Inspection on 08/08/08 for The Langholm

This inspection was carried out on 8th August 2008.

CSCI found this care home to be providing an Good service.

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 Langholm 22/08/07

The Langholm 31/10/06

The Langholm 11/01/06

The Langholm 10/08/05

The Langholm 10/03/05

The Langholm 01/11/04

The Langholm 19/02/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 09/11/2008.

CARE HOMES FOR OLDER PEOPLE The Langholm 14/16 High Bondgate Bishop Auckland Durham DL14 7PJ Lead Inspector Steve Tuck Key Unannounced Inspection 8th August 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Langholm DS0000045014.V371217.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 Langholm DS0000045014.V371217.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Langholm Address 14/16 High Bondgate Bishop Auckland Durham DL14 7PJ 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) 01388 450149 01388 665914 langholm@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Care Services Ltd Mrs Michelle Sandu Lloyd Care Home 31 Category(ies) of Dementia (12), Old age, not falling within any registration, with number other category (19) of places The Langholm DS0000045014.V371217.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 19 2. Dementia - Code DE, maximum number of places: 12 The maximum number of service users who can be accommodated is: 31 22nd August 2007 Date of last inspection Brief Description of the Service: The Langholm is a well-established care home, which has been extended to provide a separate unit for people with dementia. The home is registered to accommodate up to 31 older people, including up to 12 people with dementia. The accommodation for people with dementia is at single-storey, ground floor level with access to the homes enclosed gardens. The original building, which accommodates older persons, has a choice of single and double bedrooms over three-floors. There is a large combined lounge/dining room and a separate lounge on the ground floor, and a separate lounge on the second floor. A vertical passenger lift is provided. The home is located close to Bishop Auckland town centre with its many shops, post office, pubs, bus station etc. At the time of this inspection fees charged ranged from £382.50 to £425.50. The costs of newspapers, hairdressing, and toiletries are not included in the fees. Fees vary depending on people’s circumstances, further details can be found in the homes Service User Guide. The Langholm DS0000045014.V371217.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience Good quality outcomes. This inspection took place over three days and was a scheduled unannounced inspection. Before the visit: We looked at: • Information we have received since the last Key Inspection. • How the service dealt with any complaints & concerns since then. • Any changes to how the home is run. • The provider’s view of how well they care for people. We asked them to examine their own service and write to us with the results. The Visit: An unannounced visit was made on 8h August 2008. During the visit we: • Talked with the people who use the service, the staff and the manager. • Observed life in the home. • Looked at information about the people who use the service & how well their needs are met. • Looked at other records, which must be kept. • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. • Looked around parts of the building to make sure it was clean, safe & comfortable. • Checked on what improvements had been made since the last visit. We told the manager what we had found. What the service does well: The home has a friendly atmosphere and the staff who work there are open and welcoming so that the people who live their and their relatives or visitors feel comfortable, supported and are put at ease. People who move to the home have their needs assessed by social or healthcare workers and the manager so that everyone is sure that this is the right place for them to live. This is very important, as people often have The Langholm DS0000045014.V371217.R01.S.doc Version 5.2 Page 6 complicated needs that require well managed and agreed ways of supporting them. Care is provided to people with a wide range of needs, with varied expectations and backgrounds. This diversity is reflected in the staff team, giving the manager the opportunity to recruit staff from the same background as the people living in the home. This ‘match’ helps staff to understand peoples’ needs and people who use the service are more reassured that they get support from staff who understand them. Both care practice and staff recruitment practices are governed by equal opportunity principles. Staff are selected in ways that makes sure they are suitable to work with vulnerable people. Almost three quarters of the care team have recognised care qualifications and are provided with some specific training to help them develop the knowledge, skills and confidence to support people. One relative said, “They’re marvellous I don’t have to worry, I know these people are genuinely care for the residents.” 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 Langholm DS0000045014.V371217.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 Langholm DS0000045014.V371217.