Inspection on 04/04/07 for The Hawthornes Care Home

This inspection was carried out on 4th April 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Hawthornes Care Home 03/07/06

The Hawthornes Care Home 24/11/05

The Hawthornes Care Home 27/06/05

The Hawthornes Care Home 26/01/05

The Hawthornes Care Home 19/07/04

The Hawthornes Care Home 03/02/04

Similar services:

Snydale Care Home

Abbey The

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 Hawthornes Care Home Mill Lane Birkenshaw West Yorkshire BD11 2AN Lead Inspector Stephen French Key Unannounced Inspection 4th April 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 Hawthornes Care Home DS0000035661.V332892.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 Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Hawthornes Care Home Address Mill Lane Birkenshaw West Yorkshire BD11 2AN 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) 01924 284200 Tri-Care Limited Mrs Coleen Smith Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2006 Brief Description of the Service: The Hawthornes care home is a care home providing personal care and accommodation for 40 older people. It is owned by Tri-Care Homes Ltd., a private limited company with several other similar homes in the area. The home is situated in North Kirklees on the Bradford boundary. The home was purpose built and opened two years ago. It is built over two floors and there are gardens to two sides of the building and a large car park to the front. It is located on a main bus route. All the service users rooms are single with ensuite facilities. There is a passenger lift and good communal facilities. The provider informed the Commission for Social Care Inspection on 4th April 2007 that fees range from £450.00 to £500.00 per week. Service users who are funded by the local authority are expected to provide an additional £25.00 per week top up. Additional charges include hairdressing, private chiropody, newspapers and some selected activities. Information about the home and the services provided are available from the home in the statement of purpose and service user’s guide, Which are available in the home on request. The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit carried out on the 4th April 2007. The inspector arrived at the home at 9:05 am and left 3.30pm. During this visit the inspector spoke to some of the people living in the home, some of the staff and the home’s management. The inspector read care records, audited a sample of medication, reviewed staff recruitment and training records and carried out a brief tour of the building. Prior to the inspection 20 questionnaires were sent to the home to obtain peoples views about living at the home. Two completed questionnaires were returned and included comments such as “Difficult to get someone’s attention if you are sitting in the lounge” “The weekly activities list is put in my room but as I can not walk I never get to see it” “I feel happy here” and “Things have improved considerably over the last few months” Some people who live in the home are very frail and would not be able to complete a questionnaire. There were thirty-seven people resident in the home on the day of this visit. Relative surveys were also sent out and three were returned, comments included “ since the new manager has been at the home I can not fault it” “ It provides a caring environment, there have been problems with basic hygiene but these have been addressed”. “The staff are very good but sometimes struggle with their work load” people spoken to on the day of the visit said that they were happy living at the home and that the staff were very nice although at times they were very busy. The people seen had their personal appearance attended to and the atmosphere was friendly and relaxed. Other information used in the inspection process included notifications from the provider to the Commission for Social Care Inspection about deaths, illnesses, accidents and incidents at the home, copies of the monthly management visit reports produced by the provider and a pre inspection questionnaire completed by the manager. What the service does well: The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 6 The home offers a friendly, homely environment in which people can live. peoples needs are assessed prior to them being admitted to the home. This ensure the home and the staff can meet those needs people, who are able, and their relatives contribute towards the review and evaluation of their care plans. The people spoken to said the staff were kind, caring, and pleasant. Systems are in place to protect the people living in the home, these include adult protection policies, medication policies and procedures and the complaints policy. Positive interaction was observed between people and staff. The home has good quality assurance monitoring tools in place to ensure a good standard of care is maintained within the home, and the views of the people living there are listed to and acted upon. What has improved since the last inspection? Most of the requirements and recommendations made at the last visit have been actioned which have helped in improving the care provided. The registered provider has increased the number of domestic hours which gives them time to ensure the home is kept clean and fresh. New care documentation has been introduced which includes all the information the staff require in order for them to meet the needs of the people living in the home. Medication procedures have improved which now protect the people living in the home from harm. The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 7 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 Hawthornes Care Home DS0000035661.V332892.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 Hawthornes Care Home DS0000035661.V332892.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): 3,6 Peoples needs are assessed prior to being admitted to the home and they have the information they need to make a choice. 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 the service EVIDENCE: The manager stated that prior to any person being admitted to the home she receives a community care assessment, which has been completed by the persons social worker. This assessment determines the level of care and support the person will require. She said that she or one of her deputy’s then visits each prospective person either in their own home or hospital. The purpose of the visit is to complete a pre-admission assessment to ensure the home is able to meet the persons The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 10 needs. Following the assessment the person is informed of the date of their admission and which room they are to occupy. Completed pre-admission assessments were seen for three recently admitted people confirming that the home is following its admission procedures. A questionnaire received from a person living in the home confimed that the manager had visited them prior to entering the home. The manager said that the home does not offer intermediate care. The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Although the peoples needs are being met this could be compromised if the health care needs identified in the care plans are not followed. People who use the service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service