Inspection on 16/01/07 for Wentworth Grange

This inspection was carried out on 16th January 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

Wentworth Grange 16/12/08

Wentworth Grange 13/01/06

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Wentworth Grange Riding Mill Hexham Northumberland NE44 6DZ Lead Inspector Suzanne McKean Key Unannounced Inspection 16th January 2007 10:00 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 Wentworth Grange DS0000063040.V307873.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. Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wentworth Grange Address Riding Mill Hexham Northumberland NE44 6DZ 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) 01434 682243 01434 682009 phyllislee@wentworthgrange.fsnet.co.uk Underwood Hall Ltd Mr Jeffrey Lee Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user is category MD(E). No further admissions can take place in this category without the prior agreement of CSCI. Date of last inspection 13th January 2006 Brief Description of the Service: Wentworth Grange is a detached purpose built home situated within its own grounds close to the centre of the village of Riding Mill. A single storey extension was previously part of the old home building and is now a standalone facility but remains part of the registration. Both parts of the home provides single occupancy accommodation. The new build part of the home has on suite facilities in all of the bedrooms. There are extensive landscaped gardens surrounding the buildings complete with water features and several sitting areas. There is a car park to the front of the building and access to the separate building is via a road around the main building. The home charges fees of between £380 and £600 per week depending upon the needs and requirements of the individual residents. As the home provides nursing care the free nursing care element of the funding is provided in addition to the costs charged to the resident. The home provides information about the service through the service user guide. A copy of the last inspection report from The Commission for Social Care Inspection is available in the entrance to the home. Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over six hours by two inspectors, Suzanne McKean and Jim Lamb, both of whom have visited the home on previous occasions. The manager Mr Lee was on duty during the visit and assisted the inspector with the inspection process. Twelve residents and eight relatives were spoken to individually during the visit; although the inspectors also spoke to six of the staff in process of the inspection visit. Records examined included, six care plans, training records and the records for complaints as well as the health and safety, accident and maintenance records. There were three requirements and no recommendations identified during this inspection. What the service does well: What has improved since the last inspection? There were three requirements and two recommendations identified during the last inspection all of which have been met. Medication records are completed appropriately. The records of fire training are in place although a recommendation has been made to have the night and day staff training identified as they are given training more frequently. Supervision is now being carried out at least six times a year and is being managed effectively. Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Wentworth Grange DS0000063040.V307873.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 Wentworth Grange DS0000063040.V307873.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes Statement of purpose and service user guide has been reviewed and up-dated to take into account the new premises and changes. It is available in different formats. Prospective residents and their relatives are invited to visit the home and are given enough information before they make a decision stay. Residents are appropriately assessed prior to moving into the home. Intermediate care is not provided. EVIDENCE: The homes Service Users Guide contained the full range of information required. Two service users interviewed confirmed that they had been given copies of the guide and one had a copy in their bedroom. Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 9 The Statement of Purpose has been reviewed and is now up to date with the recent changes. The information is also provided in large print and a DVD is available with some of the information. Six residents files were checked and on each were a copy of a full needs assessment carried out by the referring Care manager, for those service users who are self funding, the registered manager completes a detailed preadmission assessment. Care plans contained a range of appropriate information and one of the service user interviewed confirmed they were involved in drawing up both these initial assessments and the home’s subsequent service user plans. All prospective service users and their representatives are invited to visit the home to meet other service users and staff prior to admission to the home. The service users interviewed said their needs were met and they were happy with the care offered to them. Five relatives who were in the home during the visit said that they had been given sufficient information prior to their relative’s admission and that it proved to be accurate. Care plans were checked and staff members spoken to during the visit. These confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. Intermediate care is not provided. Wentworth Grange DS0000063040.V307873.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has comprehensive care plans. Individual care planning is undertaken and the care is being delivered in line with these plans. The residents are having their health care needs met. Staff treat residents with respect and maintain their privacy when they are caring for them throughout their daily life. There is a procedure in place for administering medication, which is followed. EVIDENCE: Six care plans were examined, they are up to date and in sufficient detail to allow the staff to used them to plan the care provided. A variety of assessment tools used, and the care plans are reviewed at least monthly. The manager monitors the care plans to ensure the standards are maintained. Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 11 The home is registered to provide Nursing care and the home has the necessary equipment to provide for the needs of the current residents. This included a number of intermittent pressure-relieving mattresses and patient hoists. A skin integrity assessment tool is used and all service users are assessed formally for their nutritional status. Residents are provided with services available to the wider community for example chiropody, dentistry and other therapeutic services according to assessed need. Residents are weighed regularly and staff make changes in the care provided to take into account any changes. No weight loss was noted in the care plans examined. Care plans include information regarding the cultural and religious needs of residents on an individual basis. This is evident in both the social and health care needs. Dietary needs are identified and met for those resdients who have requirements specific to their beliefs. The medicine records and systems were complete and staff was aware of the need to manage the medication systems effectively. Staff were seen knocking on bedroom doors prior to entering and residents interviewed confirmed that this was usual practice. They also said that they felt that they were offered privacy during personal care. Any examinations by medical or nursing staff are carried on in the resident room. Wentworth Grange DS0000063040.V307873.