Care Home: Honeysuckle House Nursing Home

What the care home does well Honeysuckle House has a friendly and supportive atmosphere and staff work hard to meet the needs of the people living there. People are treated with respect and their right to privacy and their right to exercise choice and control over their lives is upheld. Good assessments and comprehensive care plans ensure that staff know how best to support each person. People who live at the home are kept suitably occupied and engaged and can choose from a range of activities. The layout of the home ensures that residents can move freely about and interact with staff and each other. The registered manager is also working hard to ensure the residents of the home are treated well and receive the care they need to lead as fulfilling lives as possible. What has improved since the last inspection? Thirteen requirements were issued at the last key inspection in August 2007. We inspected the home again in January of this year and found that all of the requirements had been met. The general maintenance and safety of the building has improved and residents are kept safe and live in a pleasant and stimulating environment. Recruitment procedures are more robust, the manager has undertaken adult protection training and adult protection procedures have been reviewed. This means that residents are now better protected at the home. We were impressed that the overall wellbeing of residents at the home has improved and everyone appeared more relaxed and there were excellent interactions between staff and residents. CARE HOMES FOR OLDER PEOPLE Honeysuckle House Nursing Home 1a Oakthorpe Road Palmers Green London N13 5HY Lead Inspector Mr David Hastings Unannounced Inspection 3rd June 2008 11:00 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 Honeysuckle House Nursing Home DS0000027810.V365199.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. Honeysuckle House Nursing Home DS0000027810.V365199.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Honeysuckle House Nursing Home Address 1a Oakthorpe Road Palmers Green London N13 5HY 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) 020 8886 8086 020 8886 0964 admin.honeysucklehouse@careuk.com manager.burroughs@careuk.com Care UK Community Partnerships Ltd Esther Gordon Owubokiri Care Home 32 Category(ies) of Dementia - over 65 years of age (32), Mental registration, with number disorder, excluding learning disability or of places dementia (32) Honeysuckle House Nursing Home DS0000027810.V365199.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd August 2007 Brief Description of the Service: Honeysuckle House Nursing Home is a registered care home with nursing providing care to thirty-two older people with a diagnosis of mental disorder. Care UK Community Partnerships Limited manages the home and employs the staff. The home is owned by the London Borough of Enfield who retain contractual responsibility for funding the majority of the maintenance at the home as well as for purchase of furniture and equipment. The London Borough of Enfield block purchases the thirty-two places at the home. The home is a purpose built, two story premises that was opened in the1990s, originally to accommodate residents following the planned closure of a long stay hospital. The home provides both residential care and nursing care in two separate units. The ground floor contains a fourteen place residential unit that has twelve single bedrooms, one double bedroom and a range of communal facilities including its own lounge and dining room. The managers office, main kitchen and a large activity room are also situated on the ground floor. The first floor contains an eighteen place nursing unit that has sixteen single rooms, one double room, and a range of communal facilities including lounge and dining room. A passenger lift as well as stairs connects the two floors and both have an appropriate range of accessible bathrooms and toilets. Facilities throughout the home are fully accessible to wheelchair users. The home is situated in a quiet residential area close to the shops and amenities of Palmers Green as well as good public transport links. Placements at the home are bought by the local authority on a block contract basis and at the time of the inspection the fees were £504 for a residential placement, and £542 for nursing placement. Residents are expected to pay separately for hairdressing, newspapers and magazines and some toiletries. Copies of this report are available form the home or from the CSCI website. Honeysuckle House Nursing Home DS0000027810.V365199.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This Key Unannounced inspection took place on Tuesday 3rd June 2008 and was completed on the same day. The inspection lasted six hours. We spoke with eight staff on duty during the inspection. We spoke with ten residents of the home and one visitor. The majority of people who live at the home have mental health problems or dementia. We observed the interactions between staff and residents. We inspected the building and examined various care records as well as a number of policies and procedures. Residents we spoke with said they were happy with care and support they received. One resident told us, “It’s quite nice”. A relative commented, “They are brilliant here”. What the service does well: What has improved since the last inspection? What they could do better: Honeysuckle House Nursing Home DS0000027810.V365199.R01.S.doc Version 5.2 Page 6 One requirement and one good practice recommendation have been issued as a result of this inspection. Residents should be consulted about their care when thier care plans are reviewed so that they can comment on how well the staff are meeting their needs. Daily notes should detail how individual resident’s care plans are being followed so that staff have a clear record of how they have supported that person throughout the day and night. 