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Inspection on 17/04/07 for Wellington House Nursing Home

Also see our care home review for Wellington House Nursing Home for more information

This inspection was carried out on 17th April 2007.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

We asked people who use the service what they thought the home does well and the following are some of the comments we received: "Nursing care, social activities, routine, meal planning, personal hygiene, liaison with family, calling in GP as needed, also from my observations they deal with death in a caring way, they have someone sit with the dying until the end" "Address issues we have promptly" "As a family we are very pleased that Grandma is living in Wellington House. She would not have lived as long as she has without their care." "We have always found the care excellent. Family visit most days and the staff are very caring." "Very fresh and clean all the time". "I do not always find the meal on the menu to be one I desire but there is always a choice which I can request in place of it."

What has improved since the last inspection?

Improvements have been made to the environment, which have helped to make the home a brighter and more pleasant place for people to live. An extra hoist has been provided and this has helped to reduce the time some people have to wait for help.

What the care home could do better:

There are no requirements following this visit. The home continues to provide a very good standard of care and the management team, through consultation with people who use the service and staff, are constantly looking at ways in which the service can be improved. We asked people who use the service how it could be improved. One person said "probably by having more staff on" and another said "I don`t feel improvement is needed they have a very high standard of care which I hope they can continue to maintain"

CARE HOMES FOR OLDER PEOPLE Wellington House Nursing Home 82-84 Kirkgate Shipley West Yorkshire BD18 3LU Lead Inspector Mary Bentley Unannounced Inspection 17 April 2007 09:30 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 Wellington House Nursing Home DS0000019860.V335112.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. Wellington House Nursing Home DS0000019860.V335112.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wellington House Nursing Home Address 82-84 Kirkgate Shipley West Yorkshire BD18 3LU 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) 01274 531244 01274 596573 Wellington House Nursing Home Limited Miss Alison Jane Pitts Care Home 33 Category(ies) of Physical disability over 65 years of age (33) registration, with number of places Wellington House Nursing Home DS0000019860.V335112.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: Wellington House is a Victorian property with a purpose built extension standing in its own grounds. The home has been established for 17 years and is registered to provide personal and nursing care to a maximum of 33 older people. The home has a no smoking policy. The home is situated close to Shipley town centre and is convenient for Bradford and Leeds. There are good public transport links. It is well maintained both internally and externally. Accommodation is provided in 21 single and 6 double rooms; 15 rooms have en-suite facilities. There are communal rooms on the ground and first floor and bathrooms and toilets are located throughout the home. There is a passenger lift and stair lift. The home has well tended gardens and a patio. Car parking is available in the grounds. In March 2007 the weekly fees ranged from £482.44 to £600.00. Additional services such as hairdressing and private chiropody are available at an additional cost. Wellington House Nursing Home DS0000019860.V335112.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 we made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate”, and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk The last inspection was in January 2006 and there was one requirement. We have not made any additional visits to the home since then. The purpose of this inspection was to look at how the needs of people living in the home are being met. I did this unannounced inspection in one day and spent approximately 8 hours in the home. During the visit I talked to people who live in the home, relatives, staff and management. I examined various records, observed staff caring for people and looked at some parts of the home. The home completed a pre-inspection questionnaire and the information provided was used during the inspection. Before the visit we sent comment cards to 17 people, (10 to people who live in the home, 4 to relatives and 3 to GPs). Comment cards give people the opportunity to share their views of the service with us. The information we get is shared with the home without identifying who has provided it. Thirteen were returned and the information provided has been used in this report. What the service does well: We asked people who use the service what they thought the home does well and the following are some of the comments we received: “Nursing care, social activities, routine, meal planning, personal hygiene, liaison with family, calling in GP as needed, also from my observations they deal with death in a caring way, they have someone sit with the dying until the end” “Address issues we have promptly” “As a family we are very pleased that Grandma is living in Wellington House. She would not have lived as long as she has without their care.” Wellington House Nursing Home DS0000019860.V335112.R01.S.doc Version 5.2 Page 6 “We have always found the care excellent. Family visit most days and the staff are very caring.” “Very fresh and clean all the time”. “I do not always find the meal on the menu to be one I desire but there is always a choice which I can request in place of it.” 