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): 2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Trained staff from the home find out and understand the needs of people who wish to live there before they move in. This information helps to make sure that peoples needs can be met at the home and agree the ways in which staff are to support them. EVIDENCE: People who live at the home have an agreement about the purpose of their stay, proposed length of stay, and fee levels. This should help them to understand their rights and the homes responsibilities. By looking at the record kept at the home we could see that each persons needs are assessed before they move to the home, either by health services staff, local authority social workers and the manager. This is so that the The Langholm DS0000045014.V371217.R01.S.doc Version 5.2 Page 9 manager has a good understanding of peoples’ health and social care needs and can be sure that the home is going to be suitable for people who are going to live there. The manager also finds out what cultural and lifestyle needs people have to make sure that these can be met. The manager and senior staff have also had training which has given them the skills to find out what peoples needs are. As a result of these measures, all of the people living at the home at present have been properly placed and the home is able to meet their needs. One relative said, “ The staff spend time getting to know people – it’s really important when people are feeling vulnerable.” The Langholm DS0000045014.V371217.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. People’s care and health needs are supported by the home and the way that staff give out medication helps to make sure that they get the medical treatment that has been prescribed. And every person has a plan of their care which shows how their main needs will be met and gives the care practice guidance that staff need. EVIDENCE: Every person has an individual plan which records what the home will do to support them. New planning arrangements have been put in place since the last inspection and although some have more information in them than others, these give a description of the support that people need. Staff at the home know lots about the needs of people who use the service and how they prefer to be supported. Two staff were asked in detail about the ways that they support people and both could describe the needs of the people they care for in a lot of detail. While the main areas of their care matched the descriptions that The Langholm DS0000045014.V371217.R01.S.doc Version 5.2 Page 11 were written in their care plans, the manager and senior staff from the organisation are working with staff to show how their plans can be expanded so that all of their social needs and information is included. One social worker said, “I would congratulate how they prompted, encourages and supported the individual so that he could eventually recognise that he was in control of his life.” People who live at the home and their relatives made positive comments about the approach of staff and they stated they are treated with courtesy and that staff are always polite. Those asked said that staff upheld their privacy, which is promoted by a stable staff team who know the people they care for well. Staff were seen to knock on doors before entering, talk to people in a respectful way and call them by the names or titles they prefer, all of which are good practice. Staff are also trained and monitored to make sure that the homes policies on privacy and confidentiality are maintained. All people who use the service made positive comments about the service they received and how staff and the support from the home helped them to remain as independent as possible and for some, return to their own homes. The home also helps people to exercise their rights by giving the details of other support available, for example advocacy services. Due to their levels of need, people who live at the home are not able to organise their own medicines, and appointed staff therefore help in this area. Staff at the home have been trained so that they know the best ways to store and give out medication. Medication is securely stored and records were accurate showing that the amount of medication prescribed is given out to people. Staff at the home have good strategies in place which monitor the expressions and responses of people who live at the home to make sure that they are not experiencing pain. These techniques carried out by senior staff and are recorded in the care plans. One of the staff said, “Were getting better at writing things down - I didn’t realise I knew so much about people that wasn’t in their care plan.” The manager has shown that she has been careful to make sure that people living at the home are able to be successfully supported there and that their healthcare needs can be effectively met. She shows a full understanding of the needs of the people who live at the home and works in partnership with other healthcare professionals to make sure that they are supported. A social worker said, “The manager and staff have worked with people with complex health needs which are always monitored well in my experience and responded to in a timely and appropriate manner.” The Langholm DS0000045014.V371217.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 good. This judgement has been made using available evidence including a visit to this service. People who live at the home are encouraged and supported by the staff to lead fulfilling lives with their rights as individuals being respected and to eat healthily, which supports their physical and emotional wellbeing. Contact with family members and friends are supported where possible so that people keep up links with those outside the home. EVIDENCE: Staff at the home welcome visits from friends and families they are good at encouraging people to talk, be included and feel comfortable. People living at the home and staff talked about the things that they do at the home. There is an activity co-ordinator at the home who help to think of ideas, plan and support people to take part in meaningful pastimes. For example games sessions, social events, open days and celebrations, bingo, seasonal social events, performers and entertainment. Events are organised so that family members can attend and some people go out from the home with their friends The Langholm DS0000045014.V371217.R01.S.doc Version 5.2 Page 13 or relatives which helps