Inspection on 15/11/05 for Tatchbury Manor Nursing Home

This inspection was carried out on 15th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Tatchbury Manor Nursing Home 09/10/07

Tatchbury Manor Nursing Home 22/11/06

Tatchbury Manor Nursing Home 13/07/05

Tatchbury Manor Nursing Home 30/11/04

Tatchbury Manor Nursing Home 24/06/04

Tatchbury Manor Nursing Home 05/03/04

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

CARE HOMES FOR OLDER PEOPLE Tatchbury Manor Nursing Home Tatchbury Lane Netley Marsh Southampton Hampshire SO40 2HA Lead Inspector Sue Maynard Unannounced Inspection 15th November 2005 09:00 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 Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 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. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Tatchbury Manor Nursing Home Address Tatchbury Lane Netley Marsh Southampton Hampshire SO40 2HA 02380 812352 02380 814779 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) Mr Sewah Singh Adkar Care Home 38 Category(ies) of Dementia (7), Dementia - over 65 years of age registration, with number (38) of places Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category DE can only be admitted from the age of 50 years. 13th July 2005 Date of last inspection Brief Description of the Service: Tatchbury Manor Nursing Home is situated close to the village of Netley Marsh in the New Forest. The old wing of the building is of historic interest being over 1000 years old. The building has been extended and renovated over the years and now provides accommodation for 38 services users with dementia. The home stands in extensive grounds and the rear garden has a large pergola and patio area. Separate buildings in the grounds house the laundry and training room. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory unannounced inspection for the year 2005/2006. The inspection was undertaken by one inspector between 09.00 and 14.45. During the inspection records were examined and a tour of the home was made. The inspector spoke to members of staff and some residents. The new manager for the home was on duty throughout the inspection. Residents spoken in the dining room said they were happy and settled and were looking forward to their lunch. What the service does well: What has improved since the last inspection? A new fridge for the storage of medications has been supplied and the fridge temperature is recorded daily. A record is also kept of the regular defrosting of the medication fridge. The medication storage area was found to be secure when checked twice during the inspection. The two main lounge areas were being redecorated on the day of the inspection and new chairs have been purchased to go in these rooms when the painting is finished. The tiling work in the kitchen is now complete and a new cooker and dishwasher have been installed. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 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. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 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 Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Arrangements for assessments are in place that ensures the needs of the resident are met. Standard 6 is not relevant to this home. EVIDENCE: A full needs assessment is undertaken by the manager for all residents prior to admission. Evidence that these assessments had been undertaken was seen by the inspector in the records examined for three residents. However, the document used to record the information obtained at the assessment does not provide the person, undertaking the assessment, with sufficient space to record all the relevant information. The new manager for the home informed the inspector that she has used the assessment tool and agreed that there is insufficient room to document essential information for each of the categories addressed on the form and that she will be revising the format of the document. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 9 This assessment is carried out either in the person’s home, the hospital or previous residential placement. All the physical and psychological needs of the resident are addressed during this assessment. This assessment identifies the health care needs of the resident and forms the basis for care plans that are written to address all the care needs of the resident Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 10 The care planning and communication systems in the home ensure that the health and care needs of the residents are met. The residents right to privacy are not upheld as locks on bedroom and bathroom doors and screens are not provided for residents when receiving personal care. EVIDENCE: The inspector examined records for three residents. All the records examined contained a pre-admission assessment. On admission to the home a further assessment is undertaken to provide any additional information, allowing the staff to identify the individual care needs of each resident. Personal details documented, included the contact details for the service user’s next of kin, date of birth and the doctor with whom the service user was registered. In the three records examined the date of admission to the home had not been recorded. Care plans had been drawn up to address all the care needs of the service users. The care plans identified the problem and clearly demonstrated the Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 11 action plan and the outcome that was to be achieved, ensuring that the health care needs of the residents are met. The home has a very detailed care plans to address the psychological and mental health needs of each resident. Visits from the residents’ doctor or other health care professionals are documented. Risk assessments are in place and risk management strategy documents how risks such as aggressive behaviour are to be managed. All accidents and falls are recorded. The manager audits the records to monitor when the accidents or frequency of falls occur and if there is any pattern to the incidents. The inspector noted that none of the records examined provided evidence that the families or representatives of the residents had been involved in the care planning process. The manager told the inspector that relatives or representatives are informed by letter that written plans of care are provided for each resident on admission to the home and they are invited to be part of this process, but very few of them have responded. There was no evidence that continence promotion assessments had been undertaken to ensure that residents were provided with the appropriate pads. The inspector observed staff knocking on the door and waiting before entering a resident’s bedroom. Staff members spoken to by the inspector confirmed that the respect and dignity of the residents forms part of their induction training and that the manager for the home constantly monitors the working practices of the all the staff. Doors to residents’ rooms do not have locks provided. There was no documentary evidence that the resident or their representative is asked if they wish to have a lock provided. None of the bathroom or toilet doors throughout the home can be locked. In two double rooms in the home no screens provided to ensure privacy for residents when receiving personal care. None of the residents are provide with lockable storage space. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 14 and 15 Residents are able to maintain contact with family and friends and the home ensures that all visitors to the home are made welcome at all times. Staff in the home ensures that residents are supported to make choices and have control over their daily lives. The arrangements for meals ensure that residents have a nourishing and balanced diet. They are able to choose where to eat their meals. EVIDENCE: Friends and families of the residents are encouraged to visit the home at any time. There are lounge areas where residents may sit with their visitors or they are able to go to their bedroom if they wish. Seating is provided in the large grounds of the home and many of the visitors and the residents sit outside during the summer. The home maintains contact with a local girl guide group who visit the home and this summer have provided plants for the tubs and containers at the front of the home. A local cub group is to visit the home at Christmas to sing carols for the staff and residents. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 13 The activity co-ordinator has arranges transport for residents to visit places of interest in the local area and trips have been arranged to take some residents shopping and see the decorative lights in a local town. Representatives from two Anglican churches regularly visit the home to hold services for the residents. The manager reported that she is having difficulty providing spiritual support for some residents who are Roman Catholic. Local churches have been approached but they are unable to commit to coming to the home regularly to provide for the spiritual needs of these residents. Residents in the home are encouraged to bring some of their own possessions in to the home with them. The home provides details to enable the residents and their families to be able to contact an advocacy service should it be needed. Residents in the home are provided with a varied choice of food. Menus are well planned and have been complied in consultation with the residents. The cook has a record of all the food preferences for each resident. The menus are changed every four weeks and seasonal changes are taken into consideration. Snacks, such as fresh fruit and chocolate bars and biscuits are made available for the residents in between all main meals. A record is kept of meals provided for each resident. If for any reason a resident refuses their meal, is agitated or distressed they are provided with a meal at a more appropriate time. The cook ensures that the food provided is of good quality and high calorific value. Fresh supplies of food are bought in weekly to ensure that stock levels are easily monitored. A nutritional assessment is undertaken for all residents and they are weighed monthly and weight changes are monitored. The resident’s doctor is informed if there is a sustained weight loss and a request for a dietician consultation is made. The doctor is also made aware of a residents prolonged refusal to eat. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The vulnerable adults procedure ensures that any allegation of abuse will be addressed appropriately. EVIDENCE: The home has very robust procedures and policies for the protection of the vulnerable residents in their care. Staff receive training for the awareness of all types of abuse during their induction training. This training forms part of the formal training provided by the home at regular intervals. Two sessions are planned over the next two weeks, which all staff are expected to attend. Members of staff spoken to by the inspector were able to confirm what is discussed during this training and they were aware of the procedure that has to be followed when reporting an incident of abuse. Any incidents of aggressive behaviour displayed by a resident towards staff or other residents is documented and reported to the residents care manager and their doctor. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The arrangements for the maintenance and cleanliness in the home have not been sufficient to provide the residents with clean and comfortable surroundings. EVIDENCE: On the day of the inspection re-decoration of two lounge areas was being undertaken. Eight new armchairs and four reclining chairs have been purchased and will be put into these areas when the painting is finished. A new cooker and dishwasher have been installed in the kitchen. In the dining room the manager due the inspectors attention to a large area of the ceiling that had fallen down the previous week. The damage has been repaired and is waiting to be painted. No residents were in the dining room at the time of the incident. The damage was caused by rainwater coming through the roof. It was reported to the inspector that this area of the roof has now been repaired. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 16 During a tour of the building the inspector noted that areas of the home that were required to be re-decorated or repaired from the last inspection have not been addressed. Water damage was noted on the ceiling which is in need of redecoration. Carpets in some areas of the home, including bedrooms and communal areas, were badly stained. Paintwork in bedrooms and corridors was damaged, due to beds and wheelchairs being moved. Peeling paintwork was noted around window frames. The wooden windowsill in a shared bedroom had the wooden veneer peeling showing the chipboard underneath. In one bedroom the material on the bed head was very badly stained. Offensive odours were noted in some bedrooms. Washbowls seen in some residents’ rooms were stained and soap deposits had collected around the bowls demonstrating that they had not been cleaned after use. The padded protectors for bedrails in many rooms were either badly damaged or badly stained and dirty. In one bedroom items of furniture from the lounge, that was being decorated, had been placed in a resident’s bedroom restricting the space at the entrance to the room. More furniture for the lounge had been placed in an area by the lift entrance, restricting the entrance to the lift. Several commodes in use around the home were damaged and some of the metal parts were very rusty. The manager accompanied the inspector on the tour of the building and made note of the defects found. In several en-suite bathrooms, tubes of denture cleaning tablets and razors were found. Tablets of soap were found in communal and en-suite bathrooms. The manager instructed a member of staff to remove these items immediately. One bedroom had the fire safety door propped open with a footstool. The laundry area was inspected. The laundry is sited in a building separate to the home. It is a large area with two washing machines and two dryers. The area was found to be very untidy and dirty. The floor is rough concrete