Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 12/09/07 for The Conifers Care Home

Also see our care home review for The Conifers Care Home for more information

This inspection was carried out on 12th September 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a sustained track record of meeting the National Minimum Standards and where areas for improvement emerge the manager recognises and manages them well. There is a brochure about the home, which is updated every year that gives people all the information they need to make a decision to move there. Prospective residents needs are assessed in order to make sure the home is suitable. There are good care plans in place that are developed when a new resident moves in. Care plans are reviewed and updated, which means the right level of care is given, and which takes into account individuals` wishes and preferences. Residents are treated respectfully and the care staff team promote their independence in all areas of their daily lives. There is an excellent approach to activities in the home. Residents have opportunities to go out with care staff; a relative spoke about his wife going to goose fair, which she had not been to in years. The care staff team spend meaningful time talking with residents, and enabling residents to do things that are important to them, for example washing up or laying the table. Residents and their relatives are treated as part of the family, which is clearly valued. The home provides an excellent standard of accommodation with aids and adaptations including facilities for disabled people and people with visual impairments.

What has improved since the last inspection?

Some improvements to the environment have been made since the last inspection. Some bedrooms have been re-decorated and double-glazing is being installed. The dining room has been re-decorated. The provision of activities in the home is also being enhanced, with the support of a specialist dementia team. Work is underway on finding out more about individual residents` history, for example their previous occupations, hobbies and interests etc, which will then inform what occupational activities will enhance peoples wellbeing and quality of life.

What the care home could do better:

All of the staff team must have training in adult abuse and on what their responsibilities are to protect residents from abuse. This will ensure that the right action is taken if a resident ever made an allegation or if a staff member ever witnessed abusive practice. When a resident or a relative makes a complaint this must be recorded using the complaints procedure, because this ensures that concerns and complaints can be monitored and that appropriate and timely action is taken. All staff members must have recruitment checks carried out before they commence employment. This is to protect residents from staff members that maybe unsuitable to work with vulnerable people. All staff members must have an induction when they commence employment and mandatory training so that they are competent to do their job. This will also help ensure the safety of residents and that their needs are met.

