Inspection on 04/01/06 for The Villa Nursing And Residential Home

This inspection was carried out on 4th January 2006.

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

The inspector 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 Villa Nursing And... 04/07/07

The Villa Nursing And... 15/08/06

The Villa Nursing And... 15/06/05

The Villa Nursing And... 12/10/04

The Villa Nursing And... 06/05/04

Similar services:

The Lodge Nursing Home

Bracken House

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

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

CARE HOMES FOR OLDER PEOPLE The Villa Nursing And Residential Home Park Avenue, Maddocks Madeley Telford Shropshire TF7 5AE Lead Inspector Janet Adams Unannounced Inspection 4th January 2006 13.30 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 Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 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 Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Villa Nursing And Residential Home Address Park Avenue, Maddocks Madeley Telford Shropshire TF7 5AE 01952 581022 01952 582431 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) Mrs Susan Juru Mr Douglas Juru Care Home 33 Category(ies) of Dementia (26), Mental disorder, excluding registration, with number learning disability or dementia (7) of places The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home may accommodate a maximum of 33 service users. Within this 33, a) the maximum requiring nursing care shall not exceed 26 of whom 22 may be older people with dementia requiring nursing care. b) 7 may be younger adults with a mental disorder requiring nursing care. c) the remainder may be older people with dementia not requiring nursing care. The minumum staffing requirements are as follows:08.00 - 14.00 14.00 - 20.00 20.00 08.00 1 Qualified Nurse 1 Qualified Nurse 1 Qualified Nurse (RGN, EN or RMN) (RGN, EN or RMN) (RGN, EN or RMN) 5 Care Assistants 4 Care Assistants 3 Care Assistants 15th June 2005 3. Date of last inspection Brief Description of the Service: The Villa is a Care Home for people, providing both personal and nursing care in single and double accommodation for older people as well as younger people with mental health needs. The Home, owned by Mr and Mrs Juru, is situated in Madeley, a long established Shropshire town, situated above Ironbridge Gorge, and now part of the Telford conurbation. It is set in its own grounds with flower borders and mature trees, comprises an original 19th century house which has been added to by more recent extensions. Opportunities for shopping and recreational activities are to be found within walking distance and in Telford Town Centre, which is reached via a frequent bus service. Consideration is also given to accommodate residents pets, and at the time of the inspection, five cats were seen to be living there. The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and commenced at 1.30pm lasting three and three quarter hours. It included observing activity within the home, inspecting the premises, an ‘in depth look’ at records for residents and staff, observing, talking and listening to over half of the 29 people living there, and staff on duty at the time of the inspection. Discussions with people were carried out in private on a one to one basis, or together in groups. Everyone was happy to share comments, which are explored and reflected in the main body of the report. There were no visitors available to speak to on this occasion. Both Mr and Mrs Juru, the Registered Providers/Managers were at the home during the time of the inspection. Everyone, including residents and staff were very welcoming and helpful throughout. A total of 25 out of a possible 38 National Minimum Standards for Older People were assessed on this occasion. What the service does well: What has improved since the last inspection? It was seen that some recordkeeping systems have improved. Examination of resident and staff records confirmed that they were more organised. Changes had been also made to some management systems, such as handling residents monies, and staff supervision, although these were seen to need further development before they met minimum standards. Recent improvements in the home medication management systems show the home meets the latest guidelines for the safe disposal of medicines. Efforts to get 50 of the care team appropriately qualified was seen to have been exceeded on this occasion-62 of the carers are a minimum NVQ level 2 qualified. The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 6 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 Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 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 Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 4 Systems that are in place have been professionally followed, to ensure that the home has all the necessary information for satisfactory admissions to take place. EVIDENCE: At the time of the inspection a new resident was in the process of being admitted to the home. Discussions overheard between the manager, a member of the home nursing team and a visiting professional confirmed a lot of necessary details were shared to make sure the person was to be looked after and supported in a way acceptable to the person concerned. These observations, in combination with the paperwork looked at for three other