Care Home: Lindenwood Residential Care Home

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What the care home does well What has improved since the last inspection? At the last key inspection visit in July 2007 the manager had only just come into post and was new to the service. Since then, many improvements in the management practice of the home have been made and all requirements and recommendations from the last inspection report have been met. Care plans have improved with the manager introducing a new care plan and risk assessment format. The kitchen area has been fully refurbished. What the care home could do better: Care plans should contain specific details as to how each resident should be offered assistance in order to meet their identified needs. Risk assessments should contain sufficient details in order to give staff clear guidance on what and how the identified risk should be managed. Medication prescribed as and when required or as a variable dose should have clear written criteria for care staff to follow to ensure they are administered correctly and balances can be audited. CARE HOMES FOR OLDER PEOPLE Lindenwood Residential Care Home 208 Nuthurst Road New Moston Manchester M40 3PP Lead Inspector John Oliver Unannounced Inspection 17th 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 Lindenwood Residential Care Home DS0000045504.V364638.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. Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lindenwood Residential Care Home Address 208 Nuthurst Road New Moston Manchester M40 3PP 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 681 4255 Ann Catherine Smith Maureen Philomena Murphy Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Personal care only is provided for a maximum of 16 older people Staffing at the home must comply at all times with the minimum levels set out in the Residential Forum Guidelines for staffing in Care Homes for Older People. Staffing levels must be regularly assessed and increased if necessary depending on service users’ assessed needs. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the NCSC. 12th July 2007 Date of last inspection Brief Description of the Service: Lindenwood is an established care home providing personal care only for up to 16 older people. The property is a two storey detached house that has been extended. It is set within its own grounds overlooking the local park area. The property is accessible via steps and ramps. There is a large well-maintained garden to the rear of the property, which is also accessible via ramps. There is parking to the front of the property for approximately six vehicles. The property is situated to the North of Manchester City Centre near the boundary of Oldham. It is close to local amenities including shops, public library, post office and local pubs. There are good public transport links to Manchester and Oldham. Current fees range from £379:54 to £400:00 and charges do not include hairdressing, toiletries and some transport costs. Lindenwood Residential Care Home DS0000045504.V364638.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 experienced good quality outcomes. The inspection was undertaken as part of a key inspection, which includes an analysis of any information received by us (the Commission for Social Care Inspection) in relation to the home prior to the site visit. This visit, which the home did not know was going to happen, took place over the course of 6 hours on Tuesday 17 June 2008. During the course of the site visit we spent time talking to the residents, the owner, the manager and relatives and staff on duty to find out their view of the home. Before the site visit we sent the manager of the home an Annual Quality Assurance Assessment (AQAA) document for them to complete and return to us with information about the service they provide. This was returned before the visit took place and contained some information that helped us to assess the service being offered by the home. We also spent time examining various files and written information and spent some time looking around the building. What the service does well: The atmosphere in Lindenwood is welcoming, friendly and homely and all visitors are made to feel ‘special’. People living in the home said that they enjoyed living there and that they were well looked after and staff were very good. One resident told us, “We are well looked after here, the food is good and the staff are like your family”. The management team are good at making sure residents’ health is maintained by sending for people such as district nurses and other health care workers whenever it is felt they are needed. We received lots of positive comments from people using the service including comments from their relatives, for example “It is the best home around – I’m so glad we chose Lindenwood”, “I come at various times throughout the day and there always seems to be enough staff – they really do care – which gives me complete peace of mind” and “(Staff are) wonderful – nothing, and I mean nothing is too much trouble”. Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 6 The standards of cleanliness and décor are good, and the home is well maintained and provides a pleasant and relaxing environment for residents to enjoy. We received a number of completed surveys from people living in the home and comments included “(The) home is well kept, bedrooms always neat and clean, well decorated” and “There is a high standard of cleanliness – the home is exceptionally clean at all times”. 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. Lindenwood Residential Care Home DS0000045504.V364638.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 Lindenwood Residential Care Home DS0000045504.V364638.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): 1,3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information about the home is made available to prospective residents and their relatives prior to admission into the home and pre-admission assessments are carried out. EVIDENCE: The manager had just completed reviewing and updating the Statement of Purpose and Service User Guide at the time of our visit and confirmed that a copy is given to all prospective residents and/or their families. We spoke to the relatives of a recently admitted resident who confirmed that they were “very happy with the information that was shared with them” prior to their relative moving into Lindenwood. We looked at the files of three of the most recently admitted residents and all included a copy of the care manager assessment and the home’s own assessment. The manager confirmed that prospective residents are only Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 9 admitted into the home when all the pre-admission assessments have been fully completed. This was to enable an informed decision to be made as to whether the home could meet the identified needs of the resident. Wherever possible, prospective residents are encouraged to come and look around the home before moving in, although this very much depends upon their state of health. A relative spoken to said they had come to look around on behalf of their mother and had been very impressed with the friendly attitude of the staff and the cleanliness and standard of decoration throughout the home. Comments included “…we visited about 20 (homes) in the area before deciding – I’m so glad we chose Lindenwood”. The manager confirmed that Lindenwood did not offer the facilities of intermediate care. Lindenwood Residential Care Home DS0000045504.V364638.