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. Wellington House Nursing Home DS0000019860.V335112.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 Wellington House Nursing Home DS0000019860.V335112.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, 3 and 5. Standard 6 does not apply to this service. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are given good information about the service and every effort is made to make sure that the home will be able to meet their needs before they move in. EVIDENCE: Ten out of eleven people said they had been given enough information to help them decide if the home was suitable to meet their needs. People are encouraged to visit the home before making a decision about moving in. It is often relatives that make the initial visits because the people who need the service are not well enough to visit. One person said “Having been a visitor to a resident in the home for many years I know the high standards of care at Wellington House and I requested to come here”. Wellington House Nursing Home DS0000019860.V335112.R01.S.doc Version 5.2 Page 9 The records showed that the home carries out detailed pre admission assessments. They visit people and get information from relatives and other professionals to help them decide if they will be able to meet people’s needs before a place is offered. For planned admissions the home puts extra staff on duty to help new people settle in. However, this does not always work out as planned because of delays with hospital transport. An example of this was seen on the day of the visit, the home had asked for a morning admission but the lady did not arrive until late afternoon. Wellington House Nursing Home DS0000019860.V335112.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, 10 & 11 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s personal and health care needs are met in a way that respects their privacy and dignity and takes account of their wishes. EVIDENCE: I looked at the care plans of three people. The care plans have information on how people’s personal, health, and social care needs will be met and for the most part are reviewed monthly. The manager audits the plans regularly and where necessary reminds staff to keep them up to date. The care plans show that whenever possible people are consulted about how their needs will be met. When this is not possible relatives are involved in planning care. One care plan had a detailed list of food preferences, which had been provided by a relative. Most of the people we asked said they were kept well informed about changes affecting their relatives and/or friends. One person said “I live only about 2 miles away I visit most days but if I am on holiday I can phone and know I will be given an accurate report.” Wellington House Nursing Home DS0000019860.V335112.R01.S.doc Version 5.2 Page 11 One person said they were not aware of the care plan for their relative, with their permission this was discussed with the manager. Most people said they get appropriate care and support and have access to medical help when they need it. One person said “We have always found the care excellent.” The care records show that people have access to range of NHS services such as dentistry, physiotherapy, and speech therapy. Opticians visit the home annually and on request to carry out eye tests. When necessary the home gets advice and support from community based health care professionals such as the tissue viability nurse and the palliative care team. Risk assessments are in place dealing with falls, nutrition, pressure sores, moving and handling, and the use of bed rails. Where necessary care plans are in place showing how the risk will be managed. One person commented on how well staff deal with her relative who needs a hoist to help her move saying “ When she needs to be hoisted all staff are trained when she is in an awkward mood they pacify her sometimes getting her to laugh.” Weights are recorded at least every month and if necessary people are given food supplements and extra snacks between meals to improve their dietary intake. Medicines are managed safely and people’s right to refuse medication is respected. Screens are provided in all shared rooms. Working practices are in place to protect the privacy and dignity of people when they are being helped with personal care, for example screens are used in communal areas and “do not disturb” type signs are hung on bedroom doors. The home uses the Liverpool care pathway when providing palliative care for people. This is a recognised model of good practice for palliative care and helps to make sure that the needs of the dying person and their family/friends are dealt with in a sensitive and consistent way. Nursing and care staff have attended training on palliative care. Wellington House Nursing Home DS0000019860.V335112.