Inspection on 07/11/07 for The Beeches Nursing Home

This inspection was carried out on 7th 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

The Beeches Nursing Home 11/11/08

The Beeches Nursing Home 21/05/08

The Beeches Nursing Home 05/09/06

The Beeches Nursing Home 09/02/06

The Beeches Nursing Home 16/09/05

The Beeches Nursing Home 21/10/04

The Beeches Nursing Home 09/06/04

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE The Beeches Nursing Home 320 Beacon Road Wibsey Bradford BD6 3DP Lead Inspector Sughra Nazir Key Unannounced Inspection 7 November 2007 09:30 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 The Beeches Nursing Home DS0000029133.V340716.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. The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Beeches Nursing Home Address 320 Beacon Road Wibsey Bradford BD6 3DP 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) 01274 608656 01274 608656 beechesch@aol.com Victorguard Care plc vacant post Care Home 64 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (1), Physical of places disability (1), Physical disability over 65 years of age (64) The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The place for MD(E) is specifically for the service user identified in the application dated 26.8.4 One specific service user under the age of 65 named on variation dated 8th September 2006 may reside at the home. 5th September 2006 Date of last inspection Brief Description of the Service: The Beeches Care Home is a purpose built home situated in the Wibsey area of Bradford. It provides care for 64 elderly people with physical disabilities over the age of 65 years. The home is located in a residential area that is near to a regular bus route. There are pubs, shops and churches nearby. Adequate parking is available adjacent to the building. Accommodation is provided on two floors, in 62 single rooms. 60 have an ensuite facility. There is a lift and the home has wide corridors making it good for wheelchair access. Communal space is provided in the spacious lounge/dining room on the ground floor of the home. This has panoramic views over Bradford and where residents can access the patio area. A second lounge is also located on the ground floor at the opposite end of the building. Information about the services provided can be obtained from the home in information packs that contain the Statement of Purpose, Service user Guide and complaints procedure. The home also makes inspection reports available to people who live at the home and their relatives. The weekly fees for services provided in the home vary depending on whether people are funded by the local authority, have nursing needs and their fees are partly supplemented by the health authority or if they pay privately. Information provided on the day of the visit was that fees range from £409.70 to £593.38 depending on the level of care people need. Additional charges are payable for services like hairdressing, chiropody, newspapers etc The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on information gathered in a number of ways. • • • • A review of the information held on the home’s file since its last inspection. Information sent to us by the registered provider in a document called the Annual Quality Assurance Assessment (AQAA) Twelve surveys sent back to us by people who live at the home and their relatives and two surveys completed by General practitioners. An unannounced visit to the home, which lasted about seven hours. This visit included a tour of the premises and talking to people who live at the home, their friends/relatives, staff and management. We also looked at menus, staff rotas, people’s care plans and watched staff looking after people in the morning and over the lunchtime period. The information we received helped us to form a judgment about the quality of care people who live at the home receive. In each of the sections in the main report we look at whether the quality of care is poor, adequate, good or excellent. Overall this home provides a good quality of care for the people who live there. What the service does well: In the surveys people told us that “staff are friendly and helpful” and “staff are jolly and kind.” One of the doctors who sent us a survey back said that this is an “excellent nursing home providing good all-round care for people.” People who live at the home have their needs assessed before they come to stay. This ensures that the home can meet their needs. Staff are caring and respect people’s privacy and dignity. Routines are flexible and people can exercise choice in key areas of their lives, for example rising and retiring times, clothes and activities. Visitors are encouraged and made welcome. This helps people maintain contact with family and friends. People who live at the home have regular meetings and have been able to make changes so that their needs are met. The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 6 A range of activities takes place and relatives and friends are invited to join in. Some of the activities people told us about included trips to the seaside, shopping trips as well as themed nights such as Italian food and culture evening and a Las Vegas night. The activities available meet individual religious needs and take account of people’s life experiences for example time spent living abroad. The home is very clean, homely and well maintained. The home has good access and there is a lift and wide corridors that meet the needs of people with mobility problems. We saw that staff are caring and that they are provided with comprehensive training to improve their knowledge and skills. This means that people receive care from staff trained to meet their needs. What has improved since the last inspection? What they could do better: The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 7 Some of the documents seen in the care plans were not signed and dated. This means staff cannot be sure when information about people needs to be reviewed. More information is needed in care plans to tell staff about people’s abilities, likes and dislikes. This will ensure that care is provided in a way that helps people retain their skills and receive help in the way they would like. The management told us that people have a choice of options at mealtimes. People at the home told us that they didn’t. The home should make sure that choice of food is available at every meal and that all staff and people who live at the home know that there is a choice. The manager should register with the Commission as soon as possible. This will mean that people who live at the home can be reassured that their home is being managed by someone who is qualified and trained to do so. 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. The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. The home does not provide intermediate care. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People who are coming to live at the home have their needs assessed prior to admission to make sure that the service can deliver the care they need. EVIDENCE: During the visit we saw an information pack that is made available to people who may want to stay at the home. This tells them about the care provided. Information the home sent us tells us that they carry out an assessment of people’s needs before they come to stay. People and their relatives or friends are encouraged and invited to visit the Beeches before making a decision. We looked at 5 people’s files and they contained a detailed assessment of those people’s needs. The Beeches Nursing Home DS0000029133.V340716.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 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Peoples’ health and personal care needs are met. EVIDENCE: During the visit we looked at 5 files containing the care plans for people who live at the home. In general, the files provided an adequate level of information for staff to provide the care people need, but some more work needs to be done to make sure that people get care that meets their individual needs, likes, dislikes and preferences. All the files looked at contained • Comprehensive assessments • Needs identified using activities of daily living • Monthly weight recording • Nutritional screening and risk assessments The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 11 • • • Falls risk assessments Moving and handling assessments Personal property registers. Some of this information was recorded on papers that had been photocopied several times, so that headings weren’t clear. Information about what people needed was kept in a different order on all the files seen and during the visit we spoke to managers about developing a consistent way of storing information on every file. This will mean that information is easier to find and record and that it will be easier for staff to see if there is something missing. From discussions we noted that staff had asked people who live at the home and their relatives about their needs but there was limited evidence of this on files. Some of the documents completed by staff were not signed and dated. Staff should make sure that they sign documents and try to record better when they have involved people and their families. Dating documents will help staff make sure that they know when information needs to be looked at again. During the visit we talked about the home making the care plans more individualised, for example, by including social histories and individual likes and dislikes. This will mean that staff can be sure that they provide care they way people want. People’s files had good evidence of their contact with speech and language therapy services, wheelchair services, opticians, dentists and district nurses. The home has been assessed and has passed local authority quality standards in the following areas; • Delivery of high quality care • Tissue viability • Falls prevention • Nutrition and hydration • End of life care. Two of the surveys we sent to health professionals were completed and sent back. One of the people who filled them in told us that they think this is an “excellent nursing home providing good all round care for the elderly.” Another comment we received was that “the home copes admirably with what is undoubtedly a very heavy workload in terms of medical/nursing needs. There are some very complicated problems to be managed.” The home does not operate a monitored dosage system for medication. The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 12 A pharmacist chosen by the home delivers monthly stocks for each person. The home has systems in place for monitoring and recording medications ordered, received, and administered. There were clear records of medicines disposed of according to current guidelines. One medication trolley was looked at, all medication was clearly labeled and there were no medications that were being used by more than one person. The home keeps good records of when creams and dressings are applied. During the visit we saw care staff helping people move from wheelchairs and helping them at lunchtime. Staff talked to people as they helped them and were respectful of their pace. One member of staff asked a person if they were ready to move to the table and he continued to talk to them all the time the care was given. This is good practice. Staff at the home respect people’s dignity; some of the examples we found were; • Staff ask people if they would like to wear protective aprons at mealtimes • Personal care is provided in private. • The home has changed its practice at lunchtimes so people who need help are no longer queuing to use the bathroom. The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People have access to a varied range of activities and maintain contact with families. More choice is needed at mealtimes EVIDENCE: During the visit people told us that a range of activities takes place and relatives and friends are invited to join in. One person told us her daughter had been on a trip to the seaside with her. She told us that she enjoyed theme nights and dance nights where staff dress up and help everyone join in. Some of the other activities people told us about included, • Outside entertainers • Schoolchildren singing • Visits from a dog • Bingo, dominoes and film night • Shopping trips to town, White Rose and Meadowhall shopping centres • Themed nights such as Halloween, Italian food and culture night, Las Vegas night. The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 14 There is a regular church and communion service and this meets the religious needs of people who live at the home. Most of the people living at the home have a similar cultural or religious background and the home tries to give them the opportunity to experience new foods, music and cultures. One example of this was the Italian food and culture night. Some of the ways the home helps people stay in touch with their families are; • Enabling people to have phones fitted in their room • Giving people access to a cordless phone which they can use in private • Giving people email access. • Helping people choose birthday cards from a stock held at the home and from local shops • Helping people buy Christmas presents if they wish. People who live at the home can choose what they wear and how they spend time. One person told us that they have their breakfast in their own room. They choose their own clothes and decide what time they would like to get up and go to bed. The home have developed an easy-to-see chart on the wall which tells staff what people’s dietary needs are and lets them record when meals have been given. This means that people are getting meals that meet their needs and staff can make sure that everyone has had a meal. In the surveys we got back, one person told us that they did not like turkey or chicken and that food choice was limited. During the visit we spoke to 5 people about food. Some of the comments were “the food is better than before”, “cake portions are too small” “the corned beef hash is served without vegetables.” All of the people we spoke to said they wanted more choice. The meal we saw was braising steak served with vegetables and Yorkshire pudding. Everyone we saw or spoke to at lunchtime had had the same meal. Staff told us that 5 people in their rooms had soup or sandwiches. We spoke to the managers to look at ways of making sure that everyone knows