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 were in place that detailed the needs of the individual resident and medication was handled safely. EVIDENCE: Since the last key inspection visit in July 2007 there has been a significant improvement in the way in which care plans are developed and in the information they contain. The manager has put in place a new care plan format that offers the scope for much more detail to be included which reflects the needs of each person. The new format is more person centred and included details about the person’s likes and dislikes and social care needs, as well as addressing the health and personal care needs of the resident. There is still a need for more information to be included in some instances. One care plan and risk assessment stated “requires assistance from one person when mobilising” and “Until…can mobilise again the hoist must be Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 11 used”. No details were given to tell staff what assistance should be offered/given and no details were listed of the type of hoist to be used or the number of staff to assist when using the hoist. Lack of such detail could place the resident at risk from inappropriate support being offered/given. Information about each resident was written on a daily log sheet and those we saw clearly identified how the resident had been throughout any 24-hour period. Information was also logged about other health care professionals who may have visited such as GP’s, district nurses and chiropodist. One particular visitor we spoke to told us “(The) quality of care means I got my mum back – the care in this home has given my mum a quality of life back” and “They really do care – which gives me complete peace of mind”. The home uses a monitored dosage system for the administration of medication, and all staff with the responsibility for administering medication had received training. We checked some medication that was to be given as and when required and we found that some balances were incorrect. For instance, Co-dydramol for one resident did not balance with the tablets administered and the tablets left in the box. The error had occurred because the balance of tablets left from the previous months supply had not been carried forward and added to the current months supply. It is important that a clear audit trail of all medication is maintained to reduce the potential of any errors in administration occurring. We checked the balances and records of controlled drugs and found them to be correct. We also discussed the new criteria for storage of such medication and advised the manager to contact the supplying pharmacist or the pharmacist from the Primary Care Trust to get further details about this. We watched staff interacting with residents and saw them discreetly helping people to the toilet and assisting them with other care tasks. One resident told us “The staff here are wonderful – nothing is too much trouble”. Lindenwood Residential Care Home DS0000045504.V364638.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 and15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily routines in the home demonstrated that residents were encouraged to maintain control over their lives, were encouraged to maintain contact with the community and are provided with a wholesome and well balanced diet. EVIDENCE: Since the last key inspection visit in July 2007 improvements have been made in the way in which social activities are arranged and take place in the home. The manager has encouraged staff to participate in developing the activities that are made available and a programme has been set up which staff carry out throughout the week. A record is kept of activities taking place for example “15/06/08 – all residents watched ‘Sound of Music’ this evening with some biscuits. Before we did 15 minutes of sing-a-long – all residents thoroughly enjoyed this”. We also saw photographs that had been taken of different social events that had taken place. In the service user surveys returned to us before the inspection visit took place comments about social activities included “Could do with more stimulation, normally just watch TV. Have special events on some days i.e. Christmas, Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 13 Valentines etc”. However, on speaking with residents most said that they were satisfied with the level of activities taking place and one resident said “I join in with what I want to join in with – most times I can’t be bothered”. Meal times in the home are seen to be important and efforts are made to ensure that residents can enjoy their meals in a suitable and relaxed atmosphere. Menus are planned over four weeks and a choice of menu is offered at each meal and discussion with residents and visitors confirmed this. One resident said, “Today I’ve had mincemeat and potatoes with veg – it was really nice – mind you, the meals are always nice here – we have a good cook”. Discreet observation of the mealtime demonstrated that most residents enjoyed their meal with very little waste being returned to the kitchen. Since our last inspection visit in July 2007 the kitchen area has been fully refurbished including all new equipment such as a double range gas cooker and ‘fridge and freezer. It was clear from discussion with the residents that they were relaxed and settled in their environment and able to exercise choice over their daily lives and one resident said “I hope I can stay here all the time – it is a wonderful place to live”. Lindenwood Residential Care Home DS0000045504.V364638.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems were in place to support residents in making a complaint and to protect them from abuse. EVIDENCE: A copy of the home’s complaints procedure was kept in each person’s bedroom and was also included in the statement of purpose/service users’ guide. Residents spoken to were very clear about who they would speak with should they have any worries of concerns and one resident told us “I would speak to Ann (owner) or the manager – but I’m sure I won’t need to”. We also spoke to a number of relatives who said they had never had any complaints about the home or the staff but if they did they would feel able to raise them with the manager or Ann. The manager held a file to record any complaints made about the service, which included details of the investigation and the outcome and action taken as a result of the findings. The Commission for Social Care Inspection had received no complaints about the service since the last inspection visit in July 2007. The manager was very clear about the process to follow should an allegation of abuse be made and was also very clear about the importance of staff attending training in this subject. From the training records we examined we saw that a number of staff had already attended training and that six more staff would be attending on 23 June 2008. Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 15 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. Residents benefit from a clean and well maintained environment. EVIDENCE: The owner and manager continue to place emphasis on providing a comfortable, homely and friendly environment. Accommodation is provided in single and double rooms and all have lockable doors that can be overridden in the event of an emergency. We saw a number of bedrooms and all were found to be clean and tidy and had been personalised to varying degrees. There was evidence of an ongoing programme of routine maintenance and redecoration of the home and a number of bedrooms had been redecorated and re-carpeted. We saw that new furniture had been provided in one bedroom and during our visit more bedroom furniture was delivered for other rooms. All bedrooms had been provided with liquid soap and paper towels. Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 16 There was a high standard of cleanliness throughout the home and the majority of areas were free from any unpleasant odours although two bedrooms identified to the manager did smell of urine. The manager confirmed that the carpets in both rooms had been regularly shampooed and a new carpet shampooer had recently been purchased. The owner told us that the carpet in the lounge and dining area were soon to be replaced with new. Laundry facilities are sited away from the kitchen and dining area and the washing machine has appropriate programmes to ensure that all linen is cleaned at the temperatures required to control the risk of cross infection. The manager told us that the majority of staff had completed Infection Control training. Comments in the returned service user surveys included “(The) home is well kept, bedrooms always neat and clean, well decorated”, “The home is exceptionally clean at all times” and “Much better than many others (homes) I go in”. Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 17 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. Sufficient numbers of staff are employed in the home and a robust recruitment and selection EVIDENCE: During the inspection there were sufficient numbers of staff on duty to meet the needs of residents in the home. Staff on duty included the owner, the manager and two carers. Staff, residents and visitors spoken to during the inspection said that they felt there was usually enough staff on duty and one visitor said, “I come (to the home) at various time throughout the day and there always seems to be enough staff on”. The manager was clear that should the number of residents living in the home increase, then staffing levels would need to increase also. We looked at the files of three most recently recruited members of staff. All had relevant pre-employment documents in place including an application form, 2 appropriate written references, an enhanced Criminal Record Bureau (CRB) disclosure and a job description. The manager confirmed that she checked any gaps in employment and obtained relevant information to verify an applicant’s details such a copy of a birth certificate, driving licence and a photograph (all held on a separate file). Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 18 Each member of staff had a training record on their file and we saw evidence that requests have been made to place staff on various courses with the Learning and Development Service based at Victoria Mill in Manchester. A number of staff were due to attend Safeguarding Adults training on 24/06/08 and 04/07/08. One member of staff spoken to said, “We are always getting training” and in the six returned staff surveys all stated ‘Yes’ they were receiving appropriate training. In the returned Annual Quality Assurance Assessment (AQAA) the manager told us that all care staff (except for two) have successfully achieved a National Vocational Qualification (NVQ) at Level II. Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 19 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. The home is well managed for residents and care staff are appropriately supervised. The health and safety of residents and staff is safeguarded. EVIDENCE: The manager of the home is yet to be registered with the Commission for Social Care Inspection (CSCI). The delay in the registration process has been beyond the control of the manager and a member of the Central Registration Team (CRT) confirmed this. Since being in post the manager has made significant improvements in the way in which the home is managed and has met the requirements and recommendations made at the last key inspection in July 2007. Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 20 Staff told us they were happy with the way the home is managed and felt “supported” and “guided” by the manager. It was also confirmed that one to one supervision for all staff is taking place again. The manager continues to obtain the views of residents, relatives and other interested parties about the service provided in Lindenwood by the use of questionnaires and these are sent out annually. The manager said that information provided in these questionnaires would be analysed and would enable the management team to address any concerns and to use the information to further develop the service. Residents looked after their own finances either independently, with support of their family or advocate or via social services. The owner confirmed that the home does not manage any finances for residents. Information provided by the manager in the Annual Quality Assurance Assessment (AQAA) returned to us confirmed that all health and safety checks were current and up to date and that equipment used in the home had been appropriately serviced and maintained. Random selections of these were checked to confirm this. Some very positive general comments were received from relatives in the surveys returned to us and these included “Lindenwood provides a very caring and personalised environment for the residents. Every effort is made to provide a home from home. Individual preferences are catered for and there is a great deal of flexibility and opportunity for residents to make a choice”, “It was not easy having to place mum in a home, but they have made the process a lot better and we feel very happy and relaxed knowing that mum is happy and well cared for” and “I think this is one of the most ‘homely’ homes in the area. We are very pleased as a family. The staff work incredibly hard”. Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 21 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 2 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 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 Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action 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 a) Care plans should contain specific details as to how each resident should be offered assistance in order to meet their identified needs. Risk assessments should contain sufficient details in order to give staff clear guidance on what and how the identified risk should be managed. Medication prescribed as and when required or as a variable dose should have clear written criteria for care staff to follow to ensure they are administered correctly and balances can be audited. b) 2. OP9 a) b) Advice should be sought from the supplying pharmacist or the pharmacist from the Primary Care Trust regarding the new criteria for the safe storage of controlled drugs. Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 23 3. OP19 If the unpleasant smell cannot be eradicated from the two bedroom carpets identified to the manager, consideration should be given to replacing the carpet with a more suitable floor covering. If the numbers of residents living in the home increases the manager should review the care staff rota and increase staffing levels accordingly. 4. OP27 Lindenwood Residential Care Home DS0000045504.V364638.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Lindenwood Residential Care Home DS0000045504.V364638.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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