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Inspection on 28/02/07 for The Magna Care Centre

Also see our care home review for The Magna Care Centre for more information

This inspection was carried out on 28th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

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 Magna Care Centre provides a homely, relaxed and comfortable environment with a welcoming and friendly atmosphere. The home is well presented and has nicely maintained gardens that residents reported they were very proud of. The home is working hard to achieving good standards with regard compliance with the National Minimum Standards. Most areas inspected on this occasion were found to be satisfactory. The home is positively managed and well staffed. The staff group is stable and were observed to be respectful, helpful and caring. All residents spoken with were positive about the care and attention that they receive.

What has improved since the last inspection?

Eight requirements and three recommendations were made as a result of the last inspection. These were regarding pre-admission assessments, care planning, promotion of privacy and dignity, food, equipment, infection control activities and safe working practices. All requirements and recommendations have either been fully actioned or progress is being made towards full compliance. This means that residents care, safety and protection has improved since the last inspection. Staff competencies have also improved as a great deal of training has been provided in addressing requirements and recommendations. Staff are also more settled and communication within the home appears to have improved.

What the care home could do better:

Eight recommendations have been made in this report. All of them are made regarding pre admission assessments, care planning and provision of suitable equipment. These are areas were highlighted in the last report and the advice given in this report is building on the improvements which have already been made. Compliance with these recommendations will mean that the home will be better prepared to meet residents needs on admission, more able to evidence the care needed and how it is provided to residents living in the home and, with the provision of more equipment, more able to meet care needs in a timely and dignified manner.