that there is a choice of meals available. Two of the surveys we received from relatives said that people’s hands and faces are dirty and one said that their relative had food on their clothes. Staff told us that people are offered aprons before the meal and wipes after the meal, but some people choose not to use them. We saw people being asked about aprons and if they needed help with cutting up. Staff helped some people by sitting with them, talking to them and giving help at the person’s own pace. The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People know that any complaints they have will be responded to and that staff are trained to keep them safe from abuse EVIDENCE: The manager has started to keep a separate record of any complaints made and a record of the investigation and letters back to the person who makes the complaint. This shows that people’s complaints are taken seriously and responded to. We received six complaints about the home since the last inspection and when we asked for a reply, the home answered promptly. In their AQAA (Annual Quality Assurance Assessment) the home told us that they have up-to-date policies on reporting abuse and bad practice. (whistle blowing) The manager has attended training on protecting vulnerable adults and the home have a better understanding of how to deal with any issues that may come up. The Beeches Nursing Home DS0000029133.V340716.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 People who use the service experience excellent quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People live in surroundings that are homely, clean and free from odours. EVIDENCE: One survey we got back told us that the home was “clean and tidy.” During the visit to the home we looked at all of the public areas, some bedrooms, and the bathrooms. The home is very clean and smelled fresh. There are wide corridors and bedrooms are spacious giving people who use wheelchairs lots of room to move. Systems are in place to prevent the spread of infection; this includes colourcoded cleaning equipment, visiting restrictions if required, staff training and barrier nursing protocols. The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 17 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 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People are looked after by staff who are trained to provide good quality care. EVIDENCE: There have been comments about staff in all the surveys we received such as “The staff are very tolerant and do their best to meet residents needs.” “Could improve things if more staff available.” We have had a small number of complaints about staffing levels at the home. The Annual Quality Assurance Assessment (AQAA) the home sent us said that there are three nurses on duty in the mornings and afternoons and two or three nurses on duty overnight. The rota we looked at during the visit showed that on some nights especially at weekends there was only one nurse on duty. The deputy manager told us that when there was only one nurse on at night, the number of care assistants was increased. We were also told that the home employs a number of ancillary staff including a handyman, laundry staff and domestic assistants. This gives care assistants more time to spend with people. The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 18 Photographs of staff are displayed ensuring that people can identify staff and the job they do. This is good practice. The AQAA (Annual quality Assurance Assessment) the home filled in tells us that the recruitment of staff “ is carried out following strict guidelines” and that interviews are carried out by two members of staff. The home told us that they have had satisfactory pre-employment checks for all the people who have worked at the home in the past 12 months. Induction for new staff is a 6-week process and staff are employed with a three- month probationary period. The induction includes one day to cover formal policies and procedures and time spent shadowing senior care assistants. This means new staff are given time to get to know their job. During the visit we saw a training matrix and training plans for all staff. There are lots of training certificates displayed in the corridor and dining room. These confirm that staff have had training to help them provide good quality care. This training includes adult protection, food hygiene, COSHH (Control of Hazardous substances) and RIDDOR. (reporting of Injuries Diseases and Dangerous occurrences) 52 out of 58 permanent care staff have a national vocational qualification (NVQ) at level 2 or above. The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 19 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 and 38. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Management and administration of the home is good and ensures that policies and procedures are maintained. The manager has not registered with the Commission. EVIDENCE: The (AQAA) Annual Quality Assurance Assessment tells us that the manager is an experienced nurse and has the training and qualifications needed to manage the home. She has not however made an application to register with the Commission so that people who live at the home know that an approved person runs their home. The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 20 The home has sent us good evidence of having a wide range of policies and procedures in place that are regularly reviewed. A fulltime administrator looks after money matters. The home is looking for new ways to manage the way people pay for hairdressing, newspapers etc. They told us that they would discuss this at a meeting with people and their relatives. This is good practice. The environment is well maintained and risk assessments are in place to ensure health and safety. The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 21 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 X 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 4 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations Care plans for people should be improved to make sure that staff have clear up-to-date information about people’s care needs. This should include information about their abilities, likes, dislikes and preferences. All the documents should be signed and dated. Documents should not be unclear due to photocopying. Better evidence is needed to show that people and their families have been asked about their care needs. Files should be organised in a consistent way so that information about care needs is easier to record and find. The manager should make sure that people who live at the home know that they can have a choice of meals at mealtimes. This will mean that people get a more varied diet and get a meal of their choice. The manager should register with the Commission as soon as possible so that people know that she is approved and DS0000029133.V340716.R01.S.doc Version 5.2 Page 23 2. OP15 3 OP31 The Beeches Nursing Home has the qualifications and training to manage the home. The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 The Beeches Nursing Home DS0000029133.V340716.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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