Care Home: Moorgate Lodge Nursing Home

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What the care home does well People who use the service`s needs were known to the service prior to admission These two assessments ensured that the service have sufficient information to assess if the service was able to meet the person`s needs. People who use the service benefit from the provision of accurate care plans and were satisfied with the care and service being delivered. People who use the service and relatives expressed their views, during the inspection: `The care is good`. `We have no problems, they look after mum very well`. Activities were well organised and people who use the service were able to exercise their rights of choice with the service, therefore this will provide stimulation and enhance their quality of life. On discussing the activities with the people who use the service, and relatives their opinions were that; `We enjoy playing bingo`. `They (activities co-ordinators) are very good`. `We enjoy doing things but we could go out more`. The general comments regarding the food were that; `The food is good`. `We can choose what we want.` Positive comments were received from the people who use the service and the relatives regarding the home. The general comments were that; `The home is clean and tidy`. `Its clean and well maintained`. `My bedroom is regularly cleaned, I watch them do it`. An experienced manager is in post. This will contributed to the effective organisation and operation of the service. What has improved since the last inspection? There had been positive action on the requirements listed within the last inspection report. All requirements had been acted upon and resolved, except for the issue of people who use the service being sat in wheelchairs at the dining table. The requirement has been repeated, following agreement that the practice will be reviewed. What the care home could do better: When observing the people who use the service in the dining rooms it was noted that 80% of the people were sat in wheelchairs at the dining table. It was advised by the staff that the people who use the service wanted to stay in their chairs. When it was discussed with the people who use the service they commented: `I have to stay in my chair`. `Its easier for me to stay in my chair`. It was accepted that a few individuals might be at the table in wheelchairs i.e. those in electric wheelchairs who are maintaining their own independence. However the other people should have their individual needs assessed and the implications and complications of remaining in wheelchairs discussed with them and the staff, and care plans reviewed accordingly.It was agreed that a prominent complaints procedure would be displayed to enable people who use the service, relatives, and visitors to be aware of who and where to complain. CARE HOMES FOR OLDER PEOPLE Moorgate Lodge Nursing Home Nightingale Close Moorgate Rotherham South Yorkshire S60 2AB Lead Inspector Ivan Barker Key Unannounced Inspection 9th April 2008 09:20 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 Moorgate Lodge Nursing Home DS0000066111.V361787.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. Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moorgate Lodge Nursing Home Address Nightingale Close Moorgate Rotherham South Yorkshire S60 2AB 01709 838531 01709 835692 morgatelodge@parklanehealthcare.co.uk 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) Park Lane Healthcare (Moorgate) Limited Position Vacant Care Home 56 Category(ies) of Old age, not falling within any other category registration, with number (56), Physical disability (56) of places Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service may admit persons 60 years of age and over. Date of last inspection 5th December 2006 Brief Description of the Service: The home is owned by Park Lane Healthcare Ltd, and shares the same site as Moorgate Croft and Moorgate Hollow, also owned by Park Lane Healthcare. The home is approximately one mile from Rotherham town centre and is accessible by public transport. Moorgate Lodge provides residential and nursing care for up to 56 older people. Moorgate Lodge is a purpose built brick building with forty-nine single and four double bedrooms. All rooms have en suite facilities. There is a lift to all floors. There are pleasant and accessible grounds around the home, and a car park. The company operates a centralised kitchen and laundry for all three homes. The weekly fees are from £378.00 to £505.00. The home charges extra for hairdressing, toiletries, magazines, papers and trips out. Moorgate Lodge Nursing Home DS0000066111.V361787.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 that the people who use this service experience good quality outcomes. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on the ‘key standards’), and the previous requirements. The persons present at the inspection were: Linda Davis, manager. Chris Lane, one of the owners. Within this site visit, which occurred over a four and a half hour period, the inspector toured the building, examined requirements relating to the previous inspection, case tracked 3 service users (Case tracked means looking at the care and