CARE HOMES FOR OLDER PEOPLE Magna Care Centre (The) Arrowsmith Road Canford Magna Wimborne Dorset BH21 3BQ Lead Inspector Catherine Churches Unannounced Inspection 10:30 28 February 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 Magna Care Centre (The) DS0000067493.V331337.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. Magna Care Centre (The) DS0000067493.V331337.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Magna Care Centre (The) Address Arrowsmith Road Canford Magna Wimborne Dorset BH21 3BQ 01202 601831 01202 691503 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) Caring Homes Healthcare Group Limited Registration in progress Care Home 69 Category(ies) of Old age, not falling within any other category registration, with number (69) of places Magna Care Centre (The) DS0000067493.V331337.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 69 persons over the age of 65 may be accommodated as follows: In Segovia, 24 older persons who may require nursing care. In Granada, 24 older persons who do not require nursing care. In Canford, 21 older persons who do not require nursing care. One named person (as known to CSCI) who is under the age of 65 may be accommodated in Segovia unit. 20th October 2006 2. Date of last inspection Brief Description of the Service: The Magna Care Centre is located in a rural setting approximately two miles from the local shops and amenities of Broadstone. It is a care home offering both nursing and residential care to Older people and provides long and short-term care as well as respite care. The home has 69 registered beds and can provide nursing care to a maximum of 24 people. The home is divided into 3 units; two provide residential care and are staffed with trained care staff and the third provides nursing care and has a qualified nurse on duty at all times. The majority of rooms are on the ground floor, there are twelve rooms on the first floor and these can be accessed by a through floor passenger lift. All rooms are for single occupancy and most have ensuite facilities. The home has two dining rooms, three lounges and a large conservatory as well as specially adapted bathrooms and a hairdressing salon. It sits within beautiful, well-maintained gardens, which have ample parking and a quiet courtyard and summerhouse. At the time of the inspection the current scale of charges per week ranged from £375 to £775. Magna Care Centre (The) DS0000067493.V331337.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key, unannounced inspection undertaken on 28th February 2007. The inspection took place as part of the regular, programmed inspection schedule for the home. The last inspection was October 2006. The purpose of this visit was to monitor the homes compliance with National Minimum Standards and compliance with recommendations made during the previous inspection. Also, to check that the home is run in a satisfactory manner and that the people who are living in the home are properly cared for. The premises were inspected and a number of records examined. Time was also spent time observing routines within the home and talking with residents, visitors and staff. This report refers throughout to “residents” meaning to include persons accommodated in the residential units of the home, patients in the nursing units and the overall term “service users”, which is the preferred term of the Commission. What the service does well: What has improved since the last inspection? Eight requirements and three recommendations were made as a result of the last inspection. These were regarding pre-admission assessments, care planning, promotion of privacy and dignity, food, equipment, infection control activities and safe working practices. All requirements and recommendations have either been fully actioned or progress is being made towards full compliance. This means that residents Magna Care Centre (The) DS0000067493.V331337.R01.S.doc Version 5.2 Page 6 care, safety and protection has improved since the last inspection. Staff competencies have also improved as a great deal of training has been provided in addressing requirements and recommendations. Staff are also more settled and communication within the home appears to have improved. 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. Magna Care Centre (The) DS0000067493.V331337.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 Magna Care Centre (The) DS0000067493.V331337.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments of prospective residents needs are satisfactory. This means that residents can be certain that the home is aware of their requirements prior to their admission to the home and that the staff will therefore be able and prepared to meet these needs. Some further additions in the assessment process are required in order to ensure that a complete picture of residents needs is compiled. EVIDENCE: Documentation for three residents was examined as part of the case tracking procedure used during this inspection. Two of the residents had been newly admitted to the home since the last inspection Magna Care Centre (The) DS0000067493.V331337.R01.S.doc Version 5.2 Page 9 Both pre-admission assessments were viewed. The format has been improved following recommendations in the last inspection. They contained good information about each person’s needs although it was noted that there was little or no information regarding foot care, oral care or history of falls. It was also noted that one of the assessments was not dated although discussion with the manager satisfied the inspector that it was done before the person was admitted to the home. Magna Care Centre (The) DS0000067493.V331337.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 adequate. This judgement has been made using available evidence including a visit to this service. Care planning and documentation of care needs for residents has improved since the last inspection as new systems have been introduced. This means that the home is now better able to demonstrate that it understands, and is aware of each person’s needs and can show how these are met. However, there are still weaknesses in the systems and further work in this area is required. Systems for resident consultation and participation in the assessment and care planning process are still poor with little evidence that resident’s views are sought or acted upon. The home ensures that resident’s healthcare needs are met through seeking appropriate input from GP’s and other healthcare professionals. In the main medication in the home is well managed. Improvements to record keeping have been made which enable better auditing and therefore safety of medication handling. Magna Care Centre (The) DS0000067493.V331337.R01.S.doc Version 5.2 Page 11 The ethos in the home is one of respect for the residents living there. This means that the residents feel settled at the home and their privacy is respected. EVIDENCE: Documentation for three residents was examined as part of the case tracking procedure used during this inspection. A number of issues with regard to care planning and health care were identified, as detailed below: 1. Caring Homes care planning documentation was in place but not properly completed. Discussions with staff highlighted that they have now assumed responsibility for writing care plans etc which they like to do but which they clearly felt lacking in confidence and time to do. 2. There was little or no evidence of resident involvement in their care plans. 