Inspection on 16/04/07 for Werneth Lodge

This inspection was carried out on 16th April 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

Werneth Lodge 16/01/06

Werneth Lodge 21/09/05

Werneth Lodge 02/03/05

Werneth Lodge 25/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

SignHealth

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE Werneth Lodge 38 Manchester Road Werneth Oldham OL9 7AP Lead Inspector Michelle Haller Key Inspection 08:30 16 April 2007 th 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 Werneth Lodge DS0000005524.V333072.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. Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Werneth Lodge Address 38 Manchester Road Werneth Oldham OL9 7AP 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) 0161 624 4085 0161 284 3076 hilmof@lineone.net Werneth Lodge Limited Ms Hilda Moffett Care Home 42 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (21), of places Physical disability over 65 years of age (7), Sensory Impairment over 65 years of age (6) Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 21 OP up to 8 DE(E) up to 6 SI(E) and up to 7 PD(E). 16th January 2006 Date of last inspection Brief Description of the Service: Werneth Lodge is a residential home providing 24-hour personal care and accommodation for 42 service users over the age of 65 years. Werneth Lodge Ltd privately owns the home. It is situated approximately one mile from Oldham town centre and is close to local shops, a doctor’s surgery and pubs. Bus services are available close by, providing access to Oldham Town Centre or Manchester City centre. A cobbled driveway and garden area lead to the main entrance where a wheelchair lift is available. The home also incorporates what was once a coach house. Bedroom accommodation is available on both the ground and first floors. There are thirty-eight single bedrooms and two are shared. All bedrooms have en-suite facilities. Accessible toilets are situated close to bedrooms and communal areas. Access to the first floor is via a passenger lift. Bathing facilities include three assisted baths and one shower room. Communal areas are provided and include a number of quiet lounges, a sun lounge and a lounge designated as a smoking area. There is a separate dining room. Off the sun lounge there is a garden area with patio furniture available for service users. Werneth Lodge charges £313.89 to £338.00 per week. The Commission for Social Care Inspection report is on display outside the office. Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was completed over a period of ten hours. We did not tell the home we were going to visit. In the course of the inspection six care files and other records concerning the support and care of people in the home were examined in full. Policies, procedures and other documents concerning the running of the home were also examined. Four people using the service were spoken to and three relatives. Two members of staff were interviewed. The interactions between those using the service, their family and staff were also observed and the procedure for medication process was checked. A meal was sampled and a tour of the private and communal areas of the building was completed What the service does well: Werneth Lodge is homely and welcoming, there are a number of quiet areas that are enjoyed by those living there. Staff take a lot of effort getting to know people, they are diligent and take the time to make sure that health, social, and emotional needs are met. Group activities tend to be based in the home and those living in the home are happy with this. Staff are able to take people out individually. Service users in the home feel valued and respected as staff encourage individuality, and take an interest in their past and present achievements. Staff understand the principles of dignity, choice and respect. The staff have effective communication and foster positive relationships with family and friends. The management team are interested in knowing the views of all who are involved in the home including doctors, nurses and other care workers. Werneth Lodge is well-run, the manager keeps herself and staff up-to-date with the latest ideas in care. She co-operates with and is interested in the processes involved in improving and monitoring the quality of the service. Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 6 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. Werneth Lodge DS0000005524.V333072.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 Werneth Lodge DS0000005524.V333072.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 (6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service ensures that, it can meet the needs of those referred to the home. and that these people and their representatives receive information that will help them to make a decision about moving into the home. EVIDENCE: Six care files were examined, including that of the most recent admission, each contained an assessment either completed by senior staff or the referring social worker. General records also confirmed that senior staff had visited some people before they move into the home. Each file also contained comprehensive assessments providing a good picture of psychological and physical health needs and social interests and skills. Information included personal preferences in relation to meals and diet, Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 9 bedtime, how people wished to be addressed, communication, moving and handling needs and family contact. Each file contained a contract and documents signed by people moving in the home confirming that the routines of the home had been explained. A copy of the complaints procedure was also on file and signed to show that this had also been explained. People who were interviewed stated that they had been given the opportunity to visit the home and spend time there before making a decision about moving in. Comments concerned with this included: ‘…had two weeks respite in the home and then she decided to stay.’ And ‘We discussed different places and gave her a chance to choose.’ Werneth Lodge DS0000005524.V333072.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 excellent. This judgement has been made using available evidence including a visit to this service. People living at Werneth Lodge receive all their care based on their individual needs and, this is provided safely, in privacy and with dignity and respect. EVIDENCE: All care files contained care-plans that provided detailed information about the actions required to make sure that personal care, health, social and psychological needs were met. These documents were individualised and had been reviewed frequently and updated according to the changing needs of the service users. All routine health checks and care including dentist, optician, podiatrist, general health checks, flu vaccine and weight checks were up to date. People were wearing glasses and hearing aids. Case tracking confirmed that monitoring was effective and staff recognised when specialist appointment, such new referrals to the audiologist, was needed. Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 11 Correspondence and the care plans confirmed that specialist monitoring, and intervention was also provided through close contact with the district nurses, physiotherapist, continence nurse and dieticians. The home is currently revising the way in which weight and diet is monitored. Detailed food charts are not routine for those who have experienced a weight loss, however, it was possible to see that effective steps had been taken to maintain and increase the weight of those who were vulnerable to weight loss. Comfort and safety is promoted through the development of moving and handling risk assessments and care-plans. Staff were observed following these and using equipment correctly. Recent training provided to staff included understanding Parkinson’s disease. Medication administration record (MAR) sheets were examined and these were completed correctly and medication is stored safely. Pictures had been placed on individual sheets to aid with identification and prevent mistakes. Staff had received medication training, and a sample of the initials used to sign for medication was on display and in the medication file. There are no concerns relating to the storage of medication. Each person has an allocated key worker who takes responsibility to make sure specific task that promote comfort and well-being are completed. These include checking hearing aids and batteries, making sure glasses are clean and fit well, making sure that clothes and underwear are replaced and nail care. People were aware of having a key worker. The manager should consider adding the task of assessing whether slippers need to be replaced to this checklist. In the main people were neat and tidy and the hairdresser works in the home once a week. An improvement could be achieved in this area if the home could demonstrate that people had been offered the opportunity to be fully dressed, namely to wear tights, socks or stockings. Throughout the day it was observed that people were approached with patience and respect, staff listened to what people were saying and took steps to meet their needs and make sure they were comfortable, free of pain and distress. Comments relating to care included: ‘Staff are very good with her and they talk to her- she knows what’s going on.’ ‘Staff are very good here- no complaints at all.’ ‘If I have a problem I can go to the girls, and they’ll take me somewhere where I can talk to them privately.’ Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 12 ‘Night staff are nice- come in and talk to you- can’t be faulted.’ Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 13 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 and 15 Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. The service ensures that, for the most part, social, recreational and cultural activities, including meals and mealtimes, meet with the expectations and assessed needs of service users. EVIDENCE: The home assesses previous history and interests and it was observed that people were supported in completing activities that they enjoyed. The record of activities and discussion with people living in the home, their family and staff confirmed that a varied and frequent activities were organised with the aim of preventing boredom, and maintaining skills and promoting an interest in the world about them. Record identified those who had participated in activities which had included, sing-alongs, floor games, themed days, board and floor games and discussions Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 14 based around a display of items and pictures familiar to people as they grew up or during their life at work or as young adults. A luncheon club also takes place every other month and people are encouraged to join in with different activities including writing poetry some of which was o display in the home, this is organised by a local volunteers group. Service users stated that an entertainer had been provided at Christmas. The care staff and service users also stated that special calendar dates such as Easter, St Georges, St David’s, birthdays and special anniversaries were celebrated and that buffet teas and celebration cakes were provided. Newspaper cuttings indicated that the home commemorated important dates and made an effort to support people in joining in with community events, including raising money for charity. And in local events such as the quest to find the oldest ex-serviceman or woman in the local area, so that their story could be told. The activity on the afternoon of the inspection was listening to music from different decades. People were observed singing along, ‘conducting’ and tapping their feet in time to the music. Staff also encouraged people to dance if they wanted to. People said that they were satisfied with the activities provided by Werneth Lodge. Family and friends said that they always felt welcome in the home and able to visit at times convenient to them and those they were visiting. Comments concerning activities and visiting included: ‘…hasn’t done bad, she can have her done when she likes, she enjoys running the bring-and-buy sale and baking. I can come and go as I like-to visit which is a good thing.’ ‘There’s always something going on and recently one of the carers took her to a local supermarket to have a look around.’ Mealtimes in the home are unhurried and people can have their meals when they like. Breakfast was a choice of bacon and eggs, cereals, toast or any combination. During the morning it was noted that people came down for breakfast at different times. Hot and cold drinks and biscuits were served throughout the day, and people were able to ask for drinks when they wanted them. The menus indicated that a choice of traditional, nourishing, and mainly, homemade meals are provided. Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 15 Dishes included shepherds pie, mini roasts, steak pudding, lamb stew, cheese pie, sausage casserole, braised pork, mince and onion pie, fish and chips and other roasts, stews and pies. Desert included, fruit pies and flans, fresh fruit and milk puddings. People commented that if they didn’t like a choice on the menu then the cook would prepare something else. Daily records confirmed that the staff took note of food preferences and were offered food was liked. The mid-day meal was lamb cooked in gravy, green beans and mash potatoes. This meal was sampled. The meat was tender and people appeared to enjoy this and the pudding, which was rhubarb crumble and custard. Comments about the food included ‘They offer a choice of food- there are no complaints about the food.’ ‘The foods not bad- we get hot and cold drinks, a cooked meal and a selection of sandwiches at teatime. We get suppers as well.’ The dining room is pleasant and clean. Lunchtime was observed and this was and unhurried experience, and those requiring additional support were treated as individuals and supported with dignity. Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 16 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Werneth Lodge have access to a complaints procedure which demonstrated that people are listened to and their views taken seriously. EVIDENCE: Examination of the complaints record and incident files confirmed that issues were dealt with fairly and openly. The home has investigated an adult protection concern and daily records, incident sheets and notes taken during meetings demonstrated that it had been dealt with correctly. Discussions confirmed that those living in the home and their relatives felt confident that they could voice concerns with the manager and that they would be listened to. Two members of staff were interviewed and though clear about the action they would take if they suspected or witnessed abuse, they were less confident if a vulnerable person carried out the abuse. The homes ‘Dealing with Aggression’ and PoVA guidelines were also examined and these need to be updated. Certificates confirmed that staff had received POVA training from Oldham MBC training unit. The manager agreed to emphasis to staff that people using the service must be investigated as well as supported in respect of POVA issues. Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 17 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. The layout and physical design of Werneth Lodge meets the needs of service users and the home is well maintained and clean. EVIDENCE: During the course of the inspection a tour of private and communal areas of the home was undertaken. The home was clean and free from unpleasant odours. The majority of bedrooms were personalised and pleasant to be in. People had also been provided with televisions in their bedrooms. In the main furniture throughout the home was in good repair and clean. The accommodation was homely, well decorated and bright. The display cabinets and shelves holding ornaments added to the homely and welcoming Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 18 atmosphere in the home. Fresh-looking cut and artificial flowers were also set throughout the home. The achievements of the staff, and the arts and crafts and newspaper cuttings of people living in the home is on display. Improvements to the environment, since the last inspection, include the redecoration of seventeen bedrooms and two of the sitting rooms. The common areas and bedrooms that were examined were clean and free of unpleasant odours. Comments about the environment included’ I have a telly in my room and I have comfortable and nice bedroom’ and ‘It’s homely here’. Werneth Lodge DS0000005524.V333072.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Werneth Lodge provides staff in sufficient numbers, who are trained and able to promote the safety and meet the needs of those living in the home. EVIDENCE: On the day of inspection there were 32 people living in the home and the staffing compliment was the manager, four care assistants, a cook and housekeeper. The staff had a range of experience. All senior staff in the home have achieved National Vocational Qualification (NVQ) in care level 3, and 80 of staff have NVQ level 2. The deputy manager is in the process of achieving the registered managers award. Five staff files were examined and each contained: the original application form, two reference and confirmation that a criminal record bureaux check had been carried out by the home, additional proof of identity and a picture of the worker, supervision and training records. The most recent recruit had completed the homes induction process and the ‘common induction course’ recommended by the Skill for Care Council and provided by Oldham Council training unit. Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 20 Certificates confirmed that recent training undertaken by care staff included the following topics: manual handling, Oldham MBC Prevention of adult abuse training, administration of medication, health and safety awareness, Core values, food hygiene, Fire safety updates and appointed persons First Aid, dementia care, infection control, managing aggression, Yesterday, today and tomorrow-dementia care course and planning activities for older people. Service users and their relatives felt that staff were pleasant and helpful. Comments included: ‘ are very good here.’ And ‘Good staff.’ Werneth Lodge DS0000005524.V333072.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and there is an effective quality monitoring system in place. Health and safety concerns in the home are well managed. EVIDENCE: The manager is well motivated and keeps her skills up to date through attending conferences and courses concerned with managing a residential home and providing care. Meetings for those who live at Werneth Lodge are held about five times a year. Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 22 It was noted that ideas particularly relating to decorating the home, menus and activities are discussed. Quality monitoring is carried out yearly; questionnaires are distributed to those living in the home, their families, and health professionals including general practitioners. Satisfaction is checked through questions about the helpfulness of staff, choice, quality and amount of food, suitability of activities or other concerns. Comments included ‘everything is fantastic- we couldn’t ask for better care.’ Health professionals are asked about the staffs ability to follow instructions, knowledge and general attitude. Staff training is provided to promote health and safety this has included infection control training and appointed first aid training. Fire safety equipment had been checked and logbook records indicated that fire safety checks were carried weekly, and fire drill occurred regularly. Health and safety records were checked confirmed that a food hygiene inspection had been conducted, gas and electrical checks had been completed and, the passenger lift and hoist had been inspected and maintained. All recommendations made as a result of these checks have been carried out. Residents’ money is easily accounted for and a record is kept of all their income and expenditure. Werneth Lodge DS0000005524.V333072.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Werneth Lodge DS0000005524.V333072.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 OP18 Regulation 13(6) Requirement The registered person must make sure that all staff are provided with prevention of adult abuse training. Timescale for action 01/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Werneth Lodge DS0000005524.V333072.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Regional Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU 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 Werneth Lodge DS0000005524.V333072.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!