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. Honeysuckle House Nursing Home DS0000027810.V365199.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 Honeysuckle House Nursing Home DS0000027810.V365199.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): 1 and 3 (6 not applicable) People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents have accurate information about the home in order to make an informed choice about where to live. People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. EVIDENCE: A good practice recommendation was made at the last inspection that the home’s “Statement of Purpose” should include an equal opportunities statement. The manager told us that the home’s brochure is currently being revised. The welcome pack given to all new residents has a clear equal opportunities statement, which should ensure that people coming into the home know that the home will respect their different backgrounds and cultures and that discrimination will not be tolerated at Honeysuckle House. Honeysuckle House Nursing Home DS0000027810.V365199.R01.S.doc Version 5.2 Page 9 We examined three assessments of people who have recently moved into the home. The manager told us that someone from the home would visit a prospective resident and carry out an assessment of their needs before they moved in. These assessments were detailed and covered all the elements required by this Standard including the assessment of physical, emotional, social and cultural needs. We also found that the information from these assessments was being recorded on peoples’ care plans as well. There was evidence that people moving into the home have a review of their placement after four to six weeks to see if they are happy at the home and whether they decide to move in on a permanent basis. Honeysuckle House Nursing Home DS0000027810.V365199.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): 7, 8, 9 and 10 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Care plans clearly set out residents’ health, personal and social care needs so that staff know how best to support everyone at the home. Residents have good access to health care professionals and they are treated with respect. Residents get the medication they require, at the right times and by appropriately trained staff. EVIDENCE: We looked at a sample of six care plans on the home’s computer system (Saturn). This is a relatively new system where residents’ care plans, risk assessments and daily report updates are kept on the computer. These plans gave staff detailed information about how best to care for each person. People’s health, personal and social care needs were recorded on each plan. Care plans seen were “Person centred” in approach and contained information about how to maintain an individual’s privacy and dignity. Care plans also detailed people’s cultural needs. These plans were being updated regularly. Risk assessments were also seen relating to moving and handling, falls, nutrition and other risks associated with dementia. Daily reports for individual Honeysuckle House Nursing Home DS0000027810.V365199.R01.S.doc Version 5.2 Page 11 residents did not always record in sufficient detail how the staff had supported the resident. For example on some peoples’ care plans it was recorded that staff should apply cream to potential pressure areas. It was not always clear if this had been done. A good practice recommendation has been issued relating to this in the relevant section of this report. There was little evidence that residents or their representatives had been involved in reviewing their own care needs and wishes. A requirement has been issued that residents or their representatives are consulted about their care and are given the opportunity to comment on the quality of the care each time their care plans are reviewed. This is to ensure that people have a say in how they would like their care to be delivered. It will also enable the home to have a written record of how well staff are meeting people’s needs and to highlight any issues with the quality of care being delivered. Pressure relieving equipment was being used for people who have been assessed as being at risk from developing pressure sores. Currently two people at the home are being treated for pressure sores and notes seen regarding the treatment of these residents indicated that their condition was improving. Treatment notes in relation to pressure care were detailed and included a record of the size and condition of these pressure sores so that staff could better monitor the effectiveness of any treatment regimes. There were records on the residents’ files inspected of a range of health care checks by external health professionals. These included opticians, chiropodists and dentists. There was evidence of regular input from doctors including evidence of their attendance at the home. A relative we spoke with told us that the home would always contact her if they had any medical concerns about her relative. Satisfactory records were examined in relation to the receipt, administration and disposal of medication. Records indicated that staff have undertaken medication training and only qualified staff administer medication at the home. Each person’s medication chart has a picture of them attached to it so that staff can double check who is receiving the right medication. We saw a number of examples of excellent staff interactions with people and staff were able to describe to us how they ensure the privacy of people they support. We saw staff knocking on resident’s bedroom doors before entering. People we spoke with told us that the staff were respectful and kind towards them. Honeysuckle House Nursing Home DS0000027810.V365199.