3. Some care plans for specific areas of need were in place but it was evident from daily recording that not all needs were recorded in the care plans. 4. Risk assessments had been carried out identifying high levels of risk but any outcome/action from the assessment to manage these risks had not been recorded. (This is repeated from the previous inspection). 5. Not all files had photographs of residents. 6. Monthly reviews of care plans had not been carried out since October or November 2006. 7. Resident’s weights had been recorded on a regular but there were instances of weight variation that had not been investigated or documented. Staff reported that they felt the scales were wrong but it appeared that no further action had been taken. 8. Care plans for diabetics did not contain normal blood sugar ranges or information of how and when blood sugars were tested. 9. A number of documents, particularly various risk assessments had not been signed or dated. Medication systems were examined. Appropriate recording systems are in place and all staff responsible for administering medication have received up dated training. Medication was stored and secured appropriately. During conversations with a number of residents, they confirmed (where they were able to) that they were happy with the care they received and that either they or their representatives are involved in reviews. They also confirmed that they feel respected by staff and are able to maintain their privacy when Magna Care Centre (The) DS0000067493.V331337.R01.S.doc Version 5.2 Page 12 receiving personal care or visits from professionals such as GP’s and solicitors, family and friends. It was observed that staff knock on doors before entering and that residents preferred form of address is recorded and used. Magna Care Centre (The) DS0000067493.V331337.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social, cultural and recreational activities are dependent on individual preferences and the resident’s capacity for involvement. Open visiting arrangements are in place enabling residents to retain contact with families and friends. Residents have the opportunity to choose their own lifestyle within the home and this means that their individual preferences and routines are respected. Dietary needs of the residents are well catered for with a balanced and varied selection of food available that resident’s stated met their tastes and needs most of the time. Magna Care Centre (The) DS0000067493.V331337.R01.S.doc Version 5.2 Page 14 EVIDENCE: Mr Bailey reported that he has prioritised the improvement of social activities and meals since the last inspection. The home employs an activities organiser for twenty-one hours per week. The programme of events and activities had greatly improved with a much wider programme of activities from quizzes to exercise sessions, current affairs discussions and craft activities. There are also more social events with celebrations made of numerous occasions including Burns night, Shrove Tuesday and Valentines Day. Residents meetings are held once a month. One was taking place during the inspection and this was observed. Twenty-Four residents attended and constructive discussions were held about activities and outings etc that were planned and that they would like to happen. Debate also took place regarding the food. It was generally agreed that this is improving and many accepted that in a home of this size it would not be possible to please all of the people all of the time. Residents confirmed that they could receive visitors whenever they wish and that the staff will also assist them to prepare for trips out to shops or to visit people and help with calling taxis etc. Examination of the visitor’s book also reflected that there is an almost constant stream of visitors to the home. Discussion with residents and staff as well as examination of records evidenced that residents are assisted appropriately to exercise choice and control over their lives. Residents confirmed that a suitable and varied diet is provided in the home. Lunch was observed as part of the inspection. It was noted that this was a sociable occasion with staff and residents all interacting with one another. Magna Care Centre (The) DS0000067493.V331337.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory system for making complaints. This means that residents and others involved in the home that may wish to make a complaint should feel confident that they would be taken seriously and that matters of concern will be acted upon. Arrangements for protecting service users from abuse were satisfactory. This means that Magna Care Centre is a safe environment that will protect residents from abuse. EVIDENCE: The complaints procedure is included in the Service Users Guide/Terms and conditions of residence that is given to all residents/representatives. No complaints have been made to CSCI or to the home since the last inspection. Policies and procedures for adult protection and whistle blowing were checked and found to be satisfactory. Staff have either received updated training in procedures for recognising and preventing abuse or this is planned for the near future. Magna Care Centre (The) DS0000067493.V331337.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 good. This judgement has been made using available evidence including a visit to this service. The home is well presented: it is nicely decorated and furnished and has a homely atmosphere. The grounds are also very well maintained, providing lots of colour and interest as well as a variety of places to sit and relax. The home maintains a good standard of hygiene and all areas seen were clean and free from offensive odours. EVIDENCE: A tour of the premises confirmed that the home is nicely decorated and furnished. Dorset Fire and Rescue Service have visited the home and confirmed that it complies with their requirements. Magna Care Centre (The) DS0000067493.V331337.R01.S.doc Version 5.2 Page 17 A programme of redecoration and refurbishment has been put in place which will target those areas most in need as a priority. Bedrooms are nicely furnished and residents have brought personal items such as furniture, pictures, photographs, ornaments and other items to help them personalise their rooms. The lounge and dining room and other communal areas are also nicely decorated and furnished with a choice of seating available to residents. At the last inspection it was noted that the home was very short in bedding, towels, crockery and cutlery. The home is now very well provided with all of these and staff reported that this was a great improvement. There still appeared to be a dichotomy between staff and management with regard to equipment: staff clearly felt that they required more equipment, especially for moving and handling, as resident’s needs are increasing. Staff had a good understanding of infection control procedures and the relevant protective clothing was available. There was a detailed infection control policy in the home that covered all of the required areas. Training records were available to demonstrate that most staff have undertaken appropriate training and a plan was in place for those still requiring training. Magna Care Centre (The) DS0000067493.V331337.