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 12, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are satisfied with the flexibility of their routines for daily living and activities, which are appropriate to meet their cultural, social, religious and recreational interests and needs. Arrangements for residents to maintain contact with their family and friends and the local community are suited to each individual’s needs and vary accordingly. The food being served is being prepared safely by knowledgeable staff and offers choice to the residents. The home offers the resident a balanced diet and there is sufficient quantity of both food and fluids to meet their needs. EVIDENCE: Residents are offered the opportunity to participate in community and home based activities. The home has use of a community mini bus for outings to local places of interest. The staff have arranged with the publishers of the local Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 13 newspaper to provide a weekly copy of their spreadsheet on audiotape. This is good practice. All service users are supported to maintain very close links with their families. During the visit a number of relatives were visiting the home and all of those spoken to were positive about the way they are welcomed and made to feel comfortable. All residents choose who they want to see and when. Residents were observed participating in a number of different activities. A number remained in their bedrooms and occupied their time reading or watching television or attending to personal correspondence. Daily routines encourage independence, choice and freedom of movement although some of the activities of daily living results in being in particular places at certain times of the day. The dinning rooms were particularly popular with residents who were sitting drinking tea. Regular service users meetings take place and these are well attended, all residents spoken to could identify the Manager, Mr Lee and said that they would approach him if they had any concerns. The staff team were interacting in a sensitive and respectful manner with service users during the visit and the residents confirmed that the staff respect their dignity. The atmosphere in the Hampton unit was friendly and welcoming. Although there was no formal activities going on during the visit there were a number of relatives visiting and the residents were occupied with chatting and socialising among themselves. The Home’s menus are based on the known likes and dislikes of the service users. At least three hot meals are provided on a daily basis. The menus appeared varied and nutritional, special diets are provided as needed. The service users said that the food was very good and they confirmed that a choice is always available, two said that the food was better on some days than others but felt that this would always be the case in shared accommodation. They however confirmed that they could have something that was not on the menu if they asked. The kitchen was found to be well-organised, clean, and tidy with ample stock levels including fresh vegetables and a good selection of fruit. The catering staff maintains appropriate checks as required. There was an extensive supply of good quality food available. The chef was knowledgeable about fortifying the food for those residents who are at risk of loosing weight and there was a good supply of butter and full fat cream to assist in achieving this. Fresh fruit was available throughout the home and residents said that they were encouraged to have a healthy diet. Wentworth Grange DS0000063040.V307873.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 inspected at least once during a 12 month period. 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. The home informs residents and relatives about the complaints policy. This deals with complaints, which are investigated with action taken to address any issues identified. The home protects the residents from abuse by having a policy in place and by training staff in how to recognise and react if abuse is suspected. EVIDENCE: The complaints policy is in the service user guide and is displayed in the home. Three residents were asked specifically about how they would make a complaint if they wished to do so. They were all clear about the complaints procedure and said that they would not be worried about speaking to a member of staff if they had any concerns. All residents spoken to during the visit said that they knew Mr Lee, the Manager, and would speak to him when he tours the home as he frequently did. Records of recent complaints were examined and competed in detail. The home has policies and procedures in relation to the prevention of abuse and whistle blowing; the staff are trained in these areas of practice, which is included in the induction programme and the ongoing in house training programmes. Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 15 There has been one Adult Protection investigation in the last twelve months. The home participated in the process in a professional way and the outcome was that the resident was receiving a good standard of care while in the home. No action was necessary as a result of the process. Wentworth Grange DS0000063040.V307873.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides excellent facilities it has been constructed to a high standard and is suitable to meet the collective needs of the service users. The decoration and furnishings are of a good standard resulting in the home being a pleasant environment. The Hampton Unit is undergoing some upgrading of the bathrooms and there are plans to decorate and replace the carpets to the lounge and entrance area. The bedrooms are particularly spacious and well decorated and furnished to give the residents a pleasant personal space. The home has policies and procedures for the maintaining of a clean and hygienic environment, and the control of infection, which are known by the staff. Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 17 EVIDENCE: The building is of a high standard; it was odour free and was tidy and well organised. The decoration is modern and the home has a feeling of spaciousness and has good natural light. The service users interviewed did say it was homely and comfortable. The grounds were tidy, safe, highly attractive and accessible. One of the residents explained that she enjoys a daily outing around the gardens using her wheelchair when member of the care staff assists her. The fire service and the environmental health department had made visits to the home. Requirement made by these organisations had been met prior to the registration of the home. Service users can see visitors in private in their own rooms and the dining areas are large enough to cater for all service users. There are smoke-free sitting rooms. Furnishings and fittings were domestic in design and in good condition. The lighting was sufficiently bright and also domestic in design. The home does have a sufficient number of baths, showers and toilets. These were close to bedrooms, lounges and dining areas and the doors had privacy locks. Room sizes exceed the minimum required. Room dimensions were such there was space on either side of the bed when necessary to enable access for carers and specialist equipment. Service users’ bedrooms checked all had opening windows. The rooms were centrally heated (under floor heating throughout the building) and the heating level could be controlled within each bedroom. All bedrooms have a telephone point. Lighting levels were sufficient and there was emergency lighting throughout the home. Water is stored at over 60°C. Valves are in situ at water outlets to ensure water is provided close to 43°C to prevent scalding. The home was clean and free from offensive odours. The laundry facilities appeared to be very well organised. The washing machines have the specified programme to meet disinfection standards. The Hampton Unit is the only part of the home remaining since the new build was completed. It is very homely and has had a significant amount of Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 18 redecoration. However the carpet in the entrance and main lounge is in need of replacement to maintain the high standard set by the rest of the home. It is a high use area and therefore becomes dirty easily. Bathrooms in this unit are currently being improved to offer the residents a better standard of facilities and offer greater choice. Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is staffed with appropriate numbers of staff and there are qualified nurses on duty in sufficient numbers to meet the needs of the residents. The staff are recruited and selected using a system, which ensures that they are able to care for the residents and have not been identified as posing a risk to their welfare through Criminal Record Bureau and the Protection of Vulnerable Adults List. Training is provided to the staff covering both statutory and clinical issues and is up to date except for theoretical moving and assisting training, for which there is a plan identified. EVIDENCE: Staff records examined were completed in line with the company policies and procedures, including two references and a completed application form. The requirement to have a CRB and POVA check in place is applied to all of the staff in the home. The training records maintained by the Training officer to allow her to plan for training was examined, it was very clearly maintained and offered a good Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 20 system. However, although there is evidence of a significant amount of training in both statutory and clinical areas of practice not all staff are receiving training in line with the company policy and statutory requirement for moving and assisting. Staff have received practical moving and assisting training as part of the induction process and updates have been given. However the theoretical training has not been given to all staff. Staffing rotas showed that the Manager is ensuring that enough staff are on duty to meet the staffing levels set down prior to the change to the CSCI without reduction. It was noted that when sickness and staff holidays occur home staff usually covers it. Late reporting of sickness does occasionally result in fewer staff being on duty for short periods. On the day of the visit there were two qualified nurses on duty all day, five carers in the morning six in the afternoon and four in the evening. The Manager was on duty from nine till five. There were sufficient domestic, catering and laundry staff on duty. Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed; service users heath and welfare are promoted and protected. The environment is maintained and was safe and well organised. Resident’s personal finances are managed appropriately by the home as necessary. Staff supervision is up to date and in line with the homes policies. Although the Manager uses a variety of ways of considering Quality assurance in the home it is not currently recorded in a comprehensive way, which assist in the development of the annual development plan. EVIDENCE: Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 22 Staff interviewed were clear about the their responsibilities. Those spoken to were positive about the management systems saying they were encouraged to contribute to the development of the service. The organisation has a range of appropriate policies and procedures, which have been linked to the National Minimum Standards. There are a number of ways that the Manager considers the quality of the service being provided. This includes regular tours of the building, when he speaks to residents and relatives and visitors. There has been recent questionnaires completed by relatives regarding their level of satisfaction the results of which were examined. The manager spends time examining the documentation in the home and records of staff meeting suggest that any issues identified are addressed with staff as necessary. More resident and relative questionnaires are planned. Formal audits have been carried out in the past but are not up to date. Although the elements which would form the Quality Assurance process are mostly in place. However it is not yet a formal strategy and would need to be improved further to allow it to be used effectively to assist in developing the annual development plan. The Manager confirmed that this is something he is working to improve and is currently addressing it. The records inspected were appropriately completed, these included the fire logbook, accident book, personal allowance records, Health and Safety manual, and there was information, which verified that appropriate maintenance contracts for the home are in place. Water storage tanks, gas and electrics are checked annually. The individual fire training records for staff did not identify if they worked days or nights and it was difficult to ascertain if they had received fire training in line with the guidance, although on close examination they had. The Manager agreed to address this issue. The records of the residents personal finances were examined and were being kept in detail with records of money spent being signed by either the resident their representative or by two staff. The receipts and the recordings were present as necessary. Finance records have previously been forwarded to the CSCI to verify that the home is viable. Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 23 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 3 Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 24 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 OP30 Regulation 18 Requirement All staff must receive initial and updates in moving and handling training, including the theoretical and legal aspects. The quality assurance mechanism must be developed further as planned. Timescale for action 01/04/07 2. OP33 24 01/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP19 Good Practice Recommendations The carpet in the entrance and main lounge in the Hampton Court Unit should be replaced as planned. Wentworth Grange DS0000063040.V307873.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wentworth Grange DS0000063040.V307873.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. 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