them to stay in touch. The manager is looking at ways to support the activities of people who have dementia type illness which may prevent them from taking part in group activities. A number of corridors which have a theme relating to their past histories has been designed. The homes gardens are well planned and maintained by the handyman so that they can be used by people at the home and there is easy access to outside patio areas. People living at the home are encouraged to make choices about their diet. Most said that they like the meals at the home and that they are asked what they would like to eat. Staff were seen asking people about their choice of meal and size of portion to make sure that people got what they wanted. Comments from some of the people living at the home were, “Yes the meals are always good here.” And, “I have enjoyed my dinner today.” Staff are available during meals to offer support and assistance where needed. The cook has a good knowledge of the meals which people living at the home prefer. She understands the benefit of using fresh ingredients to help people to remain. Menus were available which confirmed that a range of meals are provided which give people a balanced diet and refreshments are available throughout the day and night. People living at the home and their families are involved in choosing the meals that are included in the menu. Where people need it food supplements are available to help people to maintain their health for example if they have diabetes or have difficulty maintaining their weight. The Langholm DS0000045014.V371217.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 good. This judgement has been made using available evidence including a visit to this service. People living at the home and their families can make a complaint if they are unhappy, have a grievance or dispute which helps them to have control over their lives and there are measures in place which protect people who live at the home from being harmed which helps to promote their safety and security EVIDENCE: There is a complaints procedure which tells people what to do if they are not happy. This informs people about who they should make a complaint to and how much time that a complaint will take to look at. There is a record kept at the home of all complaints, which includes details of any investigation and the outcome. No one has approached the Commission for Social Care Inspection (CSCI) because they have been unhappy with the way that the home has managed their complaint. A relative said, “I don’t have any problems, if I wasn’t happy about something I would just say either to the manager or the staff.” Another said, “I’ve never had any problems.” Whilst there have been no instances where abuse has taken place or been suspected, the home has an adult protection procedure which can be used where necessary to protect people living at the home. Staff have guidance and The Langholm DS0000045014.V371217.R01.S.doc Version 5.2 Page 15 training about what to do if they see or suspect abuse is taking place and all staff spoken to showed that they knew what to do and what they expected to happen so that people remain protected. The Langholm DS0000045014.V371217.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): 19,20,21,22 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a homely environment, which promotes their privacy, independence and comfort during their stay at the home. The home is clean, pleasant and hygienic which supports the health and lifestyles of people living there. EVIDENCE: All communal areas and some of the bedrooms were viewed during the inspection. There has been a major programme of refurbishment at the home since the last inspection and there are further planned improvements which are yet to take place. This has considerably improved the comfort of the people who live there and has given them a more attractive and hygienic place to live. The Langholm DS0000045014.V371217.R01.S.doc Version 5.2 Page 17 The home has been adapted so that all the people who live there can have safe access to the areas where they live. Everyone is able to lock their bedroom doors so that they can have privacy and there are areas where people can meet and talk in private. There are large gardens and a well-designed patio area. The manager is also carrying our further building works to create another patio for people to use who live in the main building. The bedrooms are pleasant areas, which have a useful range of comfortable furniture and fittings. Most people have decorated their rooms with their items, photographs and keepsake’s. The bathrooms have been adapted and updated since the last inspection some of which have been changed to help people who have mobility needs to use them. And there are enough toilet and bathrooms available so that people can easily access them. The home is kept clean by staff who take steps make sure that there are no unpleasant smells although in two rooms this had not been successful and the manager had ordered new carpet cleaning materials and in one case a new carpet as well. The home has two parts; one was built 150 years ago, the extension within the last 15 years. Changes have and continue to be made to meet the present standards of space and convenience. The manager has drawn up a programme of future developments and repairs are allocated on a priority system for this building. The manager and the owners have done well to continue use their ingenuity with limited finances to continually adapt and maintain the building so that it remains fit for it’s purpose in meeting people’s needs. There are laundry facilities are in place to make sure that that peoples clothing and linen is hygienically cleaned and the risks of passing on any infections is reduced. Arrangements are in place to make sure that clean clothing is always returned to their owner and mistakes are avoided. There were a number of minor health and safety issues which were discussed with the manager who agreed to take immediate action to minimise risks. For example a dangerous electric heater, which could still be switched on was removed from use. The home is inspected by the Fire Prevention Authority and the local council to make sure that the building and safety systems are suitable for the protection of those who live and work there. The Langholm DS0000045014.V371217.