Inspection on 18/10/07 for Welbourn Hall Nursing Home

This inspection was carried out on 18th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Welbourn Hall Nursing Home 28/08/08

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Welbourn Hall Nursing Hall Hall Lane Welbourn Lincoln Lincolnshire LN5 0NN Lead Inspector Kathryn Emmons Unannounced Inspection 24th October 2007 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Welbourn Hall Nursing Hall DS0000070035.V346448.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. Welbourn Hall Nursing Hall DS0000070035.V346448.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Welbourn Hall Nursing Hall Address Hall Lane Welbourn Lincoln Lincolnshire LN5 0NN 020 8361 5348 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) Nish Thakerar vacant Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Welbourn Hall Nursing Hall DS0000070035.V346448.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home fall within the following category: 2. Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is 40. New service Date of last inspection Brief Description of the Service: Wellborn Hall Nursing Home is a privately owned care home for older people. The home has been converted and extended from a former Victorian house. This provides residents’ accommodation on two floors with a passenger lift giving access to the first floor. The home has large gardens around the exterior of the home and a large car park for staff and visitors. The home is situated in the small village of Wellborn, which has a village shop and is on a bus route between Lincoln and Grantham. The home provides accommodation for 40 people over the age of 65 who require either nursing care or personal care. There are 36 single rooms; and 2 shared rooms. Some of the rooms have direct access through patio doors to the garden areas. The home provides a choice of dining areas and sitting areas including a large sunroom. Charges made by the home for care at the time of the visit started at £318 per week for personal care only and increased depending on assessed needs. Welbourn Hall Nursing Hall DS0000070035.V346448.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the service took place on 24 October 2007. This visit was unannounced and took place over 5 hours. Care received by three residents was looked at in detail. This is a method called case tracking. This included looking at their personal records, a range of general home records and staff details. Residents were also spoken to including those whose care was not looked at in detail. Staff were spoken with and the care they provided was observed. Six residents and three relatives completed comment cards we sent to the service before the visit. We also received a completed self audit document completed by the manager to provide information before we did the site visit. We spoke with 3 residents and one relative during the visit to discuss their views of the home, and observed the care given to two other residents. We also looked at how the provider makes information about their service, including CSCI reports available to prospective service users. What the service does well: Residents are able to say how they want their care to be provided, and about the way they want to live their lives. They are able to speak directly to the acting manager and the provider when he visits the home. Relatives indicated through comment cards and from speaking with them that they are satisfied with how they are informed of resident’s welfare. One comment made was “Relatives are regularly consulted in open meetings and also encouraged to contact staff at any time”. Residents are give a healthy and balanced diet, and they have choice over the food they are given. Residents said they were very satisfied with the food they received. Residents also indicated they were satisfied with how their personal care, and health care needs are met. Activities are varied and all residents are provided with appropriate activities, a dedicated activities coordinator is employed and is motivated to engage all residents in the activities programme. Staff are enthusiastic and rare safely recruited for the jobs they do. Residents made very positive comments regarding staff and made comments such as “The staff are wonderful” and “I am very happy here I think that tells the lot”. Welbourn Hall Nursing Hall DS0000070035.V346448.R01.S.doc Version 5.2 Page 6 The environment except for one area of carpeting in a main corridor is in good repair, all areas are easily accessible for residents so they can maintain their independence with mobility. 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. Welbourn Hall Nursing Hall DS0000070035.V346448.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 Welbourn Hall Nursing Hall DS0000070035.V346448.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 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s have a wide range of up to date information available to them to make an informed choice about where to live. The pre admission assessment assures residents that their needs can be met within the home. EVIDENCE: The service has two up to date documents, which inform prospective residents and visitors of the service what they can expect at the home. These documents are called the statement of purpose and service user guide. One relative spoken to said their relative had been assessed before he came to live at the service. We couldn’t always find letters on file to show that the service confirmed in writing they could meet assessed needs, these need to be in place so residents can be confident their care needs can be met. Welbourn Hall Nursing Hall DS0000070035.V346448.R01.S.doc Version 5.2 Page 9 One resident and a relative spoken to said they knew information was in place about the home. It was evidenced that residents had contracts in place, which inform them of the service they could expect. The home offers respite care but does not provide intermediate care. Welbourn Hall Nursing Hall DS0000070035.V346448.