Care Home: King`s Park Nursing Home

What the care home does well Staffing levels appeared to be well maintained and monitored by the manager to ensure people had the necessary support they needed. During discussions with people living there they said they were happy with the support and care offered by staff. The home encourages relatives to visit and to continue to take an active role in the ongoing care of their relative. This was evident on the day as family were observed to visit and support relatives at meal times.Records and care plans were examined and found to be well maintained and regularly contributed to by senior staff based on information provided by care staff. Programmes of supervision, training and ongoing programmes of development for staff were overseen by the manager and senior staff to ensure staff have the necessary skills and knowledge to support people. What has improved since the last inspection? The manager was in the process of reviewing the roles and responsibilities of all senior care and ancillary staff. This had lead to the appointment of a new maintenance person to address ongoing maintenance and health and safety arrangements in the home. The roles and responsibility of the activity organiser were also being reviewed to improve social care and leisure arrangements. Staff commented on the positives of having a designated manager in post for direction and support. This should be sustained in order to support service users and their relatives. What the care home could do better: People must be consulted about the social and leisure activities that they enjoy and want to participate in. The manager must submit an application to be registered with the commission. CARE HOMES FOR OLDER PEOPLE King`s Park Nursing Home King`s Road Ashton-under-Lyne Tameside OL6 8EZ Lead Inspector Joe Kenny Unannounced Inspection 14 August 2008 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 King`s Park Nursing Home DS0000025439.V364605.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. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service King`s Park Nursing Home Address King`s Road Ashton-under-Lyne Tameside OL6 8EZ 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) 0161 343 4733 0161 343 4943 www.schealthcare.co.uk Southern Cross Healthcare Services Ltd Manager post vacant Care Home 44 Category(ies) of Dementia (44), Dementia - over 65 years of age registration, with number (44) of places King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No service user under the age of 55 years to be admitted to the establishment. Over 24 hours - 2 Registered nurses. The Person in Charge shall be supernumerary to the stated staffing levels and shall be a first level registered mental nurse. 14th September 2007 Date of last inspection Brief Description of the Service: Kings Park is a Care Home with Nursing that provides specialist dementia care for up to 44 service users. Kings Park is owned by Southern Cross Healthcare, which is a private limited company. Fees for accommodation and care at the home range from £465.35 to £583 per week. Additional charges are also made for hairdressing and chiropody services, newspapers and personal toiletries. Registered nurses with both mental health and general nurse qualifications are on duty throughout the day. The home is a purpose built, two-storey building. Accommodation is provided in 36 single rooms, four of which have en-suite facilities. Four double rooms are provided for service users who wish to share. There are several lounge and dining areas on each floor. Hallways are wide ensuring that service users have plenty of room to mobilise. A keypad system ensures that potentially hazardous areas to service users are restricted. The home is situated in the Hurst Cross area of Ashton under Lyne. King`s Park Nursing Home DS0000025439.V364605.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 star. This means the people who use this service experience good quality outcomes. The inspection was carried out unannounced on the 14 August 2008. The report is based on information and evidence gathered by the Commission for Social Care Inspection (CSCI) since the home was last inspected. As part of the visit time was spent in discussions with the manager, staff and people using the service. Staff files and other documentation, such as complaints, medication, training records and health and safety records were also looked at as part of the inspection. A tour of the building was undertaken. The home provided the Commission with a completed self-assessment of how it felt it was meeting national minimum standards, with additional information about the service they provide and staffing information. The inspection also looked at information received by the Commission in relation to the home prior to the site visit. A number of comment cards were forwarded to people living there and to staff as a further means of seeking their views. The information received is included in this report. An assessment was also undertaken of action by the home to address requirements and recommendations made at the last inspection. The home does not have a registered manager at present. Failure to address the requirement to have a registered manager may result in enforcement action being taken by the Commission. What the service does well: Staffing levels appeared to be well maintained and monitored by the manager to ensure people had the necessary support they needed. During discussions with people living there they said they were happy with the support and care offered by staff. The home encourages relatives to visit and to continue to take an active role in the ongoing care of their relative. This was evident on the day as family were observed to visit and support relatives at meal times. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 6 Records and care plans were examined and found to be well maintained and regularly contributed to by senior staff based on information provided by care staff. Programmes of supervision, training and ongoing programmes of development for staff were overseen by the manager and senior staff to ensure staff have the necessary skills and knowledge to support people. 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. King`s Park Nursing Home DS0000025439.V364605.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 King`s Park Nursing Home DS0000025439.V364605.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 3. Standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Procedures are in place to ensure people receive sufficient information to determine if the home can meet their needs. EVIDENCE: The manager said that the home’s statement of purpose and service user guide had been reviewed since the last inspection and a copy was available if required. The manager carries out an assessment of people’s needs before they move to the home, including an individual’s dementia care needs. This involves the manager meeting with the person and family members to assess and discuss the person’s care needs. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 9 The assessments take into account whether a person is being supported on a long term placement or for periods of respite care. The administrator and manager confirmed that action had been taken to ensure contracts and terms of condition of placement had been updated and amended to inform people of the funding arrangements for their care. Annual amendments to fees for long term contracts or changes to term and condition of placement are appended to existing contracts and people are informed in writing of any increases. People who are privately funded are provided with a contract. Information relating to people’s needs is also received from the funding authority, covering its assessment of the person’s need for care at the time they were referred to the local authority. The assessment process does offer the person or their representative the opportunity to visit the home to meet staff and tour the building. Once the person makes the decision to move there, a plan of support setting out how the home intends to meet the person’s needs is set in place. Information was case tracked to assess how information provided on admission was used to develop and deliver care appropriate to meeting assessed needs. The manager said that he receives positive support from social workers in term of the provision of information about people who have been referred to the home. King`s Park Nursing Home DS0000025439.V364605.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. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Care plans identified health and personal care needs of people. Medication records and audits of medication protected people. EVIDENCE: The manager had been in post for a period of approximately 12 months and said that during this period he has taken the opportunity to review and evaluate the management and delivery of care to people living there. The files of four people most recently admitted were examined, looking at the initial assessment and how the person’s needs were being met and recorded. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 11 When looking at plans of care regarding use of a specific chair referred to as a ‘bucket chair, which means the person is sitting in a tilted back position, the reason for its use was not identified. There was also no risk assessment and no indication of consent to its use. This should be detailed in the person’s plan of support. Information on the files confirmed that people were registered with a general practitioner. Records were maintained of the outcomes of any visits by general practitioners and other health professionals. The manager did comment that staff had experienced some difficulty when requesting some general practitioners to carry out visits to see people. Some will not call out when requested and insist on giving directions and advice over the phone. The manager was advised to formally address this issue with the Health Authority. The manager spoke about developing a more person centred approach to assessment of needs to ensure the support offered reflected the person’s preferences. Where someone was unable to contribute to the assessment of their needs, relatives were consulted on their behalf. The manager was also in the process of providing care-planning training. Each person being cared for had a named nurse and a key worker assigned to support them. A handover sheet is completed between shifts to ensure staff are made aware of care issues and how people have been prior to them coming on duty. The handover sheet gave a brief outline of issues and referred the reader to the named person’s file for a fuller account of care issues. In relation to specific plans of support and tracking sheets, it is advised the record sheets maintained by staff for moving and handling/turning programmes and fluid charts be very specific and record as a heading the directive to be followed. Medication procedures were assessed on the ground and first floor. This included audits of medication held as controlled drugs, audit of liquid medication and visual checks on the monitored dosage system against the medication administration records. Records of medication brought forward from the previous month had not been entered on the medication administration sheets for the ground floor and this needed addressing. Hand written records were found to be signed for by the person recording and countersigned by another member of staff. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 12 Procedures were in place to record medication received by the home. Prescriptions are received by the home and checked prior to forwarding to the pharmacy for dispensing. Controlled drugs are held securely and were found to be in order on the day. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 13 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. Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Care plans must evidence the social needs of people have been assessed and met. EVIDENCE: People are free to organise and plan how they spend their day, when they get up and when they go to bed. There was limited evidence that people had been consulted regarding their social interests. An activity organiser was employed by the home and there is a need to ensure programmes of activity are developed to reflect the ability and interests of people. Evidence should also be retained that the cultural and religious interests of people are being met. As part of the manager’s internal review of care delivery, a monitoring sheet had been introduced to record activities held, the type of activity and who participated. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 14 Some short falls have been identified in the delivery of social care programmes. This has been determined through internal audits and by comments from visiting professional. This needs addressing to ensure people’s lifestyle experiences and preferences are met. The menu plan is intended to provide nutritional, balanced meals based on individual dietary needs. Most people spoken to said there were happy with the meals provided. During discussions with people they were unsure what was on offer for the next meal at midday. It is advised to have such information available to people using a menu board. Meal and menu arrangements should evidence that people have been consulted on their preferences. The main kitchen is well maintained. Smaller satellite kitchens on each level would benefit form a programme of upgrading and decorating. The grounds and secure garden area to the rear require additional work to ensure there is a safe area for people to access, weather permitting. Areas needing attention related to the parking area with deep embankments down to the fencing, wood shavings on the parking area, uneven paving and uneven soil area leading to outdoor chairs. The home continues to hold fund raising activities to support programmes of activities and events. It is advised that procedures for recording accounts and auditing of records and cash is formalised and audited by the manager of the home to ensure he is fully aware of funds received and how they are used. One relative suggested in a returned comment card that residents would benefit from greater access to occupational therapy, and more appropriate activities. The findings of the inspection would support this recommendation. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 15 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. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Procedures are in place to enable people to raise concerns. Systems were in place to protect people from abuse. EVIDENCE: The complaints procedure is displayed on notices in the foyer and is also contained in the statement of purpose. This informs people who to contact if they have a concern about the care people receive. The procedure had been reviewed to evidence the complainant had been consulted to determine if they were happy with the outcome of the home’s investigation. The home had received and investigated three complaints since the last inspection. The records maintained by the home indicated that appropriate steps had been taken to address the concerns. No complaints had been received by the Commission in the same period. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 16 Procedures were also in place to provide staff with training on issues relating to adult protection. The home had received a copy of Tameside’s safeguarding procedures and had issued all staff with a copy of the organisations whistle blowing procedure. During discussion with staff, they demonstrated they were aware of what action they would take in relation to an allegation of abuse. Staff said they would meet with their senior manager or the manager of the home to ensure they were made aware of the issue. Staff also were aware of the policy in relation to whistle blowing. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The home is generally well maintained and clean and provided a homely environment. The garden requires attention to offer a safe secure area for people to access. EVIDENCE: During the visit a tour of the building was undertaken which included the communal areas and some bedrooms. The home is set on extensive grounds with parking and garden area to the rear of the property. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 18 The home is divided into two units with its own communal dining and lounge areas, bedrooms, toilets and bathrooms. The home was found to be clean and well maintained. Action had been taken to improve lighting and outward looking views for people whose rooms were overshadowed by trees growing down the side of the building. The manager said that the use of double rooms continues to be for single occupancy and indicated the home may reduce its registered bed numbers. This is a decision to be confirmed by the home and any application for variation should be made to the registration section of the Commission. There were no noted malodours in rooms on this visit as some floor coverings had been renewed and revised domestic cleaning arrangements monitored such issues. A number of doors were found to not shut into the frame. This presents as a risk to people and required attention. Plans were also being looked at to enclose under stairs areas for storage. The back staircase continues to show signs of damp damage. The garden area required developing to ensure a safe and well-maintained area is provided to people who may wish to access the area. The laundry and kitchen areas were suitably equipped and staffed. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Procedures relating to staff roles, recruitment and development were reviewed ensure staff are competent to meet people’s assessed needs. EVIDENCE: The manager of the home had been in post 12 months and was in the process of submitting an application to be registered with the Commission. The manager has a number of years’ experience working with this service user group. He has a nursing background as a RMN with a special interest in Dementia care. He is a registered trainer with the Alzheimer’s Society and holds the Registered Manager’s Award. A designated unit manager is assigned to each floor, along with a team of designated support workers. An application must be made for the manager to be registered with the Commission. Failure to address this requirement may result in enforcement action being taken. The duty rotas indicated appropriate staffing levels were being maintained throughout the day and night. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 20 Any additional shortfalls are covered by bank staff or use of agency staff. Reference checks are conducted by the organisation’s personnel section and by the home’s administrator. This includes regular checks on qualified staff to evidence PIN numbers and CRB checks are in place. Staff personnel files were examined and contained the required information relating to each person. This included application forms, reference checks, and training information and supervision records. Records are also maintained to evidence staff meetings take place. During discussions with staff they confirmed they were regularly supported through training programmes and one to one supervision sessions. Following discussions with an agency staff, who works at the home on a regular basis, it is advised that agency staff are provided with formal supervision to support their roles, as staff indicated they are not provide with such one to one support. Agency staff did say they were included in training programmes provided by the organisation. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Health and safety arrangements ensure people live in a safe environment and people are consulted on their views of the service. EVIDENCE: The manager of the home must be registered with the Commission. The post of manager requires addressing in order that people living in the home, relatives and staff can have some continuity and consistency in the management of the home. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 22 Relatives are encouraged to retain responsibility for all financial transactions. Information on the management of residents’ finances is held electronically and is periodically audited by the manager and service manager for the home. Health and safety records confirmed that maintenance and service arrangements for equipment and services were in place. Documentation relating to maintenance and service checks were examined and found to be in order. This included electric, gas and lift service history. Appropriate Insurance Liability cover was in place. The home had completed its own internal survey of the views of residents and their representatives about the services they received. Monthly monitoring visits are conducted by the home’s operation manager on the conduct of the home. Copies of the report are retained at the home. King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A 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 2 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 2 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 King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP13 Regulation 15 Requirement The registered person must ensure that residents are provided with programmes of activity and recreation that meet their preferences and capacities. The manager must submit an application to be registered with the Commission. Timescale for action 08/10/08 2 OP27 8 08/10/08 King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 25 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 Refer to Standard OP8 OP8 OP8 Good Practice Recommendations Concerns relating to difficulties in accessing General Practitioner support should be formally addressed with the Health Authority. Care plans should detail use of specialist equipment, such as reclining chairs, detailing the reason for its use, risk assessment and consent to its use. Specific plans of support and tracking sheets, such as moving and handling/turning programmes and fluid charts should be very specific and record as a heading the directive to be followed. Medication procedures should be regularly monitored to ensure balances of medication brought forward are maintained. Evidence should be retained that the cultural and religious interests of people are being met. Procedures for recording accounts relating to fund raising should be formalised and audited by the manager of the home. Meal and menu arrangements should evidence that people have been consulted on their preferences. A number of doors were found to not shut into the frame. This presents as a risk to people and required attention. It is advised that agency staff are provided with formal supervision to support their roles. 4 5 6 7 8 9 OP9 OP13 OP13 OP15 OP19 OP27 King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local office Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 King`s Park Nursing Home DS0000025439.V364605.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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