CARE HOMES FOR OLDER PEOPLE The Conifers Care Home 15 Bakerdale Road Bakersfield Nottingham NG3 7GJ Lead Inspector Joanna Carrington Unannounced Inspection 10:00 12 September 2007 th 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 Conifers Care Home DS0000002194.V340642.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 Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Conifers Care Home Address 15 Bakerdale Road Bakersfield Nottingham NG3 7GJ 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) 0115 9110024 F/P 0115 9110024 Mrs Debra Frances Yates Mrs Debra Frances Yates Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. any service user with a physical disability cannot be accommodated in the first floor bedrooms in the new section of the care home 5th June 2006 Date of last inspection Brief Description of the Service: The conifers in an adapted and extended property situated in the heart of a residential area of Bakersfield, just outside Nottingham City Centre. The home provides accommodation and personal care for up to 16 residents within the category of old age. It does not provide nursing care. Ten bedrooms have en suite facilities. The bedrooms are on the ground and first floor and there is a stair lift to provide access to the upper floor. Two of the first-floor bedrooms can only be accessed via a stairway that does not have a chair lift therefore these bedrooms are only suitable for more mobile residents. There is a shared bedroom on the ground floor. Local shops, public houses and public transport are easily accessible from the home, although the road has a slope so people with mobility difficulties may need assistance to go out. The fee for care and accommodation at this home is £355 per week. This is regardless of room size and whether or not fees are paid by Social Services or paid privately. All residents keep a copy of the most recent inspection report in their bedroom. The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit, as part of the home’s key inspection took place on 12th September 2007. Inspections focus on outcomes for people that use the service. In order to do this the main method of inspection used at the site visit was ‘case tracking’ which meant three residents were selected and their support was tracked through discussion with them and with staff, checking their care records and observing practice. Altogether four residents, five relatives and three staff members were spoken with. The manager chose to attend the inspection on her day off and was available during the inspection for discussion and feedback. A sample of staff records were also looked at to make sure staff members are checked before commencing employment and are trained to meet residents’ needs. Information about a home that is collected before the site visit is also used as evidence to make judgements. This information could include notifications, information from other professionals and users of the service or their relatives, and also from any surveys that are sent out. Services are now required to fill in a document called an AQAA (Annual Quality Assurance Assessment) in which the registered manager identifies from their own quality monitoring what the service does well at and what they need to improve on. The AQAA was returned before the site visit and was used to plan the site visit and used to support judgements made in this report. Names of service users and relatives were provided so that surveys could be sent to them. The surveys were not returned before the inspection so they will be referred to for the next inspection. What the service does well: The home has a sustained track record of meeting the National Minimum Standards and where areas for improvement emerge the manager recognises and manages them well. There is a brochure about the home, which is updated every year that gives people all the information they need to make a decision to move there. Prospective residents needs are assessed in order to make sure the home is suitable. There are good care plans in place that are developed when a new resident moves in. Care plans are reviewed and updated, which means the right level of care is given, and which takes into account individuals’ wishes and preferences. Residents are treated respectfully and the care staff team promote their independence in all areas of their daily lives. There is an excellent approach to activities in the home. Residents have opportunities to go out with care staff; a relative spoke about his wife going to goose fair, which she had not been to in years. The care staff team spend The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 6 meaningful time talking with residents, and enabling residents to do things that are important to them, for example washing up or laying the table. Residents and their relatives are treated as part of the family, which is clearly valued. The home provides an excellent standard of accommodation with aids and adaptations including facilities for disabled people and people with visual impairments. What has improved since the last inspection? 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. The Conifers Care Home DS0000002194.V340642.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 The Conifers Care Home DS0000002194.V340642.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, 2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good admission arrangements which ensure prospective residents can make an informed choice about moving there and that the home is suitable in meeting their needs. EVIDENCE: A resident spoken with and their relative recall seeing someone before they moved to the home, that asked the resident about the level of support they need. All three case tracked residents have a pre-admission assessment on their file along with the placing authoritys community care assessment. Care plans are drawn up based on individuals assessed needs. Relatives and residents spoken with reported that they visited the home before deciding to move in and were provided with a brochure about the home, which The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 9 is called the Service User Guide. This document is reviewed and updated on an annual basis. The guide does not include that the home has a cat, which is something a prospective resident may need to know. All residents have a copy of their terms and conditions of residency with the home. Relatives spoken with confirmed this. The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are good arrangements for meeting the health and personal care needs of residents, which uphold their right to dignity and privacy. Medicine management is effective in promoting the safety of residents. EVIDENCE: The registered manager is currently raising funds to purchase some sit on scales, which was recommended at the last key inspection. The care files seen show that outside health and social care professionals such as occupational therapists, psychiatrists and specialist teams are called on for their advice and input when necessary. Care plans are reviewed every month. Staff members spoken with were asked about the changing needs and support of case tracked residents. Information contained in the reviews reflects what staff members said. Relatives spoken with confirmed that they can see their relative-in-cares care plan whenever they request to and the manager will always inform them if there are any changes to care given or of any changes to their relative-inThe Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 11 cares condition. Some of the comments included excellent care and mum is very well looked after. Residents spoken with also made postive remarks about the care and said that staff are lovely and always treat them with dignity and respect. Staff spoken with explained how they make sure residents privacy is respected when they assist people with their personal care. Staff were observed interacting with residents in a meaningful and respectful manner. Medicines were seen stored securely and in an organised fashion. Medication administration records were clear and for the three medicines checked the number of tablets signed as given tallied with the remaining quantities of medication. There were a couple of gaps where administration had not been signed for. A senior staff member spoken with confirmed having training in safe administration of medicines. The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Meeting residents’ social and recreational needs is managed well in accordance with residents’ individual wishes and preferences. There are good arrangements in place for providing wholesome appealing meals. EVIDENCE: All residents spoken with said that they are able to make their own choices and still have control of their lives, for example, when to spend time to themselves in their bedroom or when to participate in activities and socialise with other residents and staff. A resident was delighted that they were able to have their granddaughter visit until 11pm and the resident goes out regularly with her family. During the inspection the staff team were observed sitting with residents chatting with them. A resident commented, staff are nice to talk to. There are planned activities provided in the home such as music, crafts and regular coffee mornings, which families and friends