EVIDENCE: The manager said that each person has an individual support plan which has been developed from information gathered from the community care assessment, members of the multidisciplinary team, the person being admitted to the home and relatives. These plans inform the staff of the actions they are to take in order to maintain the persons health, social and personal well-being. Four peoples care plans were examined and care plans were in place for problems identified in the assessments. Risk assessments were in place for such things as nutrition, oral health, moving and handling and skin integrity. The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 12 On the whole where assessments identified that the person was at risk a detailed care plan was in place. One care file examined identified, through the nutritional assessment, the need for the person to be weigh weekly due to weight loss. On examination of the records it was identified that this had not been done since 21/3/07.This was discussed with the manager and rectified immediately, she also said she would speak to staff and ensure that weights were recorded in the care files. There was evidence in the files examined that the staff had accessed other members of the multidisciplinary team such as GP’s district nurses, opticians and chiropodists. People spoken to said that the carers were kind and always willing to help. One person said that sometimes they were very busy and she had to wait is she needed assistance. Although the content and detail of the peoples care files has improved since the last visit there are still areas, which need to be addressed to ensure that the appropriate care is being given to the people living in the home. The manager said that senior care staff are responsible for the administration of medication within the home. Following the last visit the inspector was informed that staff have received further training in this area. Ten amounts of peoples medication was audited against the administration records held within the home, and all the balances tallied. Medication seen on the day of the inspection was stored correctly. The Hawthornes Care Home DS0000035661.V332892.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): 12,13,14,15, Peoples recreational needs would be better met if there were a dedicated member of staff who arranged and supervised social activities within the home. People who use the service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service EVIDENCE: Care staff are responsible for organising and supervising social activities within the home. A weekly newsletter is produced which includes a list of social activities for the week and these are also displayed on the notice board in the reception area of the home. On the day of the visit people were observed enjoying a visit from a Donkey, which is brought to the home every month by the local donkey sanctuary. People obviously enjoy this visit as they were seen to stop what they were doing in order to go to the lounge and stroke the donkey. On the afternoon a large group of people attended a church service held in the home. The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 14 In relation to the home’s provision of suitable activities there was some variation of opinion amongst the people living in the home, some said that there were enough activities taking place and some said that staff did not have the time to be able to arrange these. Comments from a recent survey carried out by the home included comments such as; “none available”, “could be better” and “never enough staff to do any activities”. The manager said that relatives are able to visit the home at anytime time during the day and evening. On the day of the visit relatives were observed coming and going throughout the day The home has a four-week seasonal menu in place and all the people spoken to said how nice the food was. On the day of the Inspection the lunch consisted of Roast Pork or fish in a prawn sauce and a selection of vegetables, followed by lemon sponge pudding. There are also other choices such as jacked potatoes or omelettes and salads. People living in the home said that they were able to eat their meals in their own rooms or in the dining room. The Hawthornes Care Home DS0000035661.V332892.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): 16,18 Complaints are acted upon and people living in the home are protected from abuse. 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 the service. EVIDENCE: The home has a complaints policy, a copy of which is displayed in the reception area of the home. People are given a copy of the policy on admission. The manager investigates all complaints and makes the complainant aware of the outcome of any investigation. People spoken to and comment cards recieved said they were aware of the policy and felt that the manager would deal with any concerns they had appropriately. One relative said that in the past she had written to the support manager about concerns she had with the amount of staff on duty and had not received a written reply. The Commission for Social Inspection have received copies of letters sent to the home from relatives expressing concern at the staffing levels within the home. There was no record of these in the complaints log examined. The manager said that these had been addressed by the support manager. The The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 16 manager was advised that any concern or complaint received by the home either verbally or in writing should be recorded in the complaints log. Since the last visit there has been two adult protection referrals made through Kirklees Metropolitan Council’s adult protection unit following incidences of accidents to people living in the home, which were not dealt with appropriately by staff. These are still under investigation and systems have been put into place by the home to ensure this does not happen again. The manager said that staff receive training in the protection of vulnerable adults as part of their induction and NVQ (National Vocational Qualification) training as well as periodically. Training records examined confirmed this. Two staff spoken to on this subject gave good responses to questions asked and were aware of their responsibilities should they suspect any form of abuse was taking place within the home. The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 17 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): 19,21,23,24,26 The home is clean, fresh and well maintained. 