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 good. This judgement has been made using available evidence including a visit to this service. There are sufficient staff working at the home to meet the needs of the number of people who presently live there. The ways that staff are employed makes sure that people are protected and most staff have been trained to make sure that their care practice is good. EVIDENCE: The manager has organised the home so that overall there are sufficient staff available to meet the needs of the 19 people who currently live there. Staff support each other and their manager both in their practice and also in their willingness to remain flexible about their working hours so that people who live at the home will benefit. Staff can describe the needs of service users in detail; they get on well together and with people who live at the home and promote an inclusive and supportive structure at the home. One service user said, “I wouldn’t be without them - they work so very hard to keep everyone happy.” Staff spend time with people who live at the home, listening to their opinions and experiences and taking part in discussions and laughing together which The Langholm DS0000045014.V371217.R01.S.doc Version 5.2 Page 19 creates a happy atmosphere at the home. Staff turnover at the home remains very low which gives people who live there and staff the opportunity to get to know each other. For example many of the staff have worked at the home for over 10 years. Almost three quarters of the staff team have now attained National Vocational Qualification awards in care at level 2; the remainder are all working towards either Level 2. There is a plan in place which describes the training which staff are to undertake based on the needs of the home and their personal training requirements. The manager makes deliberate attempts to recruit staff from similar cultural backgrounds as the people living at the home. In some cases they share the same community and social links, which helps to ensure that people are confident with the way in which they are supported. Examination of files for staff newly appointed in the home confirm that rigorous checks are carried out before they are employed to work in there. This includes receiving appropriate references and completing the necessary criminal record check to make sure that staff are suitable to work with people who are vulnerable. Staff files contain employment history, records of training and any training certificates. The Langholm DS0000045014.V371217.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. The managers at the home makes sure that people who live there are supported properly and give leadership and direction to staff so that the quality of the service they give is improved. EVIDENCE: The manger has worked at this home for about nine years, is a qualified nurse and has recently completed his Registered Managers training (RMA). Prior to working at this home, she worked as the registered manager at other care homes in the region. The manager has many years experience on which to base her practice and continue to demonstrates considerable knowledge and skill in this care setting. The Langholm DS0000045014.V371217.R01.S.doc Version 5.2 Page 21 One visitor to the home said, “The manager is conscientious and is quite prepared to roll her sleeves up if necessary. The manager has shown her capacity to organise the service on a day-to-day basis and has responded positively to the increased investment of finances and senior management support from the organisation. This approach has significantly improved the quality of life for people at the home. This also reassures people living at the home and their relatives that the service can continue to be provided in their best interests. One relative said, “It makes such a difference having the support from the owners, the place has improved and you can tell that the staff are happier.” The manager has started to collect the views of service users, families and friends so that she can check to see if the service is meeting the needs of all parties. There are a number of meetings held at the home and other informal occasions where the manager is able to check that people are satisfied with the service. This helps the manager to monitor progress and develop the service. There were no significant hazards at the home throughout the inspection and arrangements are in place to minimise risks for people living at the home and staff. The home is also subject to inspections by the Fire Authority and local authority environmental health officers to make sure that the home is safe. The Langholm DS0000045014.V371217.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 X 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X X X X 3 STAFFING Standard No Score 27 3 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 3 The Langholm DS0000045014.V371217.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 OP19 Good Practice Recommendations The continued development and improvement of the care planning process should continue to take place. The planned refurbishment of the home should continue to take place. The Langholm DS0000045014.V371217.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Langholm DS0000045014.V371217.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. 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