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. Current care plans inform staff of residents needs but are not always updated regularly meaning that some details may not be accurate. Systems in place provide access to health care professionals. Medication arrangements are mainly adequate but the system for recording and reordering needs to be reviewed. Residents are treated with respect and their dignity is maintained. EVIDENCE: All of the residents have a care plan in place. The ones we looked at didn’t always show if the resident or their relative had been involved in producing the plan. One resident we spoke with said they remembered the care plan being discussed with them. A relative said they had been involved and remembered signing the care plans. Either the manager or the trained nurses write the plans. There are monthly review sheets and mainly care plans were reviewed monthly but we also saw a couple of changes in resident’s needs, which were not always clearly reported upon. The information in the care plans was in enough detail for the support to be given in a safe way. Welbourn Hall Nursing Hall DS0000070035.V346448.R01.S.doc Version 5.2 Page 11 Residents spoken with said they were sure a visiting optician came to the home. The acting manager confirmed this and a prescription for an eyesight test was in one of the files viewed. Dental needs are met by calling the out of hour’s clinic or visiting the resident’s own dentist. All of the comment cards received back indicated that residents were satisfied that their medical needs were met and residents and relative spoken to during the visit also confirmed this. From reading care records and talking with staff we were told that the district nurse comes to the home to provide nursing care such as blood tests and wound care when this is needed for those residents who receive personal care only, but normally the nursing staff will take blood tests and look after the care of wounds of residents who receive nursing care . We saw photographs and records to show that a wound care nurse had been contacted for advice. This means that the nurses keep themselves up to date with current practice so they can provide a good quality of nursing care. Trained nurses are responsible for ordering and dispensing medications. Daily record sheets which are signed when medication have been given were looked at. These showed that sometimes medication had been given but not signed for. We also saw on one occasion medications being put into a pot before being given to a resident rather than being taken straight from the original medication bottle. This means that residents may be at risk of not getting their correct medication, as the pots are not marked. We also saw that when more than one resident was on a liquid medication one bottle was used for all residents. This is not acceptable as each bottle of medication belongs to only the resident whose name is on the prescription label. A policy to follow regarding all aspects of medication kept in the home was on display and the two nurses spoken with said they had read this. There was a note of one medication not being ordered on time. This means that residents may be at risk of running out of medication. The new manager who was present during the inspection confirmed that a full audit of medication was taking palace and a new policy and procedure were being put in place to minimize any risk to residents when they receive their medication. Residents told us they were treated with respect and one said “They are wonderful and could not do more”. A relative told us “they understand that I like time alone with my husband so are respectful of that””. A carer was seen assisting a resident with using the bathroom in a discreet manner. Residents were seen to be spoken to in an appropriate and valuing manner Welbourn Hall Nursing Hall DS0000070035.V346448.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have control over their lives within the service and have a full and varied activities programme in place. Their dietary pretences are catered for and they are empowered to make decisions regarding how they spend their time at the service. EVIDENCE: Residents spoken with said that they felt they were given choice over all aspects of their life they gave examples of choosing when they took their meals, when they went to bed and what activities they joined in with. Residents said they met with the activities coordinator to discuss upcoming activity projects. We were also given a report by the activities co-ordinator and we could see that the wide range of activities available enables all residents to participate. Activities included bingo, dominoes, board games, painting and baking. Also decorations were being made for a forthcoming Christmas concert at a local church. Outside entertainers visit the home and there are opportunities for residents to attend activities outside of the home such as a pantomime and meals out. One comment