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): 12, 13, 14 and 15 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides varied activities for people who use the service in order to keep them suitably occupied and engaged. The home encourages visitors, which ensures an interesting and lively atmosphere. Residents are able to exercise choice and control over their lives. The home provides people with a wholesome appealing balanced diet. EVIDENCE: We were impressed by the way residents could walk freely about the home and interact with both staff and other residents. Interesting items such as tennis rackets, handbags, hats, dolls and other reminiscence materials had been placed around the corridors so that people with dementia could interact and engage with these objects. The atmosphere of the home was relaxed and sociable. Bedroom doors had been individualised so that residents could find their room more easily. Throughout the inspection we saw that residents were being kept suitably occupied and engaged and people were able to express their feelings with the support of staff. One resident told us, “I like the activities”. Social and recreational interests were being recorded on individual care plans. Honeysuckle House Nursing Home DS0000027810.V365199.R01.S.doc Version 5.2 Page 13 Care plans also described how staff are to meet the cultural and religious needs of people living at the home. We saw a number of visitors to the home during the inspection and the record of visitors indicated that they could visit at any reasonable time. This was confirmed by the home’s visiting policy and by residents we spoke with. The home has regular residents’ meetings and minutes examined indicated that residents have a say in how the home is run. The minutes also provided evidence that residents are consulted about the menus in the home. Staff we interviewed were able to give us practical examples of how they offer choice to people living at the home. One resident told us, “We never get bossed about. No one ever tells us what to do”. The kitchen was inspected. Fridge and freezer temperatures were being recorded and there were sufficient amounts of fresh fruit and vegetables available. The assistant chef was interviewed and had a good knowledge of individual resident’s dietary needs and preferences. Cakes are prepared for all residents’ birthdays and the meals we saw on the day of the inspection looked and smelt appetising. People who use the service confirmed that the food was good at the home and that they always get enough to eat. One resident told us, “The food is good, it’s freshly cooked”. Honeysuckle House Nursing Home DS0000027810.V365199.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): 16 and 18 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Complaints are taken seriously and responded to in a professional manner. People at the home are protected from abuse by clear policies and procedures and by an appropriately trained staff team. EVIDENCE: A satisfactory complaints policy was seen on display throughout the home. This policy had also been designed in pictorial form so that people with dementia could understand the policy. People we spoke to said they had no complaints about the service. There have been no complaints since the last inspection however the record of complaints examined indicated that complaints were taken seriously and dealt with in a professional manner. Two requirements were made at the last key inspection relating to the home’s adult protection procedure and training for the manager. The adult protection procedure was examined and contained a clear, step-by-step guide to alerting the appropriate authorities of any potential adult protection matters. The manager told us that she has completed two training courses in adult protection. As a result of these two requirements being met, people who use the service should be better protected from any potential abuse occurring at the home. There has been two adult protection alerts at the home since the last inspection both these matters have been dealt with professionally and in line with the home’s policies and procedures. Honeysuckle House Nursing Home DS0000027810.V365199.R01.S.doc Version 5.2 Page 15 Staff we interviewed told us they had undertaken adult protection training and were able to give us examples of how people could be at risk from abuse and their responsibilities in relation to reporting any suspicions of abuse at the home. A resident told us, “I feel safe”. Honeysuckle House Nursing Home DS0000027810.V365199.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): 19 and 26 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is safe, clean and maintained and decorated to a very good standard. EVIDENCE: We toured the home with the manager and visited a number of resident’s rooms. We also looked at the bathroom and toilet facilities in the home. The home is being extensively refurbished and redecorated. The manager told us that the second floor corridors would be redecorated soon. The general environment of the home has improved considerably and people who use the service now live in a much more pleasant environment. Interesting pictures and tactile objects have been placed around the walls of the ground floor and this has provided an interesting and stimulating environment for residents. We saw the laundry area, which has satisfactory equipment including facilities for sluicing bedding and clothes as required. All toilets and bathrooms Honeysuckle House Nursing Home DS0000027810.V365199.R01.S.doc Version 5.2 Page 17 contained anti-bacterial soap and disposable paper towels to limit the risk of cross infection. Training in infection control is also provided for staff. Honeysuckle House Nursing Home DS0000027810.V365199.