Inspection on 28/12/07 for Warmley House Care Home

This inspection was carried out on 28th December 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.

Other inspections for this house

Warmley House Care Home 30/04/07

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Warmley House Care Home Tower Road North Warmley South Glos BS30 8XN Lead Inspector Melanie Edwards Unannounced Inspection 28th December 2007 10:15 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 Warmley House Care Home DS0000068328.V354914.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. Warmley House Care Home DS0000068328.V354914.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Warmley House Care Home Address Tower Road North Warmley South Glos BS30 8XN Telephone number Fax number Email address \ Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0117 9674872 0117 9610581 warmley.house@fshc.co.uk Lunan House Limited Mrs Janet Molly Goodfellow Care Home 58 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (48) of places Warmley House Care Home DS0000068328.V354914.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate up to 18 persons aged 65 years and over requiring personal care only. May accommodate up to 30 persons aged 50 years and over requiring Nursing Care. May accommodate up to 10 persons aged 65 years and over with Dementia (DE) (E) that require personal care only. 30th April 2007 Date of last inspection Brief Description of the Service: Warmley House nursing home is registered for 58 persons. It can accommodate up to 18 persons requiring personal care only and up to 30 persons requiring nursing care. A small unit within the residential section has recently been registered for up to ten people aged 65 years and over suffering from dementia and requiring personal care. Four beds are contracted for the emergency admission of residential or nursing clients from the community, who require a short period of care. This is arranged by the Hospital at Home team, who provide any nursing care required. The home is divided into two sections - the residential area situated in the Victorian house and a purpose-built nursing wing. Accommodation is offered in single and one double room, many of which have en-suite facilities. Each area has its own lounge and dining room. The home is situated in gardens and woodlands. The fee ranges to stay at the Home are from £380 to £605 a week. Warmley House Care Home DS0000068328.V354914.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We (the Commission) met thirty of the fifty-seven residents living at the Home. We spoke to Mrs Goodfellow who is the registered manager, one registered nurse, seven care assistants and one chef about roles, responsibilities, training needs, and how they assist residents. Staff were observed assisting residents with their needs. The lunchtime meals were observed being served. A selection of records relating to the running and management of the Home were looked at. Six resident’s care records and care plans were checked. The majority of the environment was seen and the only areas that were not checked were a small number of bedrooms. A `Thematic Inspection ’ that focused on finding out if residents are cared for with dignity on the Dementia Unit, was carried out in September 2007. Some of the information from that Inspection has been used to form the overall judgements in this report. Sue Fuller a Pharmacist Inspector carried out an inspection of medication standards in the Home in October 2007. A copy of the report of the inspection is available by contacting us directly. The Home was operating within the required conditions of registration set down by the Commission. The conditions of registration detail the type of care and the needs of residents, and the numbers of residents who may stay at the Home. What the service does well: Residents’ needs are being well met by the staff who work hard supporting and caring for them. One relative of a resident at the Home said, ` Mum is treated as an individual and her personal preferences are respected ’. Residents’ care plans and assessment records are mostly informative and, demonstrate needs are met. Warmley House Care Home DS0000068328.V354914.R01.S.doc Version 5.2 Page 6 The care staff are doing a variety of care related training. Registered nurses keep up to date in clinical matters to assist and support them in their work. Residents are provided with a good standard and variety of food. There is a varied range of social and therapeutic activities put on for residents both in the Home. 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. Warmley House Care Home DS0000068328.V354914.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 Warmley House Care Home DS0000068328.V354914.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 ,6.