residents show that individuals have a comprehensive assessment of their needs for their admission, which is reviewed and amended as requirements change. The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Although staff are sensitive to meeting the needs of residents including the management of medications in a respectful manner, this is not shown in all of the residents’ paperwork. This means there is no confirmation residents get all of the care they need and expect. EVIDENCE: Comments received from the residents living at the home all agreed that they liked living at The Villa, felt well cared for and the staff respected their privacy. Written comments seen in satisfaction surveys carried out also confirm this. However, not all of this information is shown in the residents records. Although most peoples’ health, personal and social care needs are written down, some are not personalised with enough detailed information about the people or their medical conditions to fully describe how those people need to be properly looked after.For example, one person who the manager confirmed had a pressure sore on her arm did not have a care plan to manage this wound. Although the daily report referred to it being dressed there was a lack of information to show what procedures and type of products or dressings are being used for this person’s pressure sore. The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 10 Another lady sat in an armchair with homemade raisers underneath its front legs which tipped the chair back did not have any records about this equipment in her care records. There was a lack of information to show the person’s agreement to this equipment being used, or details about its purpose and show how it was being managed safely. The approval for use of this type of equipment needs professional clarification, and risk assessments for the use of such equipment needs to be implemented, with the full involvement of the resident, and where necessary any relative or representative for the person. Furthermore, any moving and handling procedures the staff undertake to use this equipment also requires full risk assessment. When the medication management systems were looked at, it was noteworthy to see that the home had established a system to ensure it met recent new legislation about the disposal of medication. Recordkeeping for prescribed dressings administration need to be improved, as the evidence to show when these type of products are used is lacking. All other aspects of medication management in the home were satisfactory. The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 The meal provision at The Villa demonstrates that residents are offered quality and choice for this part of the service which meets the expectations of the people living there. EVIDENCE: Discussions with residents and staff confirmed that a variety of meals were provided to suit the needs and preferences of the people living at The Villa. The home currently caters for people on sugar free diets, and those with swallowing or chewing challenges. All staff members spoken to on their own in private confirmed that they thought the residents seemed happy with the meals provided. When observed helping residents with drinks, staff were courteous and attentive to residents needs, providing knowledgeable assistance and support to those who required it. The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The home has policies and procedures for a complaints system that needs to be readily available to confirm concerns are listened to and acted upon. EVIDENCE: At the June2005 inspection, it was seen that the complaints notice in the hallway was in need of updating to ensure that it clearly outlined the contact details for CSCI. This has been carried out. Although CSCI are aware of at least one complaint being made about the home since the last inspection, the logbook the home keeps to show how this was managed was not available for inspection on this occasion. The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,23,25, &26 The standard of the environment in this home needs further improvement especially to infection control systems to make The Villa a safe and attractive place to live. EVIDENCE: Findings during the tour of the home were similar to those of the inspection carried out in June 2005. A smell of stale urine was again prevalent in the main communal lounge / dining area favoured by many residents, as well in as some of the bedrooms seen. The bedding in one room was visibly soiled with body waste. Carpets in communal areas were also heavily stained, in need of cleaning. The results of a staff survey carried out in December of 2005 reflected the inspector’s findings that the cleanliness of the home was an area of concern. The majority of staff commented on the need for the home to improve the standards of cleanliness. This issue was discussed with Mrs Juru during the inspection. The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 14 As this is the second inspection where unfavourable odours have been identified, it is now considered a major shortfall, and the home management must take action to remedy this at the earliest opportunity. As recorded earlier, in the communal lounge, some residents were seen seated in armchairs with ‘chair tippers’ placed under front legs of their armchairs. These were reported to have been constructed by