Inspection on 19/07/06 for Yolanta House Care Home

This inspection was carried out on 19th July 2006.

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

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

Other inspections for this house

Yolanta House Care Home 06/01/10

Yolanta House Care Home 04/12/07

Yolanta House Care Home 20/02/07

Yolanta House Care Home 12/10/05

Yolanta House Care Home 04/07/05

Yolanta House Care Home 10/03/05

Yolanta House Care Home 30/04/04

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 Yolanta House Care Home 1/3/5 Herbert Road Sherwood Rise Nottingham NG5 1BS Lead Inspector Joanna Carrington Key Unannounced Inspection 19th July 2006 09:30 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 Yolanta House Care Home DS0000002226.V301272.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. Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Yolanta House Care Home Address 1/3/5 Herbert Road Sherwood Rise Nottingham NG5 1BS 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) 0115 962 6316 0115 969 3122 Mr Jozef Sekowski Mrs Jolanta Sekowski Care Home 19 Category(ies) of Dementia - over 65 years of age (19), Old age, registration, with number not falling within any other category (19) of places Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th October 2005 Brief Description of the Service: Yolanta House is a care home for nineteen older people and older people with dementia. A majority of the residents and a large number of the staff are of Polish origin, although there are residents from a range of ethnic backgrounds. The home is located within a residential area of Nottingham close to shops, health centres and other amenities. The local Polish community centre and Catholic church are within walking distance. The home is converted from three large houses and the residents accommodation is on two floors. There are two double rooms and the rest are single bedrooms. There is an en-suite bedroom on the ground floor. There are five bathrooms; four with baths and one containing a shower room plus separate toilet facilities. Due to personal care and mobility needs most residents use the assisted bath on the ground floor. There is no passenger or stair lift installed therefore unless the bedroom was situated on the ground floor the home would not be suitable for residents with mobility problems. There is ramped access to the home and garden. The fees per week are £267 or £307 for residents with very dependent needs. Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over seven hours on 19th July 2006. This was the homes key inspection for this inspection / financial year. The main method of inspection was called ‘case tracking’ which meant selecting four residents and tracking the care and support they receive through checking their records, discussion with them and staff and observation of care practices. Altogether one resident that was case tracked and their relative plus another resident that was not case tracked were spoken with. Two staff members were also spoken with and the owners of the home were available for discussion and feedback throughout the inspection. A partial tour of the premises took place in order to assess environmental standards and files of four staff members were checked to ensure that recruitment practices are safe and that staff are trained in meeting the needs of residents. What the service does well: There is a very homely and relaxed feel at Yolanta House. The environment is comfortable for residents and is kept clean and hygienic. Residents are treated with dignity and respect. There are activities provided in the home for residents such as hand massages, board games and bingo. There is also an activity called ‘Chat and Chew’ which gives residents one to one time with a carer, to chat and eat cake. The home has polish owners, that run the home and a large number of residents at the home are either Polish or Ukraine. The cultural and religious needs of residents are well catered for. Polish newspapers are provided free of charge. Other ethnic minorities live at the home too and it is evident that their needs are met. Residents were seen enjoying their mealtime and menu records show that a wholesome varied diet is offered to residents. The home does well at enabling residents to maintain contact with family and friends. Staff help residents to make phone calls and relatives are made to feel welcome when they visit. There is also the facility for family that live far away to stay overnight. Before prospective residents move to the home there is information available about the home so that people can make an informed decision about where to live. Either the placing authority’s community care assessment is obtained or the home carries out their own assessment before offering a place to ensure that the home is suitable in meeting individuals’ needs. There are very good care plans in place covering all aspects of health, personal and social care needs. Residents and relatives in the development and review of care plans if choose to. Issues of risk are covered in care plans, which protects the safety of residents. The health of residents is promoted with good access to healthcare services and the necessary professionals such as Occupational Therapists, Continence advisors and community nurses. Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 6 The views of residents and relatives are listed to and taken seriously. There are feedback questionnaires sent out to residents and there is a complaints procedure for responding to concerns and complaints. Staff training is good. A lot of the staff at the home are Polish. So that these staff are able to succeed in mandatory training like First Aid, Moving and Handling and Food Hygiene they do English literary courses. Staff receive an induction when they start working at the home. The health, safety and welfare of residents is promoted and protected. All necessary fire safety testing is carried out and electrical and gas systems and equipment are regularly serviced. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3 Quality for this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have the information they need to make an informed decision where to live and their needs are assessed before moving to the home to ensure that it is suitable. EVIDENCE: For all four residents case tracked there was the placing authority’s community care assessment on their respective file. There were also copies of community care reviews / re-assessments from the placing authority, which ensures that the home remains suitable in meeting individuals’ needs and identifying when needs have increased. There is an up to date Statement of Purpose and Service User Guide that contains all the necessary information about the home and meets with the National Minimum Standards. Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9 and 10 Quality for this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good arrangements in place to ensure that the health and personal care needs of residents are met, and that residents’ right to dignity and respect is promoted and upheld. Medicine management is in need of improvement to ensure the safety of residents. EVIDENCE: There are individual plans of care that cover all aspects of health, personal and social needs and these are reviewed monthly, so that any changes in need can be identified and the necessary amendments to care plans made. It is recommended that where it states under the review section that some minor alterations to care plans have been made that it actually states which care plans have been amended. This will provide a clear trail of when individuals’ needs have changed or increased. A relative spoken with confirmed that they are involved in the care of their relative and that the owners of the home always keep them informed of any changes. An ethnic need in terms of how hair is styled and presented is identified in a relevant care plan. Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 10 It was evident from daily records and care plans that specialist health and social care professionals such as continence advisor, community nurse and occupational therapist are accessed when necessary. There are weight charts in place and healthcare appointments and outcomes are recorded. For one resident that currently has a pressure sore as well as the risk assessment there must be a care plan specifying what treatment is being given. Both residents spoken with said that staff treat them with respect and always knock on their bedroom door before entering. This was observed during the inspection. The care plans seen refer to maintaining dignity and promoting residents right to make choices. Handwritten instructions on Medication Administration Records (MAR) were clear and easy to understand, including strength of dose. Storage of medicines appeared organised and the temperature of the room is monitored daily to ensure that storage is safe. There were some errors found with the administration of medication: On one resident’s MAR sheet there were a couple of gaps when there should have been either an initial to confirm medicines have been given or a code indicating why it has not been given. On one box of medication it has been recorded on it the date that it was opened indicating that two tablets from previous box have been carried over. With this information on the box it was possible to audit and confirm that this drug has been administered as prescribed. Instead of this information being stated on the box it should state clearly on the MAR when any medication from the previous cycle has been carried over to the current cycle. For another resident it stated a quantity of thirty at the start of the cycle and seven tablets had been signed as administered. Therefore twenty-three tablets should remain but there were only seven in the box. One medicine on the MAR was observed to have the instructions ‘to be taken as directed’. Instructions for administration must be recorded clearly on the MAR otherwise this is unsafe practice and does not ensure that medicines are being administered as instructed by the doctor. Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 14 and 15 Quality for this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a varied wholesome menu, a range of activities and staff help residents to maintain links with friends, relatives and the local community and to exercise choice and control over their lives. EVIDENCE: There is a weekly activities programme for the home. This included ‘flex and stretch’, board games and cards, bingo, listening to music, film club, reminiscence and going for walks. The home also provides polish newspapers free of charge and there are regular opportunities for residents to have one to one time with a staff member for chat and a piece of cake. Cultural and religious needs are identified in care plans and every month a polish priest visits the home to perform mass. A relative spoken with confirmed that she is always made to feel welcome when she visits the home and daily records show that residents are supported to write letters to their family and are able to make telephone calls in private. There is also the facility for family or friends who live far away to stay overnight at the home. From reading records, observing practice and discussion with staff and residents it is apparent that residents are helped to exercise choice and control Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 12 in their lives. Residents spoken with explained that they can go to bed and get up when they choose to and some residents were observed spending time with others in the lounge or being assisted to their rooms so they could spend time on their own. Staff spoken with gave examples of how they ensure residents have choices: what to wear, what to eat and what activities to participate in. Menu records show that there are always two choices, usually one polish and one other dish with a range of meat, fish and vegetable dishes. Residents were seen enjoying their meal together and residents that required assistance with eating were treated with dignity and respect. The meal on the day of the inspection was turkey casserole with mixed vegetables and mashed potatoes or quiche. Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 16, 17 and 18 Quality for this outcome area is good. This judgement has been made using available evidence including a visit to this service. Concerns and complaints are taken seriously and acted on. Staff are aware of their responsibilities in accordance with local Safeguarding Adults procedures, which helps to ensure that residents are protected from abuse. EVIDENCE: The home has a complaints procedure in place and copies are available within the service users guide. Relatives and residents spoken with were clear as to how to make a complaint if they wanted to. There have been no complaints made since the last inspection. There have been no disclosure or allegations of abuse concerning residents in the home. Nonetheless, staff spoken with demonstrated an understanding of their responsibilities for whistle blowing, in accordance with the Nottinghamshire Committee for the Protection of Vulnerable Adults (NCPVA) Policy and Procedures. Training on adult abuse is included in the Skills for Care Induction that all new staff attend. Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 19, 24 and 26 Quality for this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in an environment that is safe, well maintained and clean and hygienic throughout. EVIDENCE: On a tour of the premises it was evident that the home is kept clean and hygienic. The sluice facility and laundry facilities are appropriate to meeting the needs of residents and are sited away from any areas that prepares or serves food. There is a homely and traditional feel and communal areas are nicely decorated with domestic furnishings and fittings. There are hallways throughout the building leading to bedrooms and communal areas. There are signs used in Polish and English on some doors, which enables residents to be orientated in their own surroundings. One of the bathrooms was found to be locked during the inspection as the bath is in need of repair. If the toilet next door is to remain open then the Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 15 bathroom must also because the sink for hand washing is in the bathroom. The bathroom was unlocked and made safe during the inspection. Bedrooms seen are personalised with individuals’ own belongings. Good quality furniture is provided by the home unless residents choose to bring their own when they move to the home. There are some residents that have vinyl flooring in their bedrooms because of continence needs. This must be documented in the relevant care plan so that when the rooms are occupied by anyone else carpeting or alternative is then provided. Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality for this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are trained and competent and staffing numbers are appropriate in meeting the needs of residents. Recruitment practices must improve to ensure that they protect residents. EVIDENCE: Residents’ spoken with stated that there is always assistance from staff when needed. The rota shows that set minimum staffing levels are always covered and it was evident from discussion with staff that the team are supportive of one another and will help out in covering holidays and sickness. Polish staff have opportunities to do English literary courses so that they can undertake at ease their National Vocational Qualification (NVQ) Level 2 and also all mandatory and refresher training such as First Aid, Moving and Handling and Food Hygiene. There is now a central training record for staff, as recommended at the last inspection, which indicates this. Out of ten care staff two already have at least NVQ 2, while four others are commencing the course in August. The home is therefore well on its way to achieving a target of fifty percent of its staff team qualified to at least NVQ 2. Training in dementia and challenging behaviour is also accessed for staff and courses run by the City Council are now also going to be available to staff. Staff files of three randomly selected staff members were looked at including staff that have been recruited since the last inspection. Two of the three staff Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 17 members only have Criminal Record Bureau (CRB) checks from previous employers, when a new enhanced CRB check must be carried out and one staff member only had one written reference when there should be two. A requirement is issued in respect of this. Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 and 38 Quality for this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run although some improvements to records will ensure residents’ rights and best interests are safeguarded. The health, safety and welfare of residents is promoted and protected. EVIDENCE: The overall outcomes of this inspection demonstrate that the home is well run and that residents receive good quality service. Staff spoken with described the registered manager as being approachable and supportive. Residents spoken with confirmed that they have access to money when they need it. The registered manager does not act as appointee for any residents. This is usually a relative or a solicitor has financial responsibility. All residents have a personal finance plan, which states who ultimately assists the resident with their finances and whether or not the home manages that resident’s Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 19 ‘pocket money’. Residents have their own lockable facility if they wish to look after money themselves or money can be held securely on residents’ behalf. Since the last inspection another satisfaction survey has gone out to residents, so that they can feedback on the quality of care at the home. The survey covers areas such as cleanliness, décor, choice of meals, making complaints and social activities. As recommended at the last inspection these are now dated. Surveys only get sent out to residents’ that are able to understand and make comment. It is recommended that surveys are sent out to relatives / representatives who can provide feedback about how the home is achieving goals for residents. Individual and home records are stored securely but there are a number of records that do not comply with data protection and other statutory requirements. Accident records are being left in the book and daily notes about residents are written alongside other residents’ records on the same pages. This is also the case for complaints records. It transpired that there have been some admissions to hospital, which should have been notified to the Commission. There are the necessary measures in place for the prevention of Legionella and the servicing of equipment and gas and electrical systems are all up to date, which are all important for promoting and protecting the health and safety of residents. The fire safety log shows that all necessary fire alarm testing is carried out in accordance with Fire Precautions legislation. There is a fire risk assessment in place from 2005 and it was reported that this is due to be updated. It is recommended that the Nottinghamshire Fire and Rescue Service form is downloaded and used to ensure the risk assessment covers all the required areas. Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 20 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 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 2 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X 2 3 Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP8 OP9 Regulation 15 13 Requirement For residents with pressure sores develop a care plan specifying treatment. Ensure that there are adequate arrangements for the recording, handling, safekeeping and safe administration and disposal of medicines received into the care home. This refers to: 1. Ensuring all medication received into the home is accounted for by carrying over medication from the previous cycle onto the current medication administration record. 2. Ensuring there are instructions for administration on medication administration records, no ‘as directed’. 3. Ensure there are no gaps on medication administration records. Ensure a staff member does not commence employment until the return of a satisfactory Criminal Record Bureau check and two written references. Timescale for action 01/09/06 01/08/06 3. OP29 19 19/07/06 Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 22 4. OP37 37 Inform the Commission for Social Care Inspection of any incidents listed under Regulation 37. This is an outstanding requirement from previous inspection, initial timescale 01/11/05 not met. 01/08/06 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. 3. 4. 4. Refer to Standard OP6 OP24 OP33 OP37 OP38 Good Practice Recommendations State in monthly reviews which care plans have been amended so that it clearly identifies which needs have changed or increased. Document in relevant care plan the need for vinyl flooring in bedroom. Distribute satisfaction surveys to stakeholders and relatives / representatives of residents. Amend systems for record keeping so that they are in line with data protection and other statutory requirements. Download Fire Risk Assessment from Nottinghamshire Fire and Rescue Service for use. Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Yolanta House Care Home DS0000002226.V301272.R01.S.doc Version 5.2 Page 24 - 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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