card filled in by a relative of a Welbourn Hall Nursing Hall DS0000070035.V346448.R01.S.doc Version 5.2 Page 13 resident said “They take great care to involve her in the things she used to be interested in” and “Activities are arranged so residents can make a choice”. Religious and cultural needs are acknowledged and one resident is in the process of being supported by staff to be confirmed into the Christian faith. A local priest visits the home regularly and monthly a service was held for those who followed the Roman Catholic faith and Church of England faith. There is training in place for equalities and diversity and the policy was in place for staff to read. Residents said they enjoyed the food they received at the home and there was always a choice available. Comments included “I’ve put on weight the food is so nice”, a relative told us that they were able to have meals in the home with their relative if they requested this. Specialised diets are catered for such as diabetic and high fibre. Most of the food in the home is home made. A new chef has recently been recruited. During the visit we saw him speak with residents to check they had enjoyed the food he had prepared. We were told by the staff and the owner that the chef will be speaking to all residents to ensure they are involved in the meals chosen and that their preferences are catered for. Residents told us they were able to have snacks and drinks if they requested these. Fresh fruit was always available and residents told us they always had enough to eat. Welbourn Hall Nursing Hall DS0000070035.V346448.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The complaints procedure gives residents and their relative’s confidence that any concerns raised will be investigated. Residents are protected by the organisations safeguarding adult’s procedures but training needs to be updated to ensure staff have an awareness of how to protect residents from potential harm. EVIDENCE: All of the comment cards we received stated that residents and relatives were always satisfied that any concerns would be responded to. Since the service has been registered no complaints have been received. The complaints procedure is on display and included in the service user guide. Two residents and a relative spoken to said they were happy to speak to any member of staff is they had a concern but had not had reason to raise any issues. A comment card stated that the resident had “no concerns about the care it gives me” and “The best possible care, nothing is to much trouble and I know my husband is well cared for”. The training file we saw indicated that some staff had received training in safeguarding adults. We were told that there is an updated policy in place but we did not see this during the visit, and that training is being provided in this area in the near future to ensure all staff are up to date with this subject. Since the service has been registered no safe guarding adults issues have been raised. The new manager was clear on the action to take if any issue was Welbourn Hall Nursing Hall DS0000070035.V346448.R01.S.doc Version 5.2 Page 15 reported. A member of staff spoken to was given a safeguarding adult scenario and answered this appropriately. Residents spoken to and comment cards indicated that residents always felt safe living at the service. Welbourn Hall Nursing Hall DS0000070035.V346448.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. Residents live in a clean and comfortable home with adequate equipment and aids to promote their independence. EVIDENCE: Since the new owner has been registered a new laundry has been installed and a larger room is being made available for nursing staff to use as a treatment room. A tour of the ground floor of the service was carried out. The areas viewed were clean, odour free and tidy and no obvious hazards were noted. There are 3 main lounge areas and a separate dining area. Residents said they are able to take their meals where they chose. Welbourn Hall Nursing Hall DS0000070035.V346448.R01.S.doc Version 5.2 Page 17 To the front of the home there are landscaped gardens and residents have assess to the garden from their patio doors. Furniture and decoration was of a good standard and records were in place to show recent servicing of the lift and the transfer hoists. Those bedrooms viewed with residents permission were clean and of a good decorative standard. One resident said “I like my room very much its cosy and the girls keep it lovely for me”. Another comment card completed by a relative for their relative said” Great care is taken with keeping her room immaculate”. Welbourn Hall Nursing Hall DS0000070035.V346448.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 adequate. This judgement has been made using available evidence including a visit to this service. Safely recruited and enthusiastic staff care for residents. Staffing levels may not always be sufficient depending on the changing needs of residents and the skill mix of care staff. Training enables staff to have a skill base to provide care but training records are not up to date so it is not always clear what training has been provided. EVIDENCE: At the time of the visit there were two trained nurses and three care staff on duty. In addition the new manager was assisting with the visit. At the time of the visit there were 24 service users living in the service. These were receiving both personal care and nursing care. The duty rotas seen showed that there were normally 6 staff on