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are thoroughly assessed. Prospective residents can get hold of the information they need to make an informed choice about living at the Home. Residents are provided with a statement of terms and conditions that set out the service they will be provided with, and what they will pay for it. There are no residents receiving intermediate care at the Home. EVIDENCE: Warmley House Care Home DS0000068328.V354914.R01.S.doc Version 5.2 Page 9 To find out what information there is available for people to find out about the Home and the service is provided, a copy of the service users guide and statement of purpose were read. There are copies of the guide, and the statement of purpose in the hallway of the Home so that people have easy access to information about the Home. The complaints procedure is in the service users guide so that residents know how to complain about the service. The guide includes photographs of the Home, and the community. In the statement of purpose there is information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs is included. However the statement of purpose does not explain the reasons for the use of keypad entry systems on the first floor. This should be included in the statement of purpose, to demonstrate the reasons why residents who have Dementia need this protection. A copy of three residents and terms and conditions for their stay at the Home were looked at. These are completed when residents are admitted. The terms and conditions include the fees charged, the service provided as well as the conditions that will apply while living at the Home. Six residents assessment records were read to find out how well residents’ needs are assessed. There were assessments in place for each residents nutritional needs, mobility needs, continence needs, risk of falling, mobility needs, and their skin vulnerability and the risk of pressure sores. The assessment records were informative, and showed the residents had been consulted with to find out about their range of physical, mental and social needs. However one resident’s mobility assessment did not reflect their current needs. The persons mobility had reduced and this was not reflected in their assessment record. Warmley House Care Home DS0000068328.V354914.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): 7,8,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ care plans demonstrate how needs are met. Residents are treated with respect and their privacy is upheld. Medication practices and procedures were mostly satisfactory when Inspected by us in October 2007. EVIDENCE: Six residents care plans were reviewed to find out how residents care needs are met. The care plans contained clear, useful information to show how to meet the residents’ physical, psychological social, communication and needs. The care plans had been reviewed and updated on a sufficiently regular basis. This shows residents care needs are being monitored and kept under review. Sue Fuller a Pharmacist Inspector inspected medication standards in the Home in October 2007.Medication standards had been found to have improved, since the previous Inspection .A copy of the report is available from us on request. Warmley House Care Home DS0000068328.V354914.R01.S.doc Version 5.2 Page 11 As was quoted in the ‘thematic Inspection’ report and is still applicable now: ‘ A dementia care specialist employed by the company which owns Warmly House, has recently carried out an assessment of the service provided, and how it impacts on people (Dementia Care Mapping). All staff have now received specific dementia care training. Staff were able to explain how they had used this training, and the Dementia Care Mapping findings to improve the way they worked with people who use the service. The staff had a good awareness of people’s individual needs and how to meet them. One person became increasingly agitated over lunchtime. It was apparent that other residents found this unsettling. Staff were able to calm this person’s agitation, whilst attempting to reassure the other residents. The strategies they used were clearly documented in the care records. People’s interests and preferences were well documented in the care records. One person preferred not to wear anything on her feet. Staff had completed an assessment of the risks this posed, and were able to explain what they did to make sure that she did not hurt herself ’. Many residents spoke very positively about how they feel staff help them to meet their needs. The staff also demonstrated a good understanding of the information in the care plans .The staff were supporting residents in the manner stated in their care plans. The staff were observed carrying out their duties in the Dementia unit, the residential unit , and the nursing unit . Staff were seen helping residents and supporting them in a kind, patient, and respectful way Warmley House Care Home DS0000068328.V354914.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): 12,13,15.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to take part in a varied range of social and therapeutic activities. Residents are provided with a varied well-balanced appealing diet. EVIDENCE: The Home employs a full time activities coordinator who organises a variety of social and therapeutic activities for residents to take part in. The Home had been decorated with Christmas decorations and Christmas trees. A range of Christmas activities had been put on over the festive season including a Christmas party, as well as carol singers with mince pies and Sherry. A number of residents said how much they had enjoyed the Christmas party at the Home. There is a timetable of social activities on display in the Home. This helps to ensure residents are aware of current activities taking place in and out of the Home. Residents can take part in a range of social activities as well as trips out to the local community. Warmley House Care Home DS0000068328.V354914.R01.S.doc