Inspection on 05/12/06 for Westcliffe Care Home

This inspection was carried out on 5th December 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Westcliffe Care Home 10/01/06

Westcliffe Care Home 29/09/05

Westcliffe Care Home 15/02/05

Westcliffe Care Home 12/05/04

Westcliffe Care Home 16/03/04

Westcliffe Care Home 30/09/03

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Westcliffe Care Home Westcliffe Country House 78 Shelford Road Radcliffe-on-Trent Nottingham NG12 1AW Lead Inspector Karmon Hawley Unannounced Inspection 5th December 2006 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 Westcliffe Care Home DS0000008819.V310977.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. Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westcliffe Care Home Address Westcliffe Country House 78 Shelford Road Radcliffe-on-Trent Nottingham NG12 1AW 0115 9335 197 0115 9110089 vanceowen@fiskertonvcb.net 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) Mr Vance Lloyd Garnet Owen Mrs Beverley Owen Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 Brief Description of the Service: Westcliffe is a converted and extended period house set in the pleasant village of Radcliffe on Trent and is near to local amenities and is set in well-maintained grounds. The conversion has been sympathetic to the character of the building and the home is decorated to a satisfactory standard and provides a welcoming, homely feel for service users and visitors. Radcliffe on Trent is supported by rail, bus and road networks. The home provides care for nineteen older people with personal care needs in single and double rooms, some with ensuite. There is a large dining, seating area and a conservatory sitting room. The grounds to the rear of the property are inviting, well kept and accessible. There is a passenger lift and levelled areas throughout the home to enable access for service users with disabilities. Within one area of the home there are steps due to the nature of the house, therefore mobile service users occupy this part of the home. The current weekly fees are £400; this includes all services with the exception of dry cleaning. The manager said that this information is made available on enquiry. Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place in four and a half hours and was performed by one inspector. The main method of inspection was case tracking, this is a method of sampling the records of three randomly selected service users to ascertain if the needs of service users are appropriately assessed and identified needs are being catered for by the home to maintain optimum health and wellbeing of the service user. Five service users and two relatives were spoken with during the inspection so as to give the inspector an insight into the conditions and standards within the home. All were satisfied with the care received and the standards within the home. The managers’ assisted in the inspection process and two staff members were spoken with. The inspection included a thematic enquiry as part of a national pilot scheme. This consisted of asking a number of standardised questions to a sample of the residents. The registered person was informed and the agreement of residents was sought before asking a set of questions about the care they received. What the service does well: A warm and welcoming environment remains evident on entering the home. There was evidence of a good relaxed rapport between staff, service users and relatives. Service users spoken with spoke highly of staff and care received and said that staff were very kind, caring and respectful. They also spoke highly of meals on offer and said that food was plentiful. Relatives spoken with spoke highly of the home and care offered. Staff spoken with were able to demonstrate kindness, compassion and respect for service users. Staff were observed to treat service users with respect at all times. Activities are offered as service users wish and service users spoken with said that these were enjoyable and they may choose how they spend their day. Monthly service users meetings are held to ensure that service users opinions are taken into account and listened to. Westcliffe Care Home DS0000008819.V310977.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. Westcliffe Care Home DS0000008819.V310977.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 Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective service users may be assured that their needs will be assessed and met prior to moving into the home. The service does not offer intermediate care facilities. EVIDENCE: The providers visit prospective service users in the community prior to entering the home to carry out a preadmission assessment. The assessment covers the requirements of the standard and there was evidence within care plans observed that these are taking place. Staff spoken with were able to substantiate this procedure. One relative spoken with stated that the providers had visit their relative in Oxfordshire to carry out this process and that they had received the appropriate documentation prior moving into the home. The home does not offer intermediate care facilities. Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 9 Five questions as part of the thematic pilot were asked in this outcome area. Service users responses were as follows: 1) Do you have an up to date copy of the service user guide? Two service users said yes whereas one was unable to answer the question. 2) Since coming into the home have you had any information about the changes to the cost of your care? No one had as yet been informed of any changes. 3) Do you have a written contract or statement of terms and conditions? Two service users said yes they did whereas one service user was unable to answer. 4) Has the contract changed since you came to live here? No one was aware of any changes. There were copies of contracts available within service users files. 5) Before you came here did anyone talk with you to find out what your care needs were? Two service users spoken with said yes whereas one was unable to answer the question. A needs assessment was in all three service users files case tracked. Westcliffe Care Home DS0000008819.V310977.