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Inspection on 11/04/07 for Wheatsheaf Court Nursing Home

Also see our care home review for Wheatsheaf Court Nursing Home for more information

This inspection was carried out on 11th April 2007.

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

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

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

What the care home does well

What has improved since the last inspection?

Decorating and improvements and are undertaken by a team of three handy persons. One main area to benefit from this is the ground floor dining area, which having been redecorated is now a much brighter area. The patio area with raised flowerbeds, to the front of the home has also been a recent addition. The colour coordinated bedroom corridors are now nearing completion.

CARE HOMES FOR OLDER PEOPLE Wheatsheaf Court Nursing Home Sheaf Street Daventry Northants NN11 4AB Lead Inspector Keith Williamson Key Unannounced Inspection 11th April 2007 9:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wheatsheaf Court Nursing Home DS0000012658.V330018.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. Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wheatsheaf Court Nursing Home Address Sheaf Street Daventry Northants NN11 4AB 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) 01327 705611 01327 705613 ajgoodall@tiscali.co.uk Interhaze Limited Mrs Andrea Jayne Goodall Care Home 58 Category(ies) of Dementia - over 65 years of age (58), Old age, registration, with number not falling within any other category (58) of places Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd February 2006 Brief Description of the Service: Wheatsheaf Court is a home for 58 Service Users. It is situated in the centre of Daventry and has easy access to all local shops and green space, with the bus station being within a short walk from the home, and rail station some 4 miles away. The home provides services to the elderly and elderly mentally frail, in a building, which dates back to the 16th century and was formerly a hotel. The building has its own large car park and has a secure inner courtyard, which is planted out with various tubs and hanging baskets, these were grown by the e as part of the activity programme, this area offers privacy and shelter for Service Users. The home also has a small, enclosed front garden. This has been refurbished and new trees, a patio and raised flowerbeds being added in February 2007. The range of charges falls between £477.78 and £600 per week. Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for Service Users and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting Service Users and tracking the care they received through looking at their records, talking with them where possible, and looking at their accommodation. This inspection took place over one day, commencing at 9.30am took six and one half hours to complete. One inspector conducted the inspection visit; the Registered Manager assisted in the process. An opportunity was taken to look around the home, view records, policies and care plans and to talk to Service Users and staff. Fourteen of the Service Users were seen during the inspection process, due to the frailty of the Service User group, few comments were made, some have been included in this report. Written comments from relatives have also been included in this report. What the service does well: The Statement of Purpose and Service User Guide are well detailed and available in written and other formats. Contracts or Terms and Conditions are issued to all Service Users or a family member. The assessment process is thorough and detailed, and was an excellent basis from which a plan of care could be compiled. On viewing a sample of care plans, these indicated that all aspects of personal and health care needs are being met. Evidence is in place to confirm Service Users medical needs are met. The medication system was seen to be administered appropriately. Observations made by the inspector indicated that Service Users’ privacy is maintained for example staff were observed knocking on Service Users’ bedroom doors before entering their bedrooms. The range of activities offered to Service Users are varied and has been guided by reference to specific pastimes related to those presenting with Dementia and other Service Users in the home. Menus were viewed and demonstrated that meals provided are nutritionally balanced. Service Users who were spoken with stated that they felt comfortable discussing any concerns with the home’s manager or staff. The complaints procedures are available for Service Users and visitors, and are included in the Statement of Purpose and Service User Guide. Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 6 The Adult Protection procedure has been introduced and staff spoken with confirmed their recent training and were aware of their duties to alert a senior member of staff of any concerns. Service Users bedrooms showed evidence of personalisation, with small items of personal furniture, pictures and ornaments on display. Staff spoken with showed an awareness of cross infection and cross contamination issues, thus increasing Service User safety in the home. Staffing is based on the dependency of Service Users in the home. A selection of staff files, demonstrated a robust recruitment practice designed to protect Service Users from harm. The training plan for the year demonstrates provision of regular updates in statutory training. Staff working in the dementia unit have undergone a training programme provided by the Alzheimer’s Society. The current manager is qualified and experienced to run the home. Quality assurance is well developed in the home with a number of questionnaires being distributed and the findings entered into the Service User Guide so informing prospective Service Users of the quality initiatives used in the home. The home is visited periodically by the Responsible Person and records of those visits are kept in the home. Two Service Users personal allowance records were sampled, and found to be correct. A number of Health and Safety records were sampled and checks are in place to ensure safe practices within the home. Verbal and written comments received from Service Users include Because of the nature of my illness, I cant do activities, but I do have a massage on my hands. Verbal and written comments received from relatives include The standard of care and cleanliness was without exemption very good, dad was always clean-shaven whenever we called. The food was of a good standard. The home never smelt of urine, (comments from a deceased Service Users’ relative) My mother was seriously ill, and has now recovered thanks to the staff at the home. Staff at the home are most attentive, and do everything to make her comfortable. Mums’ medication is administered regularly and when they think that she isn’t well, a doctor will be notified. Care is good, but not as good as I hoped. Some staff give a 100 others only give what they want – not enough interaction. Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 7 High standard of nursing, always cheerful, I’m informed of any incidents. As x is in the last stages of Alzheimer’s they care for his needs 24 hours a day. I find it so reassuring that the care given is much more than I could do for him myself. X can be quite difficult, but our experience so far is that they treat her with respect and courtesy at all times and are very caring towards her. What has improved since the last inspection? What they could do better: Overall this is a very positive inspection, the home continues to develop its services for Service Users. Verbal and written comments received from Service Users include Sometimes they are doing other jobs, they get here as quick as they can. Verbal and written comments received from relatives include Most of the staff are foreign, some spend time listening, others because mum has a problem putting sentences together don’t listen and give her time. The meals could be better Maybe a fresh coat of paint in the bedrooms Happy with the service given (this was a comment passed in the “What they could do better” area of the comment card). Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 8 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. Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 9 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 Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 6. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The assessment process for Service Users is detailed and effective; resulting in accurate and detailed information for staff to ensure care needs shall be met. Standard 6, the home does not provide services for Service Users with Intermediate Care needs. EVIDENCE: Four Service Users were “case tracked”. All Service Users were Social Service funded, and all had an appropriate contract in place, being signed by the Service User or a relative. Therefore Service Users had the appropriate information supplied by the Responsible Person of the terms and conditions in the home, prior to moving in. A separate contract exists for self-funding Service Users. Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 11 The Inspector viewed the assessment information for four Service Users. The information gathered by the Manager for the Service Users was full and detailed, and was an excellent basis from which a plan of care could be compiled. The information supplied to Service Users in the Statement of Purpose, which sets out the latest aims, objectives and philosophy of the home, about its services, facilities, and current staffing, was viewed. This was supplied to Service Users and their families prior to moving into the home. This was again well detailed and available in written and other formats. This ensures the information is available to suit the needs of all prospective Service Users and their families. The home does not provide accommodation under Standard 6. Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service Users are looked after well in respect of their health and personal care needs. EVIDENCE: On the inspection of four Service Users care plans these indicated that all aspects of personal and health care needs are being met. The detail in the plans is excellent and scope of areas covered in the assessment process, was then transferred to the plan of care. None of the Service Users spoken with passed comment on the knowledge or content of their care plan, though a number of plans are signed by relatives. Evidence is in place to confirm contact and visits with community health professionals; this includes input from General Practitioners, District Nurses, Community Nurses and the Dietician. The daily care records were inspected Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 13 and these are completed regularly, with separate records for health professionals’ visits. The medication system was seen to be administered appropriately, with medication being stored securely in two separate areas of the home. The Registered Manager and inspector discussed the issue of recording the carry over of stock medication to enable a full medication audit to be performed periodically. Observations made by the inspector indicated that Service Users’ privacy is maintained for example staff were observed knocking on Service Users’ bedroom doors before entering their bedrooms. Staff spoken with, also showed an awareness of Service Users privacy, and how this was maintained in other areas of care provision. This was a requirement in the last inspection and has therefore been completed. The subject of Service Users final wishes is sensitively covered in the plans of care, with evidence of Service Users and relatives being involved in the process. Verbal and written comments received from Service Users and relatives include “The standard of care and cleanliness was without exemption very good, dad was always clean-shaven whenever we called. The food was of a good standard”. “My mother was seriously ill, and has now recovered thanks to the staff at the home”. “Staff at the home are most attentive, and do everything to make her comfortable”. “Mums’ medication is administered regularly and when they think that she isn’t well, a doctor will be notified”. “High standard of nursing, always cheerful, I’m informed of any incidents”. “As x is in the last stages of Alzheimer’s they care for his needs 24 hours a day. I find it so reassuring that the care given is much more than I could do for him myself”. “Provides a friendly atmosphere for those in care and their relatives”. “X can be quite difficult, but our experience so far is that they treat her with respect and courtesy at all times and are very caring towards her”. “Sometimes they are doing other jobs, they get here as quick as they can”. “Most of the staff are foreign, some spend time listening, others because mum has a problem putting sentences together don’t listen and give her time”. Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users are offered a varied lifestyle resulting in a stimulating environment. EVIDENCE: The range of activities offered to Service Users are varied and has been guided by reference to specific pastimes related to those presenting with Dementia and other Service Users in the home. Though there is a plan for activities, staff do not adhere to it, and offer activities based on individual moods of Service Users on the day. Information on activities and pastimes is gathered at the point of assessment. This is then transferred to individual plans of care, and activities completed are then recorded in the daily records. These events are photographed to enable staff to prompt Service Users at a later date; with topics they have taken part in, at the home. Menus were viewed and demonstrated that meals provided are nutritionally balanced. The cook produces meals offering a varied choice to Service Users Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 15 on diets and taking into consideration their personal preferences and dislikes. The menu is displayed on the notice board outside the dining area giving a choice of two main meals. A number of Service Users were observed discreetly being assisted with their meals; a further group eat alone in their bedroom, satisfying their personal preference in that area. The interaction between the Service Users and staff was very positive. Verbal and written comments received from Service Users and relatives include “Because of the nature of my illness, I cant do activities, but I do have a massage on my hands”. “The meals could be better”. Wheatsheaf Court Nursing Home DS0000012658.V330018.