Version 5.2 Page 13 The Home has a relaxed and flexible visiting policy so that residents can keep in contact with family and friends if they wish to . Residents were observed receiving visits from their family and friends. Visitors said that the staff are welcoming and friendly. There is a hairdresser who attends to hair, and cuts and `sets’ hair while residents are at the Home. The resident’s menu was inspected to find out if residents are provided with a varied and well balanced diet .The choices seen were nutritionally well balanced and varied. There are at least two choices available each day. This demonstrates residents are offered a good variety of meals. A portion of lunch was tasted to check on the quality of the food. The meal choices were either battered haddock with chips and peas, or cod in parsley sauce with vegetables. This was followed by dessert of homemade fruit tart with custard, or fresh fruits, or yoghurts. The meal was tasty and satisfactorily presented. There were alternative meals options being served to residents who are on special diets. Residents who needed help to eat their lunch were being assisted in a discrete way by staff. Residents who were asked said the food they are provided with is, ‘good’ or, `very good’. Warmley House Care Home DS0000068328.V354914.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): 16,18.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse by the staff training, and the Homes procedures . Residents’ complaints about the service are responded to promptly. EVIDENCE: There is a copy of the complaints procedure on display in the Home. Residents are given their own copy of the complaints procedure with the service users guide. This means residents have the information they need to make a complaint. The complaints procedure includes the up to date contact information for the Commission if a person wants to contact us directly. Residents said that they see Mrs Goodfellow regularly and she walks around the Home to see them. There are residents meetings held in the Home. The minutes were seen of the last residents meeting. The minutes showed residents are consulted in the Home and are given the chance to express any views they may have. There is a policy in place relating to the issue of protection of vulnerable adults from abuse. The policy is to help to guide staff to take the correct course of action if they ever have to respond to an allegation of abuse. Warmley House Care Home DS0000068328.V354914.R01.S.doc Version 5.2 Page 15 The staff spoke knowledgably about the subject of abuse and how they protect residents in the Home. The staff do regular training in the understanding of the principle of the protection of vulnerable adults from abuse. Warmley House Care Home DS0000068328.V354914.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 ,23,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home is safe, mostly satisfactory maintained and suitable to for residents needs. EVIDENCE: Warmly House Care Home is an older property built over three floors, and there are stairs and a lift to each floor. The Home is run as three different Units. There is a Nursing side, a residential Unit and a Dementia Unit. The building is over one hundred years old. It is located in a residential area of the suburb of Warmly. It is near local shops, a church, and local bus route. The majority of bedrooms are for single use. Rooms were satisfactorily decorated and maintained. The environment was generally clean and tidy throughout. Warmley House Care Home DS0000068328.V354914.R01.S.doc Version 5.2 Page 17 Bedrooms have been personalised to reflect the tastes of residents with photographs, mementos and small items of furniture. The standard of furniture and fittings is satisfactory and residents asked said they liked the environment and setting of the Home. There is a dining room, and lounge located in each Unit of the Home. Residents were observed sitting in communal areas looking very relaxed and comfortable in the surroundings. The environment was clean and satisfactorily maintained. The Home was well ventilated and warm with plenty of light. However the extractor fan in the kitchen is not working (a quote for this work to be done has been obtained). The fan is used to minimise strong odours from the kitchen. The smell of food cooking is particularly noticeable when food is being fried. The radiators had been fitted with guards throughout helping maintain residents’ health and safety, so that they do not risk burning themselves. Specialist equipment and adaptations are in place throughout the Home, to assist residents and visitors who may have reduced mobility. Accessible toilets are located close to the dining rooms and lounges. The bathrooms and toilets were clean and well maintained and were free of any unpleasant odours. Domestic staff were observed cleaning the Home. Residents said a good standard of cleanliness is being maintained. There was soap and hand-towels available in the toilets and bathrooms to minimise the risks of cross infection in the Home. Warmley House Care Home DS0000068328.V354914.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): 27,29,30.