection questionnaire identified no changes had been made to the premises since the last inspection. The majority of ‘have your say about’ questionnaires identified that the home is usually fresh and clean. During the visit both units were clean and tidy and no unpleasant odours were noted. Three bedrooms were seen, and these were individually decorated and furnished. During a tour of the units most areas were well decorated and particular attention has been made to the decoration in the dementia unit. Colours and sensory items are used and one room has been re-decorated to depict a sitting room in the 1950’s. Sycamore & Poplars Care Centre DS0000024656.V325562.R01.S.doc Version 5.2 Page 17 Some areas were in need of attention and these include; bathroom number 8 as this was being used as a store room, corridors where paint was chipped and one ground floor bathroom door needs replacing. The laundry room is also in need of attention and re-decoration. One comment made in one of the questionnaires regarding an infection being passed to a visitor was discussed with the unit manager and she explained that she was unaware of this until she was shown the questionnaire. She confirmed that she had since spoken to the relative concerned and this matter has been addressed. A discussion was held with the handyman regarding building risk assessments, as it was not clear as to when these had been reviewed and he agreed to look into this. Sycamore & Poplars Care Centre DS0000024656.V325562.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers are in sufficient quantity for them to be able to care for the service users living in this home. Staff members are suitably trained, qualified and competent. The recruitment procedure ensures, as far as possible, that service users are protected. EVIDENCE: Staffing rotas showed that there are sufficient staff on duty in both units. Agency staff are used if necessary but shifts are kept to a minimum. Comments taken from questionnaires read ‘I visit between 6-7pm which is a very busy time with daily note writing and handover duties, even so, staff are always willing to discuss any worries or queries’, and ‘the staff are excellent, but I do feel that more and more is being asked of them’. Staff spoken to said that they felt that there were adequate staff during the day but neither worked nights so could not comment on this. Information taken from the pre-inspection questionnaire showed that only 15 of care staff have attained the National Vocational Qualification (NVQ) level two. However, the manager said 33 staff are currently doing this training and once completed they will be in excess of the recommended 50 . Sycamore & Poplars Care Centre DS0000024656.V325562.R01.S.doc Version 5.2 Page 19 The home follows the Skills for Care induction programme and one of the unit managers is taking on this responsibility. Two staff personnel files were examined and these showed that staff had been recruited following robust procedures. Staff are given a company handbook on employment and it is recommended that they are also given a copy of the General Social Care Council (GSCC) code of conduct. All staff complete mandatory training, the company has a designated trainer and records available supported this. Additional training has been carried out regarding care planning and pressure sore prevention and planned training includes preventing abuse and whistle blowing. The unit manager for the nursing unit also completed wound management training in December 2006. Sycamore & Poplars Care Centre DS0000024656.V325562.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 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being well managed. Regular quality monitoring systems in place enable the views of service users and their representatives to be obtained regarding the quality of the service and how it can be developed. Service users health and safety is promoted and there are satisfactory processes in place to ensure that service users financial interests are safeguarded. EVIDENCE: Since the previous inspection the acting manager has moved to another of the company’s homes. A new manager is now in post and she has the necessary qualifications and experience to manage this service. She is awaiting Sycamore & Poplars Care Centre DS0000024656.V325562.R01.S.doc Version 5.2 Page 21 registration to commence the National Vocational Qualification Registered Managers Award together with the unit manager of The Poplars. An application for registration is in process and will be submitted to the Commission for Social Care Inspection as soon as all the relevant information has been obtained. Staff spoken to spoke very highly of the new manager and stated that many improvements have been made and the atmosphere and staff morale has improved. Service users also spoke highly of her and gave positive feedback about the management of the home. Quality assurance questionnaires are carried out regularly involving service users, relatives and visiting professionals. The manager also carries out inhouse audits of all areas of the home on a monthly basis to ensure quality is maintained. A representative of the company monitoring the service makes monthly visits to the home and the Commission is informed of all events affecting the well being of service users. The administrator attends to service users personal allowances, accounts are computerised and each service user has a separate account showing all transactions. Two records were examined and these were both recorded appropriately and were correct. A discussion was held regarding staff supervision/appraisals as these had not been taking place in line with the recommended minimum of six times a year. Sessions should cover the requirements of the National Minimum Standards. Information supplied prior to the visit showed that all maintenance checks and certification were in place. The fire risk assessment was last reviewed on 18/04/06 and will be reviewed shortly to ensure it meets with new fire safety legislation which came into effect from October 2006. Staff have annual health and safety training and are supported by the company’s policies and procedures. Sycamore & Poplars Care Centre DS0000024656.V325562.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 2 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 X 18 3 2 X X X X X 3 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.V325562.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. Refer to Standard OP1 OP3 OP7 OP19 OP29 OP36 Good Practice Recommendations It is recommended that admission check lists held on individual files include when the service user guide was given to service users or their relatives/representatives. All pre-admission assessments should identify service users current medication and social needs. Care records should identify cultural and religious needs and show service users choice regarding intimate care. All areas of the home should be kept in a good state of repair and attention should be given to those areas identified in the environment section of this report. All staff should be given a copy of the General Social Care Council (GSCC) code of conduct. Staff supervision should take place and cover the areas stated in the National Minimum Standards (NMS) 36 Sycamore & Poplars Care Centre DS0000024656.V325562.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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.V325562.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!