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 good. This judgement has been made using available evidence including a visit to this service. Service users health, personal and social care needs are set out in an individual plan of care, however further development in regards to support service users require and risk assessments is required to ensure service users are safe and their needs are fully met. Service users health care needs are fully met. Service users are protected by the homes policies and procedures for dealing with medicine. Service users feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Three case files were examined which demonstrated that service users undergo assessments with regards to the daily activities of living, whole person needs, falls and mobility, information gained forms the basis of the plan of care. Care plans in place were personalised and reflected choices and Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 11 preferences, however these were brief in some parts for example care of pressure areas and diabetes mellitus, these did not cover all the necessary areas such as preventative care and foot care. Progress notes are maintained and significant events were recorded. Service users undergo risk assessments for falls and manual handling and should an additional risk be identified this is highlighted within the plan of care. For service users with diabetes mellitus and the risk of entrapment when using bedrails risk assessments did not contain all required information such as emergency action to take should it be required and the positioning and checks of bedrails. There was evidence of reviews taking place with service users and relevant others. Service users spoken with said that their needs were fully met and staff were very kind and caring. Staff spoken with were able to discuss service users needs and how they support service users in meeting their needs. There was evidence available within service users case notes to demonstrate that relevant services are accessed with regards to health care needs. Services are accessed within the local community if required and specialists also visit the home. The manager stated there was a good rapport with the district nursing team who ensures service users receive appropriate assessments and equipment as required. Two service users spoken with said that they may see the doctor at any time should they wish. Necessary aids, such as specialist cushions and mattresses were seen during the tour of the home. There was evidence within plans of care to demonstrate that the administration of medicines and service users preferences had been discussed and arranged as required. Medication examined on the day of inspection was checked and correct against the prescription. Charts were clear and demonstrated per required need medication. Hand written entries are signed by two members of staff. Records such as drug being received into the building and drug returns were maintained. Staff are instructed on maintaining service users privacy and dignity during the induction process and on an ongoing basis. All consultations are carried out in private and there are areas service users may use in addition to their own rooms should they wish to receive visitors in private. It was evident during the inspection that staff respectfully maintain privacy and dignity of service users. There was also evidence of a good rapport between service users and staff. Service users spoken with stated that staff were respectful at all times and maintained their privacy. Westcliffe Care Home DS0000008819.V310977.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their needs. Service users are enabled to maintain contact with relevant others. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome and appealing diet in pleasing surroundings. EVIDENCE: Both staff and service users spoken with said that the routine of the home was flexible and the two relatives spoken with said that a homely environment and atmosphere was always evident when they visited. Service users spoken with said they may chose how they spend their day. Currently staff provide activities that are varied such as sing a longs, dominoes, jigsaws and trips out, outside entertainers also visit the home. Local churches visit the home and Holy Communion is offered as required. One service user spoken with discussed how they were looking forward to the Christmas shopping trip to Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 13 Nottingham arranged for the near future. All service users spoken with said that they enjoyed the activities on offer and there was enough for them to do should they wish. Staff spoken with were enthusiastic about the activities offered to service users. There are no restrictions placed upon visitors which may be received in private should it be required. Two service users spoken with said that visitors were always made welcome and there were no restrictions imposed. Both visitors spoken with expressed they may visit at any time. Monthly service users meetings are held where thoughts and opinions may be expressed. Two service users spoken with spoke positively about these meetings and said that they felt listened to and that they may make their own choices. Staff spoken with were able to discuss service users rights and how they ensure that service users choices and preferences are upheld and service users are respected as individuals. There was evidence within one service users plan of care to show that an advocate is used as required. The menu on offer was observed and demonstrated that a wholesome, appealing and balance diet is available. Whilst a specific choice is not offered at the main meal, alternatives are available if required; service users spoken with confirmed this. Service users stated that meals were very good and plentiful. The safer food better business documentation has been implemented which was observed and showed that records were maintained as required. The Environmental Health Officer visited the home recently and one requirement was made to clean the fan, this has been actioned. Westcliffe Care Home DS0000008819.V310977.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their relevant others may be assured that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: Relevant policies and procedures were in place with regards to dealing with complaints. There have been no complaints received since the last inspection. Service users and the relatives spoken with spoke very highly of the home and care received and expressed no concerns. Staff spoken with were able to discuss how they would deal with a complaint should it be received. Relevant policies and procedures with regards to adult protection were in place. All staff with the exception of one had satisfactory Criminal Record Bureau checks in place; this is further discussed in standard 29. All staff have either cover training in the protection of vulnerable adults whilst undertaking their National Vocational Qualification (a nationally recognised work and theory based qualification) or during in house training. Staff spoken with were able to discuss issues of adult protection. Two questions as part of the thematic pilot were asked in this outcome area. Service users responses were as follows: Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 15 1) Have you received any written information that tells you how you can make a complaint? Two service users said yes, one was unsure. 2) Do you feel you have all the information you need to raise any concerns you have about your care? Two service users said yes, one was unsure. Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: The manager said that an ongoing maintenance plan is in place. Continued work has been carried out since the previous inspection. The roof has been repaired, the stack re-pointed, new guttering and two new bay windows installed. New blinds have been installed in the conservatory and several rooms have been redecorated. There are sufficient domestic staff employed to maintain the standards of cleanliness throughout the home. Contract laundry services are in place for the main linen and the home carries out the laundering of service users personal Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 17 clothing. The laundry/store and food storeroom has been divided to enhance infection control. The laundry room for service users laundry has been relocated and the laundry that is sent to an outside agency has been brought up from the cellar to aid health and safety for staff members. A risk assessment is now in place with regards to hand washing in the two toilets situated along a side corridor. Staff were able to discuss this and how it is implemented in the home. The home was clean pleasant and hygienic throughout. Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 by the homes recruitment polices and practices, however further audits are required to ensure all the required documentation is in place. Staff are trained and competent to do their jobs. EVIDENCE: The duty rota was observed and demonstrated that sufficient staff were employed and available throughout the day. The manger considers skill mix and experience when planning the duty rota and an on call system is also used. Staff spoken with stated there was sufficient staff available to meet service users needs, service users spoken with substantiated this. Although there have not been any new staff recently a new induction programme is in place ready to start when the need arises, this is in depth and is based European Standards. Three members of staff have attained the National Vocational Qualification (a nationally recognised work and theory based qualification) level three in care, Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 19 two have attained level two and one is starting level two. Staff spoken with were able to confirm this training is taking place. Four staff files were observed, three contained satisfactory Criminal Record Bureau checks whereas another company had completed the third, the manager said this was because when this member of staff started employment Criminal Record Bureau checks were transferable. Due to current regulations this is no longer valid, therefore the manager applied for a protection of vulnerable adults check (POVA 1st) immediately and the member of staff would not be back at work until this had been received, the manager said they would then work under a supervisory practice programme until a satisfactory Criminal Record Bureau check has been received. Within two files, there was a lack of references available, the manager said that this was due to the procedures in place at that time, however this is no longer practice. The manager said that all staff files are to be audited and any shortfalls will be addressed. Staff training records were examined which demonstrated sufficient training is taking place in mandatory areas. Staff spoken with stated they felt supported with regards to training, training was sufficient and should they require any additional training this would be offered. Service users spoken with stated they felt staff were competent in their job roles and their needs are met. Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home which is run and managed by people who are fit to be in charge, of good character and able to discharge their responsibilities. The home is run in the best interests of service users. Service users financial interests are safeguarded. The health, safety and welfare of service users and staff is promoted and protected. EVIDENCE: The proprietors are both registered as the home managers. Mr Owen has now attained the Registered Managers Award and the National Vocational Assessors Award; Mrs Owen is still working towards this qualification, she had completed Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 21 the National Vocational Assessors award. They also remain up to date with mandatory training and other training specific to their job role. Staff spoken with said that the managers’ were both approachable and very supportive and that the home was well run. Service users and relatives spoken with also expressed that the home was well run and the managers’ were always approachable and available when needed. Quality assurance within the home is ongoing; questionnaires that were sent to service users are still current and are not due to be resent as yet. In the mean time service users have the opportunity to express their opinions during service users meetings. Questionnaire have been sent to the multidisciplinary team and other specialists, results seen were of a positive nature. Also when new service users have been admitted to the home the manger carries out a quality assurance review after a short period to ensure service users are happy with care received. One visiting relative was seen to return such a form. If required service users are able to a have personal allowances in safekeeping. Appropriate records were maintained and four accounts checked on the day of inspection were correct. Receipts were available for transactions that had taken place. The proprietors are not responsible for any service users finances. Relevant maintenance servicing and contracting certificates were seen such as the lift certificate, waste control and gas certificate, the manager said that the mains electrical testing was now due and would be arranged. The fire log booked seen showed that fire systems are checked on a weekly basis and the emergency lights on a monthly basis. Accident records seen showed that significant information was detailed. The manager said that accidents are audited and appropriate action taken if required. Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Ensure plans of care in place reflect how service users will be supported in meeting their needs to ensure these are fully met. The responsible individual is required to ensure appropriate risk assessments are completed for all service users using bedrails and for those who have diabetes mellitus to ensure service users are fully protected. This has been partly met; however further development is required to fully meet this requirement. To carry out an audit of staff personal files to ensure that all required documentation as listed in schedule two is available. Timescale for action 30/01/07 2. OP7 13(4,c) 20/01/07 3. OP29 19(1,4,5) schedule 2 20/01/07 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 Good Practice Recommendations DS0000008819.V310977.R01.S.doc Version 5.2 Page 24 Westcliffe Care Home Standard Westcliffe Care Home DS0000008819.V310977.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Westcliffe Care Home DS0000008819.V310977.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!