Inspection on 21/05/07 for Whitehall Lodge Care Home

This inspection was carried out on 21st May 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Whitehall Lodge Care Home 29/11/05

Whitehall Lodge Care Home 05/09/05

Whitehall Lodge Care Home 29/11/04

Whitehall Lodge Care Home 28/06/04

Similar services:

The Lodge Nursing Home

Bracken House

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

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

CARE HOME ADULTS 18-65 Whitehall Lodge Care Home 109 Whitehall Road Greets Green West Bromwich West Midlands B70 0HG Lead Inspector Mrs Cathy Moore Key Unannounced Inspection 21st May 2007 08.10 Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 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 Whitehall Lodge Care Home DS0000030498.V331232.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 Adults 18-65. 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. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitehall Lodge Care Home Address 109 Whitehall Road Greets Green West Bromwich West Midlands B70 0HG 07773327464 0121 353 6067 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 Pradeep Kumar Gunputh Mrs Soobhawtee Gunputh Mr Pradeep Kumar Gunputh Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29/11/05 Brief Description of the Service: Whitehall Lodge is located in a residential area of Greets Green, West Bromwich. The home is registered to provide care to a maximum of three residents at any one time who have a mental health diagnosis. The home is in a fortunate location, as it has a number of local amenities and facilities. There is a shop nearby and a park nearly opposite. The home itself is a traditional style semi-detached property. It has gardens at the rear and car parking at the front. The home is well maintained, comfortable and clean. Bedrooms are all single occupancy. There is an office and bathroom on the first floor, the lounge/dining area on the ground floor. The ground floor houses the homes kitchen and laundry. A toilet is located outside of the kitchen and a conservatory is available for residents which is located to the rear of the property. Fees for this home range from £675- £975 per week. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out on one day by one inspector between 08.10 and 13.10 hours. All three service users’ were spoken to and two staff. The manager was involved in the inspection process. Two service user and three staff files were looked at to assess the standard of care plans, daily records, recruitment and training processes. The premises were looked at to include the living/dining room, kitchen, garden and two bedrooms with the service users’ permission. Menus were looked at, as were service records for equipment and medication systems. What the service does well: What has improved since the last inspection? What they could do better: Care plans need to include mental health needs. Risk assessments must be reviewed at least annually or if changes occur. The Commission must be informed if a medication error occurs. The manager needs to enrol on a course to achieve NVQ level 4 in management. Quality assurance systems and monitoring need to be established and implemented. Formal staff supervision is badly lacking at the present time. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 6 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. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. The home understands the importance of ensuring that staff have the skills and abilities to meet needs of new service users and that any prospective service user does not have needs that may have a negative impact on persons already accommodated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has not had any new admissions for at least three years. It is only registered to provide care to 3 service users and the same 3 service users have lived at the home for at least three years. However, two of three existing service users’ confirmed that they were asked if they wanted to move into the home and that they were provided with enough information before admission to enable them to make a decision on its suitability. Documentary evidence was available to prove that reassessment of needs is carried out for the service users’ living at the home by external professionals. This confirmed further by staff and management. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is adequate . Each individual service user has a care plan but not all needs are being included. Risk assessment processes are not being reviewed or up dated as they should be to ensure that they are current and accurate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: I saw that a care plan was in place for each service user. Two of the three had been signed by the service user, which is good as it shows that they are being involved, the third had refused to sign. Care plans were fairly comprehensive to include for instance; smoking, personal hygiene and medication. However, it was disappointing to see that not much information had been written about mental health needs which could prevent staff having certain information on how to care for these people. All service users spoken to confirmed that they are able to make decisions about their lives. One told me “ I get up when I want at 6 o’clock”. Another said; “ We can choose what we eat and when”. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 10 All service users are encouraged to take risks to aspire to their lifestyle. All service users’ told me that they go out alone to the shops and to day centres. I saw that risk assessments have been undertaken but have not been reviewed since 2005/2006 meaning that staff and service users’ may be lacking information on risk factors and safety. The manager told me that risk factors have not changed, but he would ensure risk assessments were reviewed frequently in the future. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. Quality in this outcome area is good. People who live at this home are involved in meaningful daytime activities of their own choice. They can access and enjoy opportunities available in the community, all have regular weekly contact with their families . Service users are involved in menu planning, they can help with shopping and food preparation if they wish. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two of the three service users attend a day care facility Monday to Friday each week. One service user told me; “I enjoy going to Glebefields”. The third service user chooses not to attend a centre saying ; “ I used to go before, to college to do photography. I go to an exercise group every Wednesday”. Service users told me that they access the community when they want to. During the inspection one service user went to a local shop. One service user had been to a party the previous Saturday and was happy to share events with me. All service users’ are going to Liverpool on bank holiday Monday to a Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 12 ‘Beatles do’. Service users’ told me it is planned that they will go to Blackpool in September 07 to see the lights. Completed questionnaires by service users showed the following; 3 of 3 confirmed that they can do what they want during the day, evening and weekends. All service users’ have regular weekly contact with their families. One service user said; “ My Mum and uncle come every week”. Another told me ; “ I go to see my son every week”. It was clear from speaking to staff and service users’ that service users’ rights to freedom and independence is very much acknowledged and encouraged. Although two staff members told me ; “ We encourage them all to do things but, they at times lack motivation”. Two service users;’ told me that they ; “ Choose menus for the following week with staff”. I saw menu choices that have been recorded. I saw that a record is also made of food eaten by each service user. Service users’ and the manager told me that more ‘healthy eating’ is being encouraged. Two service users’ are trying to loose weight to assist with this low calorie sugar and skimmed milk are purchased and made available. I saw that food stocks were varied. It was positive to see that salad and fruit was available within the home. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. Service users have access to healthcare and remedial services and that they have regular healthcare appointments and visit local health care centres. Staff encourage service users to be independent in terms of personal care. The home has a medication policy , medication records are generally up to date and medications received , administered and disposed of are recorded. Concern was raised however, in that a medication error occurred last June that was not reported to the Commission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All three service users’ living at this home are fairly independent in terms of meeting their personal hygiene needs requiring only prompting. I was aware during the inspection that two service users had showers. Both went into the bathroom alone and showered themselves. Service users’ told me that they purchase their own clothing and choose what they want to wear on a daily basis. One service user proudly showed me a very smart outfit that she had brought for a party that she had been to the previous Saturday. She looked very well presented in terms of hair, clothes and general appearance. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 14 All three service users’ are encouraged to visit healthcare services in the community. Two of the three spoken to were very aware of their mental health needs and what hospital appointments they attend and when. Service users were able to confirm that they attend the doctors surgery for appointments for blood pressure monitoring and blood tests. The home regularly weighs each service user and makes records to monitor weight loss or gain. I looked at medication systems and was pleased to see that the homes pharmacist had carried out an audit in March 2007 and had made the following comment ‘ very good.. medication system’. It was also pleasing to see that there were no staff signature gaps confirming that medication records are being completed fully. Medication records are being completed fully with the required information such as allergies or ‘non known allergies’. All medication records were complete with a photo of the service user. Two staff sign medication records where they are hand written to prevent error which is good and the medication cupboard is of the required standard. I was concerned in that a medication error had occurred in June 2006 in that the wrong medication was given to a service user. Although evidence was available to confirm that the home had taken all of the required actions to prevent harm such as phoning NHS, the Commission had not been made aware of this error as it should have been. A staff signature list was available but a number of signatures were for staff no longer working at the home meaning that the list is not current and up to date. Staff have received medication training but not comprehensive medication training. The manager confirmed that he has an appointment with a local college to address this issue. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. The complaints procedure is available with other procedures in the living room. Training for staff in the area of protection is arranged annually. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Commission or the home has received no complaints. No complaints or concerns have been raised by outside agencies. The home has a written complaints procedure which is available within the living room. It has a 28 day deadline for responding to complaints and details contact addresses and telephone numbers for the Commission and Social Services. Two of three service users confirmed that they know how to make a complaint. When I spoke to them they told me I would speak to staff or Pradeep ( the owner). There have been no allegations or incidents of abuse. It is pleasing that staff have regular protection training. They all received this last year and are having further training in June 2007. Sandwell Council’s procedures are available on the shelf in the office. Service users’ told me staff do not shout or do anything else concerning. I checked two service user monies held by the home against balances and found these to be correct. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26,30. Quality in this outcome area is good. The home provides a physical environment that is homely, clean, comfortable, safe and generally well maintained . Service users’ are encouraged to personalise their bedrooms. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home only provides care to three service users. Communal space offered consists of a lounge/ dining area and a conservatory for smoking. All areas are well maintained, homely and clean. The home has a rear garden which has had some work done since the last inspection. I saw that the lawn was neat and tidy and there was garden furniture available. One service user said; “ We have done some work on the garden, it’s nice”. The first floor bathroom is in need of refurbishment particularly the tiling and sealant around the bath. The owner is aware that this needs attention and showed me recent quotes he has obtained to get the work done. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 17 I looked at two bedrooms accompanied by the service users. Bedrooms held personal possessions such as televisions, pictures and ornaments. All rooms has a lockable cupboard and furnished to a good standard. Bedrooms were clean and free from odour. Two service users’ told me that their bedrooms were o.k. It is extremely positive that all staff have received infection control training. I found the home to be clean and free from odour. The laundry is off the kitchen- the owner aware that there may be risks due to this. I saw that there was liquid soap and paper towels provided in the kitchen, toilet and bathroom to prevent infection transmission. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36. Quality in this outcome area is good. Service user needs are met by a well established, trained staff team. Staff have a high attainment level regarding NVQ. Service users’ are protected by the homes’ recruitment processes. Supervision processes are lacking in terms of frequency. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Generally the home is staffed by one staff member each shift with the manager being on site during office and some out of office hours. Other staff are then made available when service users’ want to go out to the shops or other places. Staff spoken to confirmed that these staffing levels are adequate as especially during the week two service users’ attend day care facilities. They confirmed that there is no challenging behaviours or episodes between service users. Service users’ told me in general they can go out when they want to staffing does not cause any restrictions. Service users’ spoken to described the staff as; “ nice” and “ good carers”. One said “ They do a lot for us”. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 19 The care staff group have well over 50 in total of people attaining NVQ level 2 or above in care which is very good, as this gives assurance that service users’ are in safe hands. A number of staff have worked at the home for a considerable time and have knowledge and experience of caring for people with mental health problems. I looked at staff files and found these to be satisfactory in terms of recruitment documents. I was pleased to see that a full CRB had been received well in advance for one new staff member who started work on the day of the inspection. I did note from records that staff, are not receiving regular one to one supervision sessions. A number have not received any formal supervision for a year which means that they are not being provided with formal support and guidance. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. The registered manager is also the owner of the home. He is a Registered Mental Health nurse and has years of management experience. Quality assurance processes are in need of development to ensure efficient self assessment and service user involvement. The home has a consistent record in meeting health and safety requirements. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is also the registered owner of the home. He has daily involvement with the homes functioning. The manager is a registered mental nurse and has years of management experience in this home and previously in the health service. He has yet to complete his NVQ level in management. It is very positive that service users told me that they would approach the manager Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 21 if they were unhappy or had a complaint this indicating that they find the manager approachable and have confidence in him. As the home is small service users do informally have a lot of involvement in its functioning and are encouraged to make decisions in respect of daily routines, meals, menus and outings. A service user questionnaire was used in January of this year to measure service user satisfaction or other. However, more work is needed in terms of quality assurance and monitoring processes to enable the manager to effectively self assess the home and be able to demonstrate that it is being run in the best interests of the service users who live there. Training records need to be better organised as they were difficult to retrieve. However, it was positive that eventually staff training records were available and I saw that all mandatory training examples being; fire safety and moving and handling has been received or is in the process of being arranged. Two service users confirmed that they had also been included on recent fire training. One staff member said; “ We have a lot of training- it is all up to date”. I looked at service records and found these generally to be satisfactory examples as follows; Fire alarm service and emergency lighting service were carried out in January 2007. There was a gas landlords safety certificate dated November 2006 and the portable electrical appliances were checked by an electrician in November 2006. The certificate for the 5 year fixed electrical wiring dated 10/4/07 showed that this was ‘ unsatisfactory’. The manager confirmed that all work needed has been completed but did not have written records to prove this as he should. The kitchen is small and domestic in style. The only concern raised was one of the freezers , temperatures were too low. The manager told me that no service user food was kept in the freezer, that it was being monitored and that if it kept showing inadequate temperatures then it would be replaced. Whitehall Lodge Care Home DS0000030498.V331232.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 Adults 18-65 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 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 3 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 2 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 2 x x 3 x Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 23 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 YA36 Regulation 18(2) Requirement The registered person/manager must produce a schedule of staff supervisions to ensure that all staff receive 6 supervision sessions in any 12 month period. Timescale of 10/1/06 not met. The registered person/manager must identify an appropriate quality assurance programme, preferably one that is professionally recognised to implement within the home. (Timescales of 12/2/05, 01/11/05 AND 01/02/06 not met). Timescale for action 10/07/07 2 YA39 24 01/09/07 Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 24 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 2 Refer to Standard YA20 YA37 Good Practice Recommendations All medication errors must be reported to the CSCI in accordance with Regulation 37. The manager must commence on training to achieve NVQ level 4 in management. Whitehall Lodge Care Home DS0000030498.V331232.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Whitehall Lodge Care Home DS0000030498.V331232.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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