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. The home was well staffed ensuring that residents receive the care they need. Staff clearly enjoyed working in the home, there was a positive atmosphere and residents had a happy, relaxed relationship with the manager and staff. Staff have experience in caring for the elderly, a number have already achieved the minimum vocational qualification and others are undertaking training to further develop their abilities and competencies. This means that the home is very close to meeting the requirement of 50 of staff to be trained and demonstrates that it is committed to staff development and providing good care for its residents. Recruitment procedures are satisfactory and this gives further protection to residents. Induction of new staff is undertaken within the timescales and to a good standard. This means that staff have the necessary skills to enable them to undertake all aspects of their role competently. Magna Care Centre (The) DS0000067493.V331337.R01.S.doc Version 5.2 Page 19 EVIDENCE: Examination of the staff rota and observation throughout the inspection demonstrated there was a sufficient number and skill mix of staff to meet the needs of residents. Staff and residents spoken with confirmed that they were satisfied with staffing levels. Fifteen of the thirty-six care staff have achieved NVQ level 2 or 3. A further 8 are studying NVQ level 2 and once completed the home will exceed the minimum requirements for this standard. Staff records were examined for three members of staff. These demonstrated that appropriate recruitment practices are in place: application forms were completed; interviews documented and appropriate evidence of identity and qualifications had been obtained. References, Criminal Records Bureau and POVA checks had also been completed as required. The new Skills for Care induction programme has been implemented in the home and evidence that new staff were undertaking this was available. Magna Care Centre (The) DS0000067493.V331337.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. Mr Bailey has completed the necessary training and has the relevant experience. He is a competent, committed and approachable manager and both residents and staff confirmed this. The home regularly reviews aspects of its performance through a good programme of self-review and consultations, which include seeking the views of residents, staff and relatives. Sound practices and procedures are in place regarding resident’s finances. The health, safety and welfare of residents and staff is protected by the systems that the home has in place for staff training, maintenance and risk assessment. Magna Care Centre (The) DS0000067493.V331337.R01.S.doc Version 5.2 Page 21 EVIDENCE: As a large care provider, Caring Homes Ltd has systems in place for management of their care homes, Mr Bailey has been appointed to manage the home on a day-to-day basis. His application to be registered with CSCI is currently being considered. He has considerable experience of managing care homes and has already implemented improvements at Magna Care Centre. The home has detailed policies and procedures for the promotion of quality assurance in the home. The manager confirmed that surveys had been undertaken by staff from Head Office and he was waiting for the results of this. The manager confirmed that residents are encouraged to retain control of their own finances for as long as possible. Where they state that they no longer wish to or they lack the capacity to do so then the home ensures that either family or other representatives such as solicitors take on this role. He confirmed that the home does not hold cash or valuables for any residents. Fire records, staff training records and accident books were examined and found to be up to date and detailed. Magna Care Centre (The) DS0000067493.V331337.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 X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 X 2 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 Magna Care Centre (The) DS0000067493.V331337.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 Magna Care Centre (The) DS0000067493.V331337.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 2 Refer to Standard OP3 OP7 Good Practice Recommendations It is recommended that pre-admission assessments should contain details of a person’s needs regarding foot care, oral care and any history of falls. It is recommended that the care plan is drawn up with the involvement of the service user and recorded in a style, which is accessible to them. The service user and/or their representative should sign the plan. Every area of identified need should have a care plan which clearly state the need and how it is to be met. It is recommended that where a risk assessment indicates the presence of a risk, the action taken to minimise the risk should also be recorded. Care plans must be reviewed at least once a month and any changes in need highlighted should be incorporated into the care plan. It is recommended that detailed care plans are developed for residents with diabetes to ensure that there is clear information about acceptable blood sugar ranges, who is involved in providing specialist care, sugar level testing etc and the action to be taken if blood sugars are outside of acceptable ranges. Changes in resident’s weights should be investigated. Scales should also be regularly calibrated to ensure that they are giving a correct reading. It is recommended that a further review of equipment, especially moving and handling equipment is undertaken including full staff consultation to ensure that the required equipment is available. 3 4 5 6 OP7 OP7 OP7 OP8 7 8 OP8 OP22 Magna Care Centre (The) DS0000067493.V331337.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Magna Care Centre (The) DS0000067493.V331337.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!