Care Home: Beechwood Nursing Home

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What the care home does well People live in a clean comfortable home. Staff are kind and helpful and make every effort to provide the service in the way that people want. Comments were made such as " I`m glad I choose Beechwood as I cannot find fault with anything" and " Beechwood is extremely well managed with a pleasant atmosphere being created with welcoming and helpful staff." The manager from the home visits people before they move in, she finds out about the kind of support the person might need. This helps the home decide whether they have the right knowledge and experience to be able to care for the person properly and safely. A good choice of food and drinks are available. This ensures that people receive a varied and nutritious diet. Comments about the meals provided included "The meals have always been very good" and "The Chef is an excellent cook" The relationships witnessed between staff and the people who live at the home appeared relaxed, warm and genuine. Comments included "all staff are patient and most helpful" and "Staff are very caring and do their utmost to help" What has improved since the last inspection? There are new checks in place to reduce the risk of the wrong medication being given to people. Parts of the home have been refurbished, in particular the dining room. New chairs and tables make this a pleasant room to dine in. The registered provider is spending more time at the home. This helps the manager with the day to day running of the home which means she has more time to spend to focus on supporting the staff and the people who live at the home. What the care home could do better: So that people live in a pleasant environment parts of the home need refurbishing and redecorating. So that people have full and accurate information about the service the Statement of purpose and service user guide must be completed. This must then be made available to all prospective and current service users. CARE HOMES FOR OLDER PEOPLE Beechwood Nursing Home 41-43 Esplanade Road Scarborough North Yorkshire YO11 2AT Lead Inspector Ms Chris Taylor Key Unannounced Inspection 09:30 26th November 2007 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 Beechwood Nursing Home DS0000027997.V335852.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. Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beechwood Nursing Home Address 41-43 Esplanade Road Scarborough North Yorkshire YO11 2AT 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) 01723 374260 9999 beechwood2000@aol.com Mr Tamby Seeneevassen Mr Tamby Seeneevassen Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age Range 65 years plus Date of last inspection 8th December 2006 Brief Description of the Service: Beechwood Nursing Home is a detached Edwardian building converted over 20 years ago into a care home providing nursing care for up to 32 residents. It is situated in the South Cliff area of Scarborough and close to the Esplanade with views over the South Bay. A passenger lift is available, giving access to communal and private areas of the home. There is a small terrace to the front of the property and a patio area with seating for service users. On street parking permits can be obtained from the home for visitors. The local shops and post office are within walking distance of the home and there is a regular bus service to the town centre. Prospective service users are given verbal information about what services are on offer at the home when they look around. The homes statement of purpose is currently being developed and amended. The most recent Commission for Social Care Inspection report is available in the home and individual copies are available on request to the manager or person in charge. The scale of charges made at the home range from £475 to £550 with additional charges made for hairdressing, chiropody, personal toiletries and individual newspapers. This information was correct on 5th December 2007. Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is what was used to write this report. • • • Information about the home kept by the Commission for Social Care Inspection. Information asked for before the inspection, this is called an Annual Quality Assurance Assessment. A visit to the home that was unannounced. This lasted seven hours and included talking to staff about their jobs and the training they have completed. Also spending time with people and checking some of the records, polices and procedures the home has to keep. Twelve surveys were received from service users, some of which had been completed by relatives. Looking at four peoples’ care files in detail. • • What the service does well: People live in a clean comfortable home. Staff are kind and helpful and make every effort to provide the service in the way that people want. Comments were made such as “ I’m glad I choose Beechwood as I cannot find fault with anything” and “ Beechwood is extremely well managed with a pleasant atmosphere being created with welcoming and helpful staff.” The manager from the home visits people before they move in, she finds out about the kind of support the person might need. This helps the home decide whether they have the right knowledge and experience to be able to care for the person properly and safely. A good choice of food and drinks are available. This ensures that people receive a varied and nutritious diet. Comments about the meals provided included “The meals have always been very good” and “The Chef is an excellent cook” The relationships witnessed between staff and the people who live at the home appeared relaxed, warm and genuine. Comments included “all staff are patient and most helpful” and “Staff are very caring and do their utmost to help” Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Beechwood Nursing Home DS0000027997.V335852.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 Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 1 and 3. People who use this service experience good quality outcomes in this area. Peoples’ needs are properly assessed prior to admission this helps make sure that staff know they will be able to meet peoples’ needs before the person moves in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Most referrals to the home come via the local hospital. The manager visits people either at hospital or occasionally in their own home and completes the home’s assessment. This is to make sure that the home would be suitable. A return visit by the person in order for them to get a feel for the home is encouraged but can’t always be possible. Mostly relatives visit instead. Two people said that they had been provided with information about the home before they moved in and this had been useful. All of the surveys received Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 9 agreed that sufficient information about the home had been provided before admission. Comments made included: “We read reports and the family were shown around” “Family met with manager & looked around, saw several homes but this was most suitable” “I had received excellent news about all aspects of the home and its care” The format for the pre admission assessment is good and has appropriate headings to determine what support people need. Four people’s files were looked at to establish whether this process had been followed. The home’s own assessment had been completed thoroughly. This provides staff with the right kind of information to support people safely and in a way that they want. A previous requirement was for the manager to review and produce an up to date Statement of Purpose and Service User Guide. The manager is currently in the process of doing this and is preparing a shortened brochure style version to provide to families and prospective service users. Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 People who use this service experience good quality outcomes in this area. People receive a care service that meets their needs. Care is delivered in a manner that respects peoples’ wishes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four peoples’ case records were looked at in order to check that a care plan had been formulated which helps staff provide support to people according to their needs and wishes. For each person forms were completed which contained information about the person such as date of birth, GP and next of kin. Information recorded covers where people need help and assistance. And information about social interests and personal preferences about how individuals wish to spend their day. The care plan also records information about areas of risk. In particular moving and Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 11 handling, falls and nutritional assessments, where a person may need a specific diet due to weight gain or loss. There is a monthly review sheet and daily record. Daily records provided a good picture of how people spend their day. They would provide essential information to track any changes people may experience, with ill health or involvement in social activities. People are registered with a GP of their choice. The manager and staff said that the working relationships with GP are good. They said the support from other health care professionals such as the tissue viability nurse and the psycho geriatrician is good. The delivery of personal care is individual and flexible. Discussions with people confirmed this and comments from surveys included: “ I’m glad I choose Beechwood as I cannot find fault with anything” “all staff are patient and most helpful” “I have never had to wait for help” “Staff are very caring and do their utmost to help” Medication is stored in a locked trolley. A monitored dosage system is in use with proper procedures in place for the receipt, storage, administration, recording and return of medicines. It is usual that only senior members of nursing staff administer medication. Lunchtime medication administration was observed and this was carried out safely and in a way that ensured peoples’ dignity was maintained. Previous requirements made had been rectified; codes used on medication administration records were clearly defined and dates of opening were entered on medications with a limited shelf life once opened. An audit system for ensuring safe administration of medication has been implemented. Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. People who use this service experience good quality outcomes in this area. People can choose how they spend their day and have the opportunity to pursue their own interests. Meals provided are nutritious, are of good quality and freshly prepared. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People choose their own daily routines and are encouraged to remain independent and have as much control over their lives as is possible. People can sit in communal lounges or spend time in their rooms and can rise and retire as they wish. There is a part-time activities organiser employed and people said that they enjoyed the activities on offer but there was no pressure to join in. There was some discussion with the manager about ensuring activities are organised for individuals particularly for those people who spend most of their time being nursed in bed. Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 13 Visitors are made welcome and this was evident on the day of the visit. Visitors are encouraged to join their relative for a meal. There are three main meals per day and a choice is provided at each. Special dietary needs such as low sugar diets are catered for and special requests can usually be met. Where food needs to be softened or liquidised each part of the meal is liquidised separately rather than mixing it all together. This makes the meal more palatable and tastes much nicer. Where appropriate nutritional assessments are carried out and these were seen in case records. People spoke positively about the quality of meals provided and people clearly enjoyed their lunch. Staff supported those people who needed assistance respectfully and discreetly. Menus were looked at and these were varied. Hot and cold drinks are available throughout the day with a hot drink and snack provided prior to bed. Comments about meals included: “The meals have always been very good” “The Chef is an excellent cook” “Well cooked and tailored to my preferred food choices”. Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. People who use this service experience good quality outcomes in this area. People can be confident that concerns are listened to and appropriate action is taken. There are sufficient effective systems in place to safe guard people from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complaints procedure is provided to people and is included in the Statement of Purpose. People said that they felt able to talk to staff and the manager of the home if they had complaints. And that these would be dealt with properly. One person said “ any issues we have as a family have always been dealt with quickly- staff helpful and considerate”. The manager views complaints positively and believes that bringing any concerns to the attention of the manager and staff can only improve the service provided. There is a comprehensive policy and procedure with regard to adult protection and staff have a good awareness of this. The manager has recently updated her training about safeguarding adults and plans to hold a training session with staff to pass this update on. The manager reported that there was good support with regard to adult protection issues from partner agencies; that they were always available to listen to any concerns and offer advice. A recent Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 15 safeguarding issue was managed well and procedures were followed properly. Staff receive training in adult protection issues as part of NVQ (National Vocational Qualification) level 2 and 3 in care. Appropriate recruitment procedures are followed, with references and Criminal Records Bureau (CRB) checks made to reduce the risk of undesirable people working in the home. Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26. People who use this service experience good outcomes in this area. People live in a clean, comfortable and safe home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is going through a refurbishment programme and those areas completed provide a bright, attractive and pleasant environment. Other areas of the home looked tired and in need of updating. A programme of refurbishment was discussed with the provider. He explained that a new extension is due to be built to increase the number of single en suite bedrooms. Once this had been completed he will begin to redecorate other parts of the building. Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 17 Some of bedrooms were looked at and these were comfortable and personalised. The home has a variety of equipment available to assist with maintaining people’s independence. This is serviced at the required intervals to ensure the safety of people. Information from surveys confirmed that people always find the home ‘clean and tidy’ and ‘fresh and clean’. Comments received included: “The positioning of air fresheners has added greatly to the atmosphere” “It’s a big home, they are making improvements” “It never smells” The home is kept clean so that the risk of people becoming ill from poor hygiene is unlikely. The home was free from offensive odours for the duration of the visit and made the environment pleasant. Hand wash scrub, gloves and aprons are available throughout the home. This helps to minimise the risk of cross infection. Alcoholic antiseptic gel is located in the entrance hall and visitors to the home are encouraged to use this. The laundry facilities are adequate and peoples’ clothing looked to be clean and in a good condition. Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30. People who use this service experience good outcomes in this area. Staff are properly vetted and trained to ensure people receive the care and support they need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The recruitment records of the three most recent staff employed were checked. All had a completed application form and had attended formal interview where any gaps in employment had been explored. Written references and POVA (Protection of Vulnerable adults) first checks had been obtained and staff had not started to work in the home until they have a CRB (Criminal Records Bureau) check. Staff complete a competence based induction programme which includes health and safety training such as moving and handling, first aid and infection control. Staff are encouraged to complete NVQ level 2 (National Vocational Qualifications) and other training which provides them with essential skills and knowledge to support people competently. Staff spoken to said the training was good and helped them with their role. Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 19 During the inspection there appeared to be enough staff on duty to meet people’s needs. One person said “ there’s always a member of staff around when I need them” and another said, “ I have never had to wait for help”. There is always a nurse on duty and many of the staff employed from overseas have nursing qualifications. At every shift change there is a handover where specific issues relating to people are discussed. Polices and procedure are discussed at regular staff meetings. This is as yet no formalised staff supervision where the manager meets regularly with staff to discuss and record practice and training needs. Staff spoken to said that the manager was always available to discuss any issues. Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, 37 and 38. People who use this service experience good outcomes in this area. The home is managed in such a way that promotes the best interests of people. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is a registered nurse and is highly thought of by staff, service users and relatives. Comments received included: “The Matron is very supportive, always has time to listen.” “Much improved since Chris Hopkins took over” Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 21 “Beechwood is extremely well managed with a pleasant atmosphere being created with welcoming and helpful staff.” Service users, staff and families know who to go to if there is a problem and are very happy with the way in which the home is run. The manager keeps up to date with her own training and is knowledgeable about current ways of working. There is always a senior nurse on duty to take responsibility for the smooth, safe running of the shift. Tasks are appropriately delegated so that the safety of people, and the safe running of the home is shared out among the more senior members of staff. Because the home is not part of a large oraginisation the manger has added responsibilities. She does not benefit from the support of a human resources team or training team which a home part of a large oraginisation would have. This means she has a lot to do within her working day. She has no administrative support and as a result much of the paperwork is disorganised. Some administrative support or delegated time would help her organised the office side of the home. The previous inspection noted that the registered provider was often not in the country. Over the last 12 months this has improved and the registered provider visits on a weekly basis and takes on some of the management administrative work. The quality assurance systems within the home need to be more formalised and an annual development plan put together. This would ensure that areas for improvement have stated timescales and do not slip. The contact the manager has with people who live at the home and their relatives means she has a good understanding of their views. Residents and relatives meetings are held regularly. Evidence from talking to people and looking at the minutes indicates they are very lively, proactive meetings which are well attended. One comment about these meetings was ‘‘ residents /representatives meetings take place and these are a very useful forum to understand the workings of the home and giving us the opportunity to suggest improvements.” The fire procedure is prominently displayed throughout the home and fire detection and fire-fighting equipment is tested and maintained regularly. Records were seen which confirmed that other equipment in the home is maintained and serviced appropriately. Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 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 3 x 3 x 2 3 Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 23 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 OP1 Regulation 4,5,6 Requirement The registered person must ensure that sufficient and accurate written information is available for all current and prospective service users and their representatives. This information should give a clear picture of the services that are available at Beechwood. The registered person must provide a maintenance programme to the CSCI which includes timescales with regard to the interior and exterior of the home being brought into a good state of repair, furnishing and décor. The plan must show how this will be maintained. The registered person must make arrangements for the acting manager to apply to become registered with the Commission for Social Care Inspection in respect of Beechwood Nursing Home Timescale for action 31/01/08 2. OP19 23 (2) (b) 31/01/08 3.. OP31 8(1(b(iii) 30/03/08 Beechwood Nursing Home DS0000027997.V335852.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. Refer to Standard OP33 Good Practice Recommendations It is recommended that the quality assurance system is further developed to ensure that the views of all stakeholders are taken into account and to inform the homes development plan It is recommended that staff supervision is formalised and records maintained in respect of this. Record required for the safe and effective running of the home should be organised and kept up to date. 2. 3. OP36 OP37 Beechwood Nursing Home DS0000027997.V335852.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Beechwood Nursing Home DS0000027997.V335852.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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