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are cared for by a sufficient number of competent trained staff. The Homes recruitment procedures are safe and protect residents. EVIDENCE: The number of nursing and care staff on duty was reviewed to find out if residents’ benefit from a sufficient number of staff to meet their needs. There is a minimum of two registered nurses on duty and eight care assistants in the morning, and one registered nurse and seven care assistants in the afternoon. At night there is one registered nurse and five care assistants on duty. The staff spoke knowledgably about the needs of residents and how they must help and support people in the Home. Mrs Goodfellow works nine to five hours, and she also works alongside the registered nurses and care staff to ensure she keeps up to date with matters in the Home. There are full time catering, domestic and laundry staff also employed although the number of these staff was not reviewed at the inspection. Warmley House Care Home DS0000068328.V354914.R01.S.doc Version 5.2 Page 19 The staff employment records of three new care staff were looked at. The staff had two written references taken up before they started work. All the staff had had a Criminal Records Bureau Checks and ‘Protection of vulnerable adults from abuse first’ checks carried out on them before they started work. This is to ensure staff are judged to be suitable to work with vulnerable people. Staff have done relevant training outside of the Home. There are also trainers who come to the Home and talk to staff about a range of relevant clinical and general issues relevant to residents’ needs and the running of the Home. The staff training plan for registered nurses and care assistants was looked at to see if staff will be keeping up to date in their knowledge and competency. There was evidence that demonstrated staff had attended clinical training sessions, and updating over the last twelve months There was also evidence staff were booked to go on a variety of training courses over the coming months In discussion with staff the staff it was evident they have a good understanding and awareness of residents range of needs. Staff also conveyed an enthusiasm to undertake training relevant to the work they do. Warmley House Care Home DS0000068328.V354914.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): 31,33,37,38.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Mrs Goodfellow runs the Home in residents best interests. Residents and staff health and safety is being protected in the Home EVIDENCE: Mrs Goodfellow is the registered manager and has a number of years of experience working in care Homes at senior levels .She is a first level registered nurse and has been the registered manager of the Home for three years . This demonstrates Mrs Goodfellow is fit and suitable to run a Care Home. Mrs Goodfellow and the maintenance worker take responsibility for health and safety matters in the Home. They carry out regular health and safety audits of Warmley House Care Home DS0000068328.V354914.R01.S.doc Version 5.2 Page 21 the environment to ensure it is safe throughout the Home. The environment looked satisfactorily maintained throughout. There are health and safety policies and procedures in place for staff to follow. These are to ensure the health and safety of residents and staff is maintained. Health and safety practices in the Home are addressed with all new staff as part of their induction to the Home. A selection of recent accident forms were inspected to find out what action is taken after residents have an accident in the Home. The accident records showed registered nurses record in detail the nature of the occurrence, and all follow up action over a period of days after the event. To further safeguard residents the manager and a health and safety manager audit and monitor all accident records. The fire logbook was checked and showed weekly tests of fire alarms being carried out. The fire fighting equipment is being checked regularly, thereby helping to maintain the safety of those in the building. There is a record to show staff had attended fire safety update training in the last twelve months to ensure they are aware of fire safety procedures. To protect all residents there is a fire safety risk assessment of the environment. The assessment is carried out to try and minimize fire risks in the Home. Warmley House Care Home DS0000068328.V354914.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 X 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X 3 3 Warmley House Care Home DS0000068328.V354914.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 4. (1) Requirement The statement of purpose must set out the reason for the use of keypad entry systems on the first floor. The resident identified at the inspection must have an up to date mobility assessment carried out. This is because the persons needs have changed considerably and this has had a significant impact on their mobility. For environmental health reasons, the extractor fan in the kitchen must be repaired or replaced. Timescale for action 28/01/08 2. OP3 14. (2) 10/01/08 3 OP25 23.2(p) 28/02/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard OP19 Good Practice Recommendations 2. Residents’ environment would be improved if a DS0000068328.V354914.R01.S.doc Version 5.2 Page 24 Warmley House Care Home Warmley House Care Home DS0000068328.V354914.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Warmley House Care Home DS0000068328.V354914.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. 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