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 the service EVIDENCE: As part of the visit a tour of the building was conducted, this included a number of service users’ bedrooms and communal lounges and dining rooms as well as toilets and bathrooms. There are a number of bathrooms and communal toilets in close proximity to the lounge and dining areas as well as each room having their own en suit. The bathrooms are fitted with specialist baths to enable staff to assist people with mobility problems bath safely. The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 18 Peoples bedrooms were personalised with their own belongings such as ornaments, pictures and small pieces of furniture. Bedroom doors are lockable. Following the last visit a requirement was made that the domestic hours should be increased, as parts of the home did not appear clean. The commission had also received a complaint from a relative about the cleanliness of the home. On this visit the inspector was informed by the manager that the domestic hours had been increased and this was evident during the tour, however there were still some minor areas, in service users bedrooms, such as skirting boards which were stained and dusty which require cleaning. Overall the standard of cleanliness has improved and there were no offensive odours present at the time of the visit. The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 There does not appear to be adequate numbers of staff on duty at night to be able to care for the psychological and physical wellbeing of the people living in the home. People who use the service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service EVIDENCE: The staff duty rota was examined for the month of March and this confirmed the number of staff as being: AM; The Manager who is supernumerary, a Deputy manager or senior carer and four care staff PM; A Senior carer and three care staff Night time; A Senior carer and two care staff It was noted that there had been times when the numbers of staff had fallen below that which was recorded on the duty rota. There were seven occasions in March when there have been only two staff on duty at night. Due to the The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 20 layout of the home and the number and needs of the people living in the home this is not adequate. Care files examined identified that some of the people require the assistance of two staff therefore if two care staff are attending to a person at night and another person requires assistance there would be no other staff available to assist that person. Staff spoken to said that at times they felt there were not enough staff on duty to enable them to do any more than provide the basic care to people. People spoken to said that they thought there were enough staff on duty, but that they were very busy. Concerns raised by two relatives about the number of staff on duty had also been received by the commission. A sample of four recruitment records was audited and these were found to hold the correct information. Staff are recruited from a varied cultural background. There was evidence of induction and ongoing training. Staff members confirmed that training is available. It was noted that care staff have received formal training in how to care for people who have enduring mental health problems since the last visit. The home should be commended for achieving 49.5 of care staff with an N.V.Q ( National Vocational Qualification)level 2 training and a further Six staff have been enrolled onto the training program. The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 21 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): 31,33,35,38 Peoples health and welfare could be compromised by staff not following the homes policies and procedures following an accident. People who use the service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service EVIDENCE: The home is managed by Mrs Amanda Machin , who has recently completed the registration process with the Commission for Social Care Inspection to become the registered manager of the home. She is aware of the needs of the people living in the home. She has worked hard in improving the standards The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 22 within the home and is aware of the shortfalls, which she needs to address. Care staff and service users said that she was very approachable. The manager said completes an annual quality audit as well as monthly audits to ensure the care and service offered by the home meet the expectations of the people living in the home. Questionnaires are sent out to people and their relatives to gain their views on the home and the care that they receive. Results of a recent survey seen included some very positive comments as well as some negative comments. People are able to keep small amounts of personal monies within the home. This enables them to purchase small items such as sweets, newspapers and pay for hairdressing. An audit of three peoples monies was undertaken and the balances tallied with records held by the home. The homes fire alarm system is tested weekly and the fire logbook was examined there is a fire risk assessment in place. Training records examined confirmed that Eleven staff have attended a fire prevention course in January 2007.Staff have also receive training in health and safety, moving and handling, food hygiene and dementia care. Certification in relation to gas, electricity and water is up to date and outside contractors are responsible for the servicing of the nurse call system, moving and handling equipment and the disposal of clinical waste. It was noted that the temperature of the baths and washbasins is not checked regularly, to ensure the temperature does not exceed 43c, which would prevent the incidence of people being scolded. This was discussed with the manager who said that staff do check the temperature of the bath water before bathing a person and the inspector saw thermometers in each bathroom. There have been two incidences were people have had accidents and the staff on duty did not follow the homes policies and procedures and did not seek the advise of the service users GP. This resulted in the people not receiving the appropriate care for a number of days and resulted in them being hospitalised. The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 3 3 X 3 X 3 3 X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 2 The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 24 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 OP27 Regulation 18(1)(a) Requirement The service provider must, having regard to the size of the care home, the statement of purpose, number and needs of service users ensure that there are sufficient numbers of staff, to promote the health and welfare of service users. The registered person must ensure that staff make arrangements for service users to receive were necessary, treatment, advice and other services from any health care professional following an accident. Timescale for action 31/05/07 2 OP38 13 (1) b 14/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 25 1 OP7 Staff should ensure that if a nutritional assessments identifies that the service user requires weighing weekly then this should be carried out and the weight recorded in the care file. Consideration should be given in employing a full time activities co-ordinator. 2. OP12 3. OP16 4. 5. OP26 OP38 Any concern or complaint received by the home either written or verbally should be recorded in the homes complaints log along with a copy of the outcome of any investigation undertaken and the response to the complainant. The skirting boards in the room identified during the visit should be cleaned and domestic staff should ensure that all bedrooms are thoroughly cleaned at regular intervals.2 A monthly check of the temperature of baths and washbasins should be undertaken. The Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Hawthornes Care Home DS0000035661.V332892.R01.S.doc Version 5.2 Page 27 - 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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