the home maintenance man. The inspector raised concerns about using such an adaptation, as it impacts on the balance and design of the armchairs, and also restricts the mobility of the people sitting in the chairs, as well as safe moving and handling procedures for staff. The home must liaise with appropriate professionals to ensure this equipment complies with the Restrictive Physical Interventions Policy for services in Shropshire. It was seen at the last inspection that in one of the shared bedrooms neither residents did not have their own personal locking storage. Mrs Juru confirmed that all residents now had locking storage facilities in their bedrooms. As found at the last inspection, during the home tour, hot water temperatures were higher than acceptable limits. The hot water temperature in one en suite bathroom was 54 Degrees Centigrade – the home maintenance man dealt with this with on the day of the inspection. The hot water temperature in the ‘nursing bathroom’ was also seen to be in excess of 47 Degrees Centigrade. When the maintenance man’s hot water temperature records were looked at with Mrs Juru – comments were written alongside temperatures higher than 43 Degrees Centigrade for rooms 4-11 which stated ‘will not adjust’ .It was agreed that this safety issue must be prioritised at the earliest opportunity. An infection control issue highlighted at the last inspection about hand washing facilities for staff resulted in the following requirement being made; - “Liquid soap and paper towels must be provided in areas where staff wash their hands after attending to service users”. Although it was noteworthy to see that liquid soap is now provided for hand washing, staff still have to use household towels for hand drying. When this was discussed with the manager, she said that they intended buying hot air hand dryers like the one already installed in the main kitchen. It is recommended that the registered persons request the support of the Health protection Agency to conduct an audit of infection control measures in the home in order to effectively improve standards in the home. The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28,29 & 30 The home employs supportive staff in sufficient numbers to meet the needs of residents, although some recruitment and training needs require improvement to fully offer protection to people living in the home. EVIDENCE: By looking at the staffing rota on display in the downstairs office, and talking to staff it was confirmed that levels on the rota meet those on the CSCI home registration certificate. Observation of the carers carrying out their roles and a discussion with team members confirmed a professional rapport existed to keep the residents safe and cared for. This was reflected in a written comment returned to the home by a relative “ the atmosphere in The Villa feels warm and caring…I am particularly impressed with the way the staff interact with my mother.” It was positive to be informed that the home now has the home has 62 of its carers NVQ qualified. Several of the carers recruited from overseas have nursing qualifications, which enhances the quality of the basic care delivery. Information seen in three staff files looked at confirmed that most information was in place. The organisation of these records has considerably improved since the last inspection, although there were similar deficits in the information they contained, as seen at the inspection in June 2005: - The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 16 The records for the most recently appointed staff member had had an initial checks, but an Enhanced Criminal Record Clearance had not been obtained before this person started working in the home. In addition to this, not all staff members had signed declarations of health. When staff training records for the same three people were looked at, they were lacking in necessary details, which resulted in not being able to establish whether all individuals had completed training expected for them to carry out their role. For instance, as seen at the June inspection, not all staff had undertaken mandatory training such as food hygiene. Discussion with some staff members also confirmed that there had not been any recent additional training for topics such as mental health and dementia. The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36, &38 The home is managed by the registered manager/providers who lead the staff team on a day to day basis. Systems for the health, safety and welfare for residents, staff and visitors need to be improved and adjusted to make sure that they are kept up to date, to meet changing needs as well as necessary legislation. EVIDENCE: Mr and Mrs Juru have open approachable systems in place for the day to day management. A recent satisfaction survey conducted to get feedback from residents, relatives and staff confirmed their welcoming management style. Analysis of the satisfaction survey questions showed the professional way peoples opinions of life at The Villa was explored ensured a good return of information. The majority of the staff team signed the survey questionnaires, which contained some constructive comments and opinions how the home could be improved. Although the survey was only carried out during December The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 18 2005, Mrs Juru confirmed they were already taking