and not a suitable surface that can be washed daily. There is separate storage areas for each resident’s clothes but items of clothing, bed linen and curtains were seen on various surfaces in the area. Washing chemicals were left on the floor; there was no suitable lockable storage area available. The wall by one washing machine was very badly damaged with a large hole in the plasterboard. There is a large sink in the area but no liquid soap or hand towels are provided for the laundry worker to wash her hands. Soiled clothing and bed linen was lying on the floor. The laundry worker told the inspector that laundry skips are provide but did not an explanation when asked as to why they were not being used. Clean laundry is transferred back to the home using a resident’s wheel chair. This was brought to the attention of the manager as being an unacceptable practice and that a suitable trolley must be provided. The lint filter for one dryer had not been cleaned. The inspector asked the laundry worker how often she cleaned the filters; she said she did them probably every other day. The inspector brought to her attention a notice on Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 17 one dryer that stated the filters were to be cleaned every day. The manager made note of all the defects seen in this area. The manager reported that the home has not been successful in recruiting additional cleaning staff. Since the last inspection the home has employed contract cleaners to clean carpets and do “high dusting” throughout the home on one occasion. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 and 30 Staff undertakes training that enables them to be competent to do their jobs. EVIDENCE: At this time none of the staff employed by the home are undertaking NVQ 2 training. The majority of the staff in the home are undertaking adaptation training to become Registered General Nurses with the Nursing and Midwifery Council for the United Kingdom. All the staff have a comprehensive induction programme and regular training sessions on various topics relevant to their work in the home. The manager does not have a documented formal training programme in place at this time but evidence of training that has been arranged for staff was seen. Staff spoken to confirmed that the home has provided them with training that includes: Medication Abuse awareness Fire safety English classes Safe moving and handling Health and safety Infection control First aid Food handling and hygiene. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 19 Their working practices are constantly monitored and evaluated. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35 and 38 The manager endeavours to provide guidance and direction to the staff to ensure that standards within the home are maintained at all times. Close monitoring of practices within the home safeguard the health, safety and welfare of residents, staff and visitors to the home EVIDENCE: The manager has worked in the home since June 2005 but has only been in post as manager for two weeks. She is a Registered General Nurse, level 1 with a management qualification from the Open University and previous management experience in other areas. She is a qualified nurse tutor. Her application to be the registered manager for the home with the commission is yet to be submitted. The home does not hold any personal money for the residents. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 21 The manager was unable to confirm that a recent risk assessment for the building has been undertaken. There are policies and procedures in place for Health and safety, moving and handling and fire safety. None of the policies and procedures for the home has been reviewed since 2004. All staff in the home have undertaken training for infection control, including awareness for MRSA, fire safety and safe moving and handling. Service contracts provided evidence that systems and equipment in the home is regularly serviced and maintained. The environmental officer inspected the kitchen in March 2003. The kitchen was found to be very tidy and cleaning schedules are in place. Records show that all fire safety equipment and alarm systems are tested regularly. Staff receive regular fire safety training and are taught how to use fire fighting equipment and safe evacuation of the residents. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 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 X 9 X 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 1 X X X X X X 1 STAFFING Standard No Score 27 X 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP10 Regulation 12 Requirement Suitable screening must be provided in all double rooms to ensure the privacy and dignity of the residents. All residents in the home must be provide with lockable storage space for personal valuables. Communal toilet and bathroom doors must be fitted with a suitable lock to ensure the privacy of the residents in the home. Doors to residents’ personal accommodation must be fitted with a lock to ensure their privacy and dignity. The home must be kept in a good state of repair both internally and externally. This requirement was made at the last inspection with a timescale of 13/9/05 The laundry area must a floor and wall finish that can be easily cleaned. Hand washing facilities must be provided in the laundry area The home must be kept clean, hygienic and free from offensive DS0000011447.V265982.R01.S.doc Timescale for action 15/12/05 2 3 OP10 OP10 23 12 31/12/06 31/01/06 4 OP10 12 31/01/06 5 OP19 23 31/01/06 6 7 8 OP26 OP26 OP26 13 & 16 13 & 16 16 01/03/06 01/12/05 15/12/05 Tatchbury Manor Nursing Home Version 5.0 Page 24 10 OP27 18 11 OP28 18 odours throughout. This requirement was made 9at the last inspection with a timescale of 13/8/05 The home must ensure that 13/08/05 domestic staff are employed in sufficient numbers to ensure that the home is maintained in a clean and hygienic state at all times. This requirement was made at the last inspection with a timescale of 13/8/05 A minimum ratio of 50 of the 31/01/06 care staff must undertake training for NVQ 2 or above to ensure they are experienced and competent to do their job 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 OP 7 OP 7 OP 10 OP 26 OP 26 OP 26 Good Practice Recommendations The date the resident enters the home should be documented in their personal records. Assessments should be undertaken for residents to ensure that the appropriate products to in use to promote continence. Evidence of refusal to have a lock fitted to bedroom doors should be available in residents’ records. The filters of the dryers in the laundry area should be cleaned at least once a day and a record that this has been done should be kept. A suitable trolley should be supplied for the transportation of clean linen from the laundry to the home. Dirty linen should not be placed on the floor of the laundry. Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Tatchbury Manor Nursing Home DS0000011447.V265982.R01.S.doc Version 5.0 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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