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): 27, 28, 29 and 30 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The staff at the home work very hard to meet the needs of the residents and are provided with good training opportunities to further enhance their knowledge and skills. Recruitment practices are sufficiently detailed in order to protect residents at the home. EVIDENCE: People who use the service told us they were happy with the staff at the home and we saw good interactions between staff and residents. On the day of the inspection there appeared to be enough staff to meet the needs of the residents. Staffing rotas seen matched the names of the staff on duty that day. One person told us, “The people are very nice, they are polite”. Records examined indicated that over 50 of staff have completed their NVQ level 2 or equivalent. Staff were very positive about the training offered to them and staff training profiles examined indicated that staff at the home receive the training required to do their jobs effectively. Where staff needed refresher courses in mandatory training we saw that these courses had been booked for later in the year. Honeysuckle House Nursing Home DS0000027810.V365199.R01.S.doc Version 5.2 Page 19 We examined the files of staff who have recently been employed at the home. All files contained the information required to protect residents including CRB disclosures, two written references with a company stamp or letter headed paper to confirm its authenticity and proof of identity. Honeysuckle House Nursing Home DS0000027810.V365199.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): 31, 33, 35 and 38 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The registered manager is working hard to improve the quality of care provided at the home. Residents have opportunities to have a say in how the home is run. Residents’ financial interests are being safeguarded. The health and safety of residents and staff are being promoted and protected. EVIDENCE: Staff and residents that we spoke with were positive about the registered manager of the home. The registered manager, Ms Esther Oinubokiri is a qualified nurse and is qualified in dementia mapping. Dementia mapping is a system of observing people with dementia who find it difficult to communicate in order to assess whether they are being cared for properly. The registered Honeysuckle House Nursing Home DS0000027810.V365199.R01.S.doc Version 5.2 Page 21 manager was able to describe how she uses this observational tool to assess the wellbeing of residents at the home. We talked with the manager about how dementia mapping could also form part of the home’s quality monitoring systems. There was evidence from monthly residents’ meetings that people who live at the home have a say in how it is run. The meeting minutes also identified any action taken in response to residents’ comments and suggestions. We saw relative meeting minutes as well. The organisation, Care UK has systems in place to monitor the quality of care provided at the home including regular questionnaires, which are given to residents and their representatives. The results of these questionnaires have been published and are made available to residents and other interested parties. Some monies are kept by the home on behalf of a number of residents. A number of records were checked against cash held and found to be correct. We examined records in relation to health and safety. The manager told us that the systems for reporting urgent maintenance issues with the local authority have improved. This should ensure that any problems are dealt with quickly and that both residents and staff are protected. Fire records examined indicated that both day and night staff are undertaking regular fire drills. The fire alarm is not fully functioning and although the alarm sounds when there is a fire the different zones are not lighting up. However the registered manager told us that the whole fire alarm was being replaced shortly and we saw that satisfactory measures had been put in place to protect residents, visitors and staff. There is a clear notice on the entrance door to alert visitors and the fire alarm is being tested daily. We examined satisfactory records in relation to other health and safety issues and staff training records indicated that staff are undertaking the required health and safety training in order to protect both residents and staff. Honeysuckle House Nursing Home DS0000027810.V365199.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Honeysuckle House Nursing Home DS0000027810.V365199.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15(2) Requirement The registered person must ensure that residents or their representatives are consulted about their care and are given the opportunity to comment on the quality of the care each time their care plans are reviewed. This is to ensure that people have a say in how they would like their care to be delivered. Timescale for action 01/08/08 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 OP7 Good Practice Recommendations The registered person should ensure that daily notes clearly record how the care plan has been followed for each resident. Honeysuckle House Nursing Home DS0000027810.V365199.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Honeysuckle House Nursing Home DS0000027810.V365199.R01.S.doc Version 5.2 Page 25 - 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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