a morning shift, 4 on an afternoon shift and 3 staff working a night shift. Two comment cards indicated that staff sometimes seemed “Overstretched” and “Always very busy”. Two staff spoken to said that staffing levels were “Ok in the afternoon but could do with an extra pair of hands in the morning”. One member of staff felt that the reason mornings were so busy was that a lot of new staff had started working in the service and were not as experienced as the staff who had continued to work in the service when it had changed to a new provider. Welbourn Hall Nursing Hall DS0000070035.V346448.R01.S.doc Version 5.2 Page 19 The new manager confirmed that staff skill mix was being looked at and that staffing levels were also being reviewed. Call bells that were activated by residents during the visit were answered promptly. Two residents spoken with said that “You call for help and the girls come as quickly as they can” and “I don’t normally have to wait long at all for help”. Three staff records were looked at. A member of staff recently recruited had had the necessary checks made such as Criminal Records Bureau check, and two references had been obtained. There was evidence of an induction checklist and a completed application form. Staff spoken with said that there were polices and procedures they were expected to read and follow but in the past six months there had not been a lot of training but that some staff had recently attended a Moving and Handling study day. The new manager said a full training programme was being implemented and that training had taken place but the training file had not been updated. We could see for files and from pre inspection information sent to us that staff were undertaking National Vocational Qualifications in Care (NVQ) and that a lot of training in mandatory subjects was covered in this training. Residents spoken with made very positive comments about the staff such as “the staff here are wonderful”, “I couldn’t ask for better”. Welbourn Hall Nursing Hall DS0000070035.V346448.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): 31,33,35,36 and 38 Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. Residents are protected by the services health and safety polices and procedures. The staff supervision system if fully implemented would enable the manager to assess the quality of care delivery by the staff. Quality assurance systems show how the service is run in the best interests of the service users. EVIDENCE: The service was registered in May 2007. At this time the existing registered manager was in post and continued to be the registered manager on registration of the current service. In the past month the manager has left and the deputy manager had been running the service. A new manager has now been recruited and assisted with the visit, along with the owner and a Welbourn Hall Nursing Hall DS0000070035.V346448.R01.S.doc Version 5.2 Page 21 registered manager from another of the owners care services. An application is being submitted by the new manager to be considered for registration. Residents said they could make suggestions regarding how the home operated and resident meetings are held. A quality assurance system is in place and a representative of the service visits monthly to produce a report on the conduct of the home. In addition the provider vistas at least weekly and is available via telephone contact. Residents said they were able to speak to the owner at their request. The deputy manager said that supervision sessions for staff had been taking place but recently these had not been happening due to work load and waiting on new nursing staff to join the team. The new manager was aware of this and confirmed that supervision sessions would be starting in the near future. The new manager confirmed that small amounts of money are held in the home for some residents. The system used for keeping monies was discussed and it was evidenced that it keeps residents monies safe. The Pre inspection information was completed which told us about updating of polices and procedures and maintenance records. We looked at a sample of these during the visit and saw that they were all up to date. Welbourn Hall Nursing Hall DS0000070035.V346448.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 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 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 2 2 x x x x x x 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 2 x 3 Welbourn Hall Nursing Hall DS0000070035.V346448.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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(2) Requirement Timescale for action 31/01/08 2 OP9 13(2) 3 OP18 13(6) Care plans need to be updated regularly so that residents current assessed needs can be met and are know. Medication arrangements 10/12/07 including recording of administered medication and individual use of prescribed medications need to be reviewed and improved so that residents are not at risk from medication systems. Training needs to be provided for 31/12/07 staff so that residents are not placed at potential risk from staff who are unclear on protecting residents from abuse and harm. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Welbourn Hall Nursing Hall DS0000070035.V346448.R01.S.doc Version 5.2 Page 24 Welbourn Hall Nursing Hall DS0000070035.V346448.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Welbourn Hall Nursing Hall DS0000070035.V346448.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!