Inspection on 18/07/05 for Wheathills House

This inspection was carried out on 18th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Wheathills House 10/08/07

Wheathills House 22/05/06

Wheathills House 24/11/05

Wheathills House 27/01/05

Wheathills House 16/06/04

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 Wheathills House Brun Lane Kirk Langley Derby DE6 4LU Lead Inspector Tony Barker Unannounced 18th July 2005 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 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. Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wheathills House Address Brun Lane, Kirk Langley, Derbyshire, DE6 4LU Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01332 842600 01332 842600 Richard Whitehouse Richard Whitehouse Care Home 23 Category(ies) of OP - Older People - 23 registration, with number of places Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 27/1/05 Brief Description of the Service: The Home provides residential care for 23 older people with medium to low dependency.The Home is a large period house set within a rural area of Derbyshire. There is no public transport available to and from the Home. The rooms provided are single occupancy with the majority having en-suite facilities. There is a chair lift provided. Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The time spent on this inspection was 4.0 hours and was a routine unannounced inspection. The last inspection took place in January 2005 and was unannounced. Five residents, two visiting relatives and the Manager were spoken to and records were inspected. Case tracking was not undertaken on this occasion. The focus of this inspection was on progress made on the requirements and recommendations made, and those standards not assessed, at the last inspection. Only a brief view of the premises was made at this inspection. What the service does well: 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. Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 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 standard(s) These standards were not assessed at this inspection. EVIDENCE: The Manager said that the Home’s Service Users’ Guide had been made available to the resident group and that he now planned to supply each resident with a copy of the Guide. Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 9 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 standard(s) 7, 8, 9 & 10 Residents’ health, personal and social care needs were recorded and used as a basis for planning programmes of individual care. However, these plans were not being reviewed at an adequate frequency or with sufficient detail. Continuing lack of accredited staff training means that residents are not being fully protected by the Home’s procedures for dealing with medicines. EVIDENCE: Two residents’ care plans were seen. These were holistically written and showed that all residents’ needs were being assessed and reviewed. However, although the review of care plans was now being made on a regular basis this was only every three months, rather than monthly. The Manager said that these reviews are discussed with residents but there was no evidence on files, in the form of signatures, to support this. Details of contact from visiting health professionals were being recorded on individual residents’ care plans. However, these care plans showed that assessment of residents’ nutritional intake, continence management and the risk of developing pressure sores was not being given adequate attention – records were being made but not in sufficient detail. The Manager said he was not aware of contact details for the tissue viability nurse although these had been left at the Home at the last inspection. His plan to attend a training Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 10 course on Risk Assessment had not materialised since the last inspection. One resident spoke positively of the physical exercises organised on Friday mornings. Medication records seen were satisfactory and met the requirement that handwritten entries are signed, dated and witnessed. The Manager said that the Home’s pharmacist was still looking for an accredited trainer to provide staff with training in the use of medication. Residents spoke highly of staff and made comments such as “It is very nice here”. The four bedrooms that had shared en-suite facilities have been adapted to provide each of the four residents with their personal en-suite, thus addressing their need for privacy and dignity. However, there were still no safe two-way locks on any bedroom door other than one on a currently vacant bedroom door. The Manager indicated his plans to fit all bedroom doors with a lock of the same design so as to address residents’ right to choose more privacy and security in their room. Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 11 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 standard(s) Residents appreciated the food and the activities provided and benefited from relatives’ and friends’ visits. EVIDENCE: One member of care staff acts as the Home’s Activities Co-ordinator for two hours each Friday morning. One resident spoke positively of physical exercises that took place during this period and, generally, of the activities provided by the Home, adding ”I like the board games here”. This resident also said he was regularly visited. Visitors were seen and spoken to at this inspection. Dining tables were well laid out. One resident said that “the food is fantastic”. Other aspects of daily life and social activities were not assessed at this inspection. Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 16 & 18 Residents could not be entirely confident that their complaints would be listened to, taken seriously and acted upon as they had not seen the complaints procedure. Residents felt safe at the Home and procedures were in place to maintain this position. EVIDENCE: Two residents and their visiting relatives said that they had not seen the Home’s complaints procedure. The Manager said that residents are made aware of the procedure at the time of admission and will soon be provided with this written procedure as part of the Service Users’ Guide. He added that he was currently amending the complaints procedure to make it clear that complaints can be made to the Commission at any stage of the complaint. The written procedure was not displayed in the Home. Two residents and their visiting relatives did say that if they were unhappy about something then “things get done”. The Home’s written Adult Protection procedures were seen to have been improved since the last inspection. Residents confirmed that they felt safe living in the Home. Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 13 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 standard(s) Lack of certain equipment and facilities mean that residents’ safety was compromised. EVIDENCE: The Fire Officer visited on 21 April 2005 and identified no problems regarding lack of smoke detectors within certain walk-in cupboards. A number of corridors still had no handrails and there had been no assessment of the premises and facilities by a suitably qualified person such as an occupational therapist. The Manager said that staff check bath water temperatures to ensure residents are not scalded. However, in the ground floor bathroom adjacent to bedroom 1 the last recorded temperature in the ‘bath book’ was dated November 2004. There were still no thermostatic control valves fitted near hot water taps to reduce the risk of scalding. No temperature checks of stored and distributed hot water had been undertaken and risk assessments had not been undertaken regarding scalding or for Legionella. An immediate requirement notice was Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 14 sent to the registered person immediately following this inspection. This set out action to be taken, within one month, in order to address this issue. Other aspects of the environment were not assessed at this inspection. Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 Residents were being left unprotected due to poor staff recruitment practices. EVIDENCE: The Manager was very reluctant to show the staff files and proceeded to produce one staff file and show this at a distance. It was therefore not possible to assess whether the Home’s recruitment procedures met the standards. This was most concerning given the weaknesses in these procedures identified at previous inspections. The Manager was reminded of his duty to make available all records listed in Schedules 3 & 4 of the Regulations and that viewing of staff records would be required at the next inspection. He said that he would be issuing a cabinet key to senior care staff to ensure that they have access to care assistant staff files at a future unannounced inspection. He was not aware of recent changes to the Regulations and took a copy of these as they related to recruitment practices. The Manager said that no new staff had been appointed within the previous 15 months. He added that each member of staff had been provided with a copy of the General Social Care Council’s Code of Conduct. Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Residents’ views were being sought. The Health and Safety of residents was not being fully promoted. EVIDENCE: The Manager wished to discuss a number of issues about which he was annoyed, he said. These related to changes brought about by the Commission including: bed fees, no announced inspections, the “intrusiveness” of case tracking and “red tape” in general. The Manager’s approach to this inspection was not always open and positive but rather, at times, somewhat obstructive. There was evidence at the last inspection of the Deputy Manager not having access to information required at an inspection – for example, Health & Safety records and written Adult Protection procedures. The management approach of the Home, as perceived by residents and staff, was not assessed at this inspection. Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 17 The Activities Co-ordinator takes regular residents meetings and minutes of these were viewed. However, two residents and their visiting relatives said they were not aware of the existence of these meetings. The Manager said that Product Information Sheets, as required by the Control Of Substances Hazardous to Health (COSHH) Regulations, are now kept within the main cleaning materials store. He also confirmed that the window in room 17 contained safety glass. However, he accepted that a risk assessment of the Home’s environment had not been developed and implemented. Other aspects of the Home’s management and administration were not assessed at this inspection. Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION x x x 2 x x 2 x STAFFING Standard No Score 27 x 28 x 29 1 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 x x x x x x x 2 Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 19 Yes Are there any outstanding requirements from the last inspection? 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 7 Regulation Requirement Timescale for action 1 October 2005 2. 8 3. 9 4. 1 5. 16 15(2)(b/c) A monthly review of care plans must occur as stated in Standard 7 and residents must be consulted within the preparation and review of care plans.(Previous timescale was 1/11/04) 13(4)(c) Assessment of residents 17(1)(a) nutritional intake, continence Sch.3.3 management and the risk of (m)(n) developing pressure sores must be recorded in sufficient detail. 13(2) The registered provider must 18(1)(c) provide training in the use of (i) medication to all staff who are required to administer medication as part of their duties, and provide written evidence that such training has taken place.This training must be provided by an external creditable source and involve an assessment of carer competence.(Previous timescale was 1/11/04) 5(2) The registered provider must suppy each resident with a copy of the Homes Service Users Guide. 22(7) The registered provider must provide a written complaints C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc 1 October 2005 1 December 2005 1 December 2005 1 October 2005 Page 20 Wheathills House Version 1.40 6. 16 22(5) 7. 8. 22 25 13(4)(c) 13(4) (a)(c) procedure that makes clear that complaints can be made to the CSCI at any stage.The written complaints procedure should be prominently displayed in the Home.(Previous timescale was 1/9/04) The Registered Person must supply a copy of the complaint procedure to each Service User.(Previous timescale was 1/4/05) An assessment of the Homes corridors regarding hand rails must be undertaken. The registered person must carry out a risk assessment on water temperatures throughout the Home and take the necessary action required.The registered persons must ensure that: water is regulated to around 43c. The registered persons must ensure that Water temperatures in bathroom(s) are within safe limits and that water is stored at a temperature of at least 60 degrees centigrade distributed at 50 degrees centigrade minimum to prevent risks from Legionella. To prevent risks from scolding pre-set valves of a type unaffected by changes in water pressure and which have failsafe devices are fitted locally to provide water in baths and showers at a temperature close to 43 degrees centigrade. The registered person must ensure that water temperatures supplied to washbasins and baths do not exceed 43 degrees centigrade.The registered person must ensure that an environmental risk assessment is in place, which includes a check of the water temperatures.