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People living in the home are provided with opportunities to take part in a variety of social and leisure activities, to keep in contact with their friends and family and to exercise choice and control over their lives. EVIDENCE: Daily routines are flexible; people can choose whether to spend their time in their own rooms or in the communal areas. On the day of the visit a number of people asked to be helped to go out to the patio after lunch. The home offers a variety of activities however it is very much a matter of individual choice whether people take part or not. One person we asked about social activities said, “We are welcome to join in but my mother refuses to join in now; she has decided to opt out of all social activities”. Information about planned activities is widely available, in the newsletter and on notice boards in the home. People are consulted about the programme of social events in meetings and through questionnaires. Wellington House Nursing Home DS0000019860.V335112.R01.S.doc Version 5.2 Page 13 Representatives from the local Roman Catholic and Church of England churches visit the home and offer people the opportunity to join in Holy Communion services or to have shorter individual services in their rooms. Relatives said they thought the home was able to meet people’s different needs in relation to race, ethnicity, age, disability, gender, faith, and sexual orientation. One person said she uses the access bus to go to Baildon every week to meet friends and have lunch at the Methodist church. Another person was going to a family wedding at the weekend and went shopping with staff to buy some new shoes for the occasion. People said the food was good and there was plenty of choice, they said alternatives were always available if they did not like what was on the menu. The lunchtime meal on the day of the visit was nicely presented and looked appetising. The meal was not rushed and people were helped discretely when necessary. Plate guards and other similar aids were provided to help people eat independently. One person said “I have noticed since my mother can no longer eat food as prepared for others that it is liquidised for her but still presented in an attractive manner” People are given the opportunity to have special birthday lunches where they can choose their favourite meal and invite guests if they want to. Wellington House Nursing Home DS0000019860.V335112.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 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People can be assured that any concerns they have will be taken seriously and acted upon. People are protected and their rights are respected. EVIDENCE: The home has not had any complaints since the last inspection and none have been referred to us. People who use the service said they know who to talk to if they have any concerns and have been given information on how to make a complaint. The managers, (who are also the owners), are very involved in the day to day running of the home and deal with any issues as they come up so that people seldom feel the need to make formal complaints. One person we asked about the complaints’ procedure said “This was written in the information given to us when mother came to the home I have never needed to complain but I think a talk with the staff would be my approach rather than a written complaint should it ever be needed”. The manager is well aware of the local adult protection procedures and has used them when necessary. The majority of staff have attended adult protection training and the remaining staff are scheduled to attend training Wellington House Nursing Home DS0000019860.V335112.R01.S.doc Version 5.2 Page 15 later this year. Staff are given information on how to recognise and respond to abuse as part of their induction training. Staff were able to give examples of how people’s rights could be abused by poor care practices. Wellington House Nursing Home DS0000019860.V335112.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. 22, 24, 25 & 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is clean, pleasant, and comfortable. It provides a safe environment and is properly equipped to meet the needs of the people who live there. EVIDENCE: The home was clean and there were no unpleasant smells. People said the home is always fresh and clean. Many parts of the home have been refurbished and redecorated since the last inspection and more work is planned. This will include the refurbishment of the first floor lounge and an application has been made to request planning permission for a conservatory. The bedrooms are comfortable and most people had lots of their personal belongings including photographs, pictures, ornaments, and small items of furniture. Wellington House Nursing Home DS0000019860.V335112.R01.S.doc Version 5.2 Page 17 Door locks have not been fitted to all the bedroom doors but are fitted if people ask for them. When new people come in they are asked if they want a lock fitted and this is recorded. The requirement to fit door locks is outstanding from the last inspection. The manager has assured us that it will be done in the near future therefore it has not been repeated as a requirement from this visit. Special equipment, such as pressure relieving mattresses, is provided as needed. The home has purchased a new electric hoist and this has helped to reduce the time some people have to wait for assistance from staff. Call bells are available in all parts of the home. The call system has some extra units so that when people are sitting outside they are still able to summon help from staff. Wellington House Nursing Home DS0000019860.V335112.