all comments on board and looking at how they can act on suggestions made. Mrs Juru also confirmed she was in the final stages of attaining NVQ level 4 in management, and also volunteered information of her intentions to undertake further ‘mentor’ training to provide placements for overseas nurses. Another improvement to staff management shows the home is now well on the way to making sure all staff are getting formal supervision. When staff records were looked at it was seen that this responsibility has been shared between the senior team members. This system needs to be further improved to ensure the signatures of the staff involved are obtained. In addition, another necessary management improvement has been implemented. The system of how the monies held on behalf of the residents was looked at, it was seen that a method of double signatures had been introduced since the last inspection - though random checks of this system showed that not all staff were carrying this procedure out yet. The current safe working systems in the home has resulted in good accident recordkeeping, and the six monthly hoist servicing being carried out the day before the inspection. Never the less, additional health and safety issues described earlier in the report need to be worked at to show a consistent approach to this matter. The need to act upon excessive hot water temperatures and to be able to show staff have undertaken necessary health and safety training needs to be prioritised. The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 19 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 x 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 x 1 2 x 2 3 3 2 2 STAFFING Standard No Score 27 3 28 4 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 2 2 x 2 The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 20 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 OP7 Regulation 15, 13(4)(a) 15 Sch 3 (3)(p) 12(1) 13(1) 13(2) 17, Sch 4 13(3) Requirement Care plans must contain risk assessments for all aspects of resident care, including any equipment used for that person. Care plans must show evidence of resident /relative involvement when any equipment especially when it may restrain mobility. All care plans must include details of all aspects of a persons care needs, including wound management. Records must be kept to show when any prescribed dressings are used. Records to show how the home manages its complaints must be available for inspection at all times. The home must be free from unpleasant smells in all locations. (Previous timescale of 30/11/05 not met) All parts of the home including carpets must be kept clean. The registered persons must liaise with the appropriate professionals to ensure the ‘home made chair tipper’ DS0000022281.V266785.R01.S.doc Timescale for action 11/02/06 2 OP7 11/02/06 3 OP8 11/02/06 4 5 OP9 OP16 11/02/06 11/02/06 6 OP19 11/02/06 7 8 OP20 OP22 16(1) 23(2)(c,d) 23(2)(n) 13(7) 11/02/06 11/02/06 The Villa Nursing And Residential Home Version 5.0 Page 21 9 OP25 23(2)(p), 13(4)(a) 10 OP26 13(3) 11 OP29 19 12 13 OP29 OP30 19 18(1)(c) 14 OP35 13(6) equipment complies with the Restrictive Physical Interventions Policy for services in Shropshire. This equipment must not be used until written confirmation of approval has been sought, and is submitted to CSCI. All hot water outlets accessed by service users must be maintained at around 43 Degrees Centigrade at all times. (Previous timescale of 30/11/05 not met) Paper towels must be provided in areas where staff wash their hands after attending to service users. (Previous timescale of 30/12/05 not met) All staff records must contain all elements listed as required in Schedule 2 including medical clearance before they commence employment in the home. (Previous timescale of 30/11/05 not met) Staff must not be employed at the home until an enhanced CRB check has been carried out. All staff records must reflect that they have undertaken all mandatory health and safety training as well as specific training to meet the needs of the people living at The Villa. Systems to manage service users finances must be further developed to ensure double signatures confirm all transactions. (Previous timescale of 30/11/05 not met) Care staff records must have details to demonstrate they get supervision at least 6 times a year, which must include signatures of the staff involved. DS0000022281.V266785.R01.S.doc 11/02/06 11/03/06 11/03/06 11/02/06 31/01/06 11/02/06 15 OP36 18(2) 31/01/06 The Villa Nursing And Residential Home Version 5.0 Page 22 16 OP38 13(4) 23(2)(c) Systems in the home must be improved to show a positive safety culture exists, which shows staff have appropriate information instruction and training and act upon any health and safety concerns, including excessive hot water temperatures. 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP26 Good Practice Recommendations That the home requests the support of the Health protection agency to conduct an audit of infection control measures in the home in order to improve standards in the home. The Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE National Enquiry Line: 0845 015 0120 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 Villa Nursing And Residential Home DS0000022281.V266785.R01.S.doc Version 5.0 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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