(Previous 1 October 2005 1 November 2005 19 August 2005 Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 21 timescale was 1/12/03) 9. 29 19(1)(b) Sch.2 The registered person must ensure that all nine items contained within the revised Schedule 2 of the Regulations, are acquired and made available for inspection in respect of new and existing staff. The Registered Person must ensure that all records are at all times available for inspection in the care home by any person authorised by the Commission to enter and inspect the care home.(Previous timescale was 1 March 2005) The registered person must fit locks to all Service Users doors and provide keys to Service Users who require them.The Home’s fire safety officer must be consulted on the suitability of any locks fitted.(Previous timescale was 1 March 2004) The registered provider must ascertain the wishes of residents regarding arrangements after their death, and record these wishes on care plans.(This requirement was not assessed previous timescale was 1 November 2004) Serious consideration must be given to the purchase of a mobile hoist.(This requirement was not assessed - previous timescale was 1 November 2004) All toilet areas must have wash hand basins.(This requirement was not assessed - previous timescale was 1 November 2004) The staffing rota must indicate when care staff undertake domestic duties, the functions of staff (ie. care, domestic, 1 December 2005 10. 29 17(3)(b) Sch.4 1 October 2005 11. 10 16(1) 1 December 2005 12. 11 12(2)(3) 1 December 2005 13. 22 23(2)(n) 1 December 2005 14. 21 23(2)(j) 13(3) 1 December 2005 1 October 2005 15. 27 17(2) Sch4.7 Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 22 16. 32 24 17. 37 17(2) Sch 4 18. 38 13 19. 38 13(4)(c) catering), the person-in-charge of each shift and the Manager’s hours.(This requirement was not assessed - previous timescale was 1 August 2004) The registered person must ensure that staff meetings are held on a regular basis and recorded.(This requirement was not assessed - previous timescale was 30 January 2004) The registered provider must ensure that all records required by Schedule 4 of the regulations are kept in the Home.(This requirement was not assessed previous timescale was 1 November 2004) The registered person must develop and implement a risk assessment of the environment.(Previous timescale was 30 December 2003) The registered provider must arrange for all equipment used by, or supplied for the benefit of, residents to be subject to a regular service agreement.(This requirement was not assessed previous timescale was 1 October 2004) 1 October 2005 1 December 2005 1 December 2005 1 November 2005 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 8 Good Practice Recommendations Contact should be made with the Tissue Viability and Risk Nurse for further advice regarding the assessment of skin integrity and nutrition.(This was a recommendation from 27 January 2005) The Registered Person is recommended to attend a course on risk assessment. Bedroom door locks should be key-operated from the C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 23 2. 3. 8 10 Wheathills House 4. 22 5. 6. 11 12 7. 14 8. 19 9. 10. 19 21 11. 24 12. 26 13. 14. 26 26 15. 27 16. 28 outside.(This was a recommendation from 16 June 2004) An assessment of the premises and facilities should be made by a suitably qualified person such as an occupational therapist.(This was a recommendation from 16 June 2004) Staff should ascertain the religion of service users on admission.(This recommendation from 27 January 2005 was not assessed) For service users who are unable to attend pub trips, a daily programme of activities should be implemented, following consultation with them.(This recommendation from 27 January 2005 was not assessed) The registered person should inform all Service Users/representatives, in writing, of their right to access personal records held by the Home.(This recommendation from 17 November 2003 was not assessed) The Home’s sign, at the end of the driveway, should be changed to show registration with the Commission for Social Care Inspection.(This recommendation from 16 June 2004 was not assessed) A mirror should be provided within one ground floor toilet.(This recommendation from 16 June 2004 was not assessed) It is advised that consideration is given to bringing toilets and bathrooms in line with the otherwise good standards of décor within the Home.(This recommendation from 27 January 2005 was not assessed) Each resident should have a lockable storage facility in their bedroom. (This is a requirement if a resident holds their own medication)(This recommendation from 16 June 2004 was not assessed) The registered person should review the allocated domestic hours to provide domestic cover 7 days per week.(This recommendation from 16 June 2004 was not assessed) Staff should ensure clinical waste is dispose of correctly.(This recommendation from 27 January 2005 was not assessed) In the interests of good hygiene, it is advised that liquid soap is used in communal areas and that bar soap is restricted to individual service user use.(This recommendation from 27 January 2005 was not assessed) It is advised that supervision forms include a section to record all mandatory training requirements and how the Home will meet these.(This recommendation from 27 January 2005 was not assessed) The registered person should ensure that 50 of staff are C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 24 Wheathills House 17. 29 18. 30 19. 31 20. 33 21. 38 trained to National Vocational Qualification level 2 by the year 2005.(This recommendation from 16 June 2004 was not assessed) The registered provider should review his job application form so that gaps in applicants’ employment records are clearly identified.(This recommendation from 16 June 2004 was not assessed) It is advised that timescales are added to the induction form to ensure that the induction is completed in a timely way.(This recommendation from 27 January 2005 was not assessed) The registered manager/proprietor should complete the National Vocational Qualification level 4 in management and care by 2005.(This recommendation from 16 June 2004 was not assessed) The registered provider’s Annual Development Plan should be broadened to include all aspects of the running of the Home.(This recommendation from 16 June 2004 was not assessed) The entries in a Health and Safety annual audit should be dated to give it validity.(This recommendation from 16 June 2004 was not assessed) Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection South Point Cardinal Square Nottingham Road, Derby DE1 3QT 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 Wheathills House C02 C52 Wheathills S20120 V239731 180705 Stage 4.doc Version 1.40 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!