can attend. Care plans identify the individual interests of residents and a relative mentioned that the staff team The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 13 have sat with her mother to support her to knit, which her mum used to love doing before she needed to move to a care home. The registered manager and deputy manager showed records to indicate they are having training from a specialist outreach team on person-centred activities for residents. Each resident will have a Pool Activity Level Profile, which looks at their life history and then this is used to identify meaningful and therapeutic activities. Residents spoken with confirmed that there is always a choice of meal and that they enjoy their meals. Residents were observed enjoying their meal. The menu records showed a variety of healthy nutritious meals with good range of fresh vegetables. The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are assured that their concerns, complaints and allegations are taken seriously but with not all staff trained properly on the prevention of abuse then this places residents at risk. EVIDENCE: All residents and relatives spoken with are fully aware of how to make a complaint and all are confident that their concerns or complaints would be appropriately dealt with. A relative described the registered manager as being very approachable and staff as being most helpful. There was an entry contained in one case tracked resident’s daily records about the residents behaviour, which has led to complaints from residents. Although there was evidence seen that action had been taken to address the problems these complaints had not been recorded using the complaints procedure. The registered manager reported that all staff members have a booklet on safeguarding adults and whistle blowing. Training records and staff members spoken with indicated that not all staff members have attended formal training The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 15 in safeguarding adults. One staff member spoken with did not understand their duty to report all allegations of abuse. The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have a comfortable, clean and homely place to live, which is maintained to a high standard and is an environment which takes into account their needs. EVIDENCE: Residents and relatives remarked on the homeliness of the place and the high standard of cleanliness, it is clean, spotless. Relatives commented on how the home always smells fresh. The bedrooms seen are personalised with individuals’ own pictures, ornaments and family photos. The carpets in the main stairway and upstairs bathroom are looking worn and dated. This is already identified in the home’s own improvement plan and was The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 17 noted in the annual quality assurance assessment the Commission received before the inspection. The registered manager reported that re-carpeting would be happening soon. There has already been some redecoration work in bedrooms and the dining room. Some windows have been replaced with double glazing. During the inspection, work was underway to transform an old staff room into a recreation room for residents. There is a range of assisted bathing facilities in the home including a disabled access toilet on the ground floor. The new building / extension is accessible throughout to wheelchair users with light switches at wheelchair height and different colours used to enable people with visual impairment to get around the home. The manager intends to install the day light bulbs in the new building into the old part of the home also, which will make that part of the home more light and airy. The garden has recently been extended and provides a very attractive, well maintained area for residents and visitors to sit in. The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Suitable staff numbers mean residents have assistance when required, however residents are not guaranteed to be in safe hands unless all staff are properly trained, supervised and have had the required recruitment checks. EVIDENCE: Relatives and residents only made positive remarks about the quality of the staff team and the availability of staff when their assistance is required. Comments include, there are always staff around to talk with and ask for assistance and staff most helpful and always staff around. Two out of the three staff files examined contained evidence that mandatory health and safety training such as fire safety, moving and handling and first aid are attended and up to date, as well as attending other training relevant to the needs of residents. There was also evidence on these two staff files that two written references and a criminal record bureau check have been obtained, albeit for one of these staff their criminal record bureau check was issued after they commenced employment. The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 19 The third file looked at was for a staff member that commenced employment in January 2007. There was no evidence on the file of an induction that meets with Skills for Care common induction standards and the only training the staff member has attended to date is general health and safety, which the staff member confirmed when spoken with. The pova first check and criminal record bureau check were obtained four months after the staff member commenced employment. There are no records of supervision for this staff member, despite their young age and lack of training. All staff members spoken with confirmed that they have either passed or are in the process of doing at least their National Vocational Qualification (NVQ) Level 2 Social Care. The Service User Guide states that 92 of the staff team are qualified with NVQ Level 2, while senior carers are qualified to NVQ level 3. The Conifers Care Home DS0000002194.V340642.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good management arrangements at the home, which help ensure the home is run in the best interests of residents, and protects their health and safety. Some changes to record keeping practices will help ensure residents’ rights are safeguarded. EVIDENCE: Relatives spoken with recall being sent feedback questionnaires asking their views about the quality of the service. In response to previous feedback a quarterly newsletter goes out to residents and relatives telling them what activities are going on in the home. The November issue will include feedback on the outcomes of the questionnaires and what changes are being made in response to this. Quality audits are carried out over the year and as a result of these audits an annual improvement action plan is devised then followed. The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 21 Residents monies are not managed by the home. Residents are enabled to manage their own money and they are provided with secure facilities in their room in which to keep money and valuables. The registered manager reported that a fire officer has recently inspected the property and all was in order. Fire safety records were looked at and showed that all the required tests are undertaken. The annual quality assurance assessment and records seen at the inspection confirm that all required health and safety testing, including the servicing of gas and electical systems and stair lift are all up to date. Complaints records and residents daily records are held in hard back books and information about individual residents, some of which can be senstive, is held on the same pages. This does not comply with data protection and freedom of information legislation. The Conifers Care Home DS0000002194.V340642.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 3 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 4 X X X X 3 X 4 STAFFING Standard No Score 27 3 28 3 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X 2 3 The Conifers Care Home DS0000002194.V340642.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. 1 Standard OP16 Regulation 22 Requirement Timescale for action 01/12/07 2 OP18 13(4) 3 OP29 19 4 OP30 18 All complaints by residents and other stakeholders must be recorded under the Complaints Procedure. This is so that complaints can be monitored and reviewed and will ensure timely action is taken. All staff members must be 01/12/07 trained in safeguarding adults, to ensure that all parties are fully aware of their responsibilities to report abuse for the means of protecting residents. To protect residents from 01/11/07 potentially unsuitable staff a criminal record bureau check must be obtained for all new staff members before they commence their employment. All staff members must have an 01/11/07 induction and mandatory health and safety training, to ensure they are competent and can meet the needs of residents. The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations Gaps in medication administration records must be addressed in order to make sure residents have been given their medication as prescribed, and if not, appropriate action taken. All care records should be constructed and maintained in accordance with the Data Protection Act 1998 and other statutory requirements. 2 OP37 The Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Conifers Care Home DS0000002194.V340642.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!