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 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users are protected by appropriate complaints and adult protection policies. EVIDENCE: Service Users who were spoken with stated that they felt comfortable discussing any concerns with the home’s manager or staff. The complaints procedures are available for Service Users and visitors, and are included in the Statement of Purpose and Service User Guide. Service Users spoken with felt they were safe and protected. The Adult Protection procedure has been introduced and staff spoken with confirmed their recent training and were aware of their duties to alert a senior member of staff of any concerns. Wheatsheaf Court Nursing Home DS0000012658.V330018.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, 24 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comfortable and safe standard of accommodation is provided for the Service Users. EVIDENCE: Service Users live in a homely, comfortable and clean environment. The home is decorated and furnished to a standard that creates a comfortable atmosphere. The Registered Manager has recently arranged for an improved seating and patio area to the front of the home, access is available from the main lounge area on the ground floor. The internal courtyard provides a secure external environment for Service Users with dementia, and is liberally provided with seating and floral decorations. Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 18 Service Users bedrooms showed evidence of personalisation, with small items of personal furniture, pictures and ornaments on display. Decorating and improvements and are undertaken by a team of three handy persons. One main area to benefit from this is the ground floor dining area, which having been redecorated is now a much brighter area. Separate housekeeping staff are employed to maintain standards of hygiene, and all staff spoken with showed an awareness of cross infection and cross contamination issues, thus increasing Service User safety in the home. Verbal and written comments received from Service Users and relatives include “The home never smelt of urine”. Wheatsheaf Court Nursing Home DS0000012658.V330018.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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is staffed by adequate numbers of staff, who are trained to meet the needs of the Service Users. EVIDENCE: Staffing is still calculated using the Residential Forum Guidance tool, which is based on the dependency of Service Users in the home. The staff rota was viewed, and nine care staff were on duty, this did not include the Registered Nurse. A selection of staff files seen, demonstrated a robust recruitment practice designed to protect Service Users from harm. Records included references, medical checks and Criminal Records Bureau checks. Equal opportunity records were also kept. Some overseas staff are employed, and the relevant work permits are obtained. The company has a commitment to staff training, demonstrated by the fact that 70 of care staff hold a National Vocational Qualification in care. This is in addition to the Registered Nurses in the home. Overseas qualified nurses are also employed as carers whilst undergoing adaptation to enable them to register in this country. The training plan for the year demonstrates provision of regular updates in statutory Fire, Moving and Handling, Health and Safety and Food Hygiene as Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 20 well as such things as Nutrition. Staff working in the dementia unit have undergone a training programme provided by the Alzheimer’s Society. Wheatsheaf Court Nursing Home DS0000012658.V330018.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, 36 & 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management approach promotes effective care practice in the home for Service Users’ care and protection. EVIDENCE: The current manager is qualified and experienced to run the home. Quality assurance is well developed in the home with a number of questionnaires being distributed to Service Users, their relatives, staff and other interested parties visiting the home. Findings from these have been Wheatsheaf Court Nursing Home DS0000012658.V330018.R01.S.doc Version 5.2 Page 22 entered into the Service User Guide so informing prospective Service Users of the quality initiatives used in the home. Resident and staff meetings and staff supervision and appraisal are well established, these also adding to the quality systems in the home. These issues are good practice and go some way to ensure the home is run in the best interests of the resident group. The home is visited periodically by the Responsible Person and records of those visits are kept in the home. Two Service Users personal allowance records were sampled, and found to be correct. Staff supervision is well established with all the senior management team involved in the process. Practice and performance are discussed during supervision, staff training and team meetings, with individual Service Users cases being discussed in detail at supervision and changes to care plans made accordingly A number of records were sampled and checks are in place to ensure safe practices for fire and testing of the fire alarm and warning system. The monitoring of hot water temperatures, periodic cleaning and disinfection of showerheads and a sample of risk assessments were seen in place. The homes systems are audited at least twice a year, to ensure Service Users safety in the home. These records were seen and remedial work was noted in a number of entries so ensuring standards were maintained throughout the home. There is full recording of accidents, with these correlating to the daily records of Service Users. Wheatsheaf Court Nursing Home DS0000012658.V330018.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 3 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 3 X 3 Wheatsheaf Court Nursing Home DS0000012658.V330018.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations It is recommended that the quantity of “stock” medication is added to the new stock received at the beginning of each medication “month”, to enable a full medication audit to be undertaken periodically by the Management of the home. Wheatsheaf Court Nursing Home DS0000012658.V330018.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 Wheatsheaf Court Nursing Home DS0000012658.V330018.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. 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