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 & 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Staffing levels are reviewed and adjusted to take account of the changing needs and expectations of people living in the home. Staff are supported in developing the skills and knowledge they need to meet people’s needs. EVIDENCE: Duty rotas are available for all staff. There is always at least one nurse on duty; there are 2 nurses at some times during the day. There are at least 6 care assistants on the morning and afternoon shifts and 4 on the evening shift. There are 3 or 4 staff on duty overnight. The home employs separate staff for catering and housekeeping duties and there is a handyman and an administrator. Most people in the home need a lot of support from staff; the manager is aware of this and reviews staffing levels regularly. She is in the process of introducing a shift from 10am to 6pm to give additional support during the day and help with the evening meal. Generally people were satisfied that staff were available when needed. Some people said the staff seemed to be very busy at times but they also felt confident that they would be helped as soon as possible. Relatives said they Wellington House Nursing Home DS0000019860.V335112.R01.S.doc Version 5.2 Page 19 thought that for the most part staff had the skills and knowledge they needed to meet people’s needs. The National Minimum Standards recommend that 50 of care staff are qualified to NVQ (National Vocational Qualification) level 2 or above, Wellington House has exceeded this; 54 of care staff have an NVQ. The staff files showed that the home has good recruitment procedures and the required checks are carried out before new staff start work. The home has appointed a care support worker to organise induction training for all new staff. New care staff are doing the Skills for Care induction standards. These are nationally recognised training standards designed to help new staff get the knowledge and skills they need to care for people. The home has an ongoing training programme and staff confirmed that there are lots of opportunities to develop their skills and learn new ones. As well as mandatory training such as infection control and moving & handling, training has recently been provided on subjects such as palliative care, malnutrition in older people, continence management, and wound care. The home has the Investors in People Award. This is a nationally recognised independent award given to organisations that can demonstrate an ongoing commitment to supporting and developing their staff in order to improve the quality of the service they provide. Wellington House Nursing Home DS0000019860.V335112.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, 32, 33, 35 & 38 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The management team provide strong leadership and work hard to create an open and inclusive atmosphere where people are encouraged to make decisions, exercise choice, and express their views of the service. EVIDENCE: The registered manager, Jane Pitts, owns and runs the home with her sister Sally Wigglesworth. They are both nurses with several years’ relevant experience. Staff said they feel supported, valued, and appreciated and clearly have a very high regard for management team. People using the service benefit from the open and positive atmosphere that this creates. Wellington House Nursing Home DS0000019860.V335112.R01.S.doc Version 5.2 Page 21 There are regular staff meetings where all aspects of the day-to-day running of home are discussed as well as ideas for improving the service. Residents’ meetings are held regularly and people are encouraged to give their views on all aspects of how the home is run. Notes of the meetings are available in the home. Information about these meetings is also included in the newsletter that is issued every 2 months. In March 2006 the home sent out general questionnaires asking people for their views of the service. Action was taken on any issues that needed to be addressed. Since then the home has sent questionnaires to people asking for their views on catering and recreational activities. Earlier this year Bradford Social Service contracts department surveyed the relatives of people living at Wellington House. The home was sent a summary of the responses and they were very positive, for example “well managed with staff that care” “very caring staff and home, I would recommend it to anyone” “food, everyone’s tastes are catered for”. The home holds small amounts of spending money for some residents. Receipts are obtained for any money spent on behalf of people and there are records of all transactions. Two signatures are recorded for all cash transactions this is good practice. The records showed that equipment is serviced and maintained at the required intervals. Checks on the fire safety systems are done weekly and staff receive regular fire safety training. The home has a health and safety group that meets every 3 months. Part of this group’s responsibility is to review all accidents and look at how they can reduce the risk of similar incidents happening again. Wellington House Nursing Home DS0000019860.V335112.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 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 3 X 3 X 2 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 X X 3 Wellington House Nursing Home DS0000019860.V335112.R01.S.doc Version 5.2 Page 23 STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Wellington House Nursing Home DS0000019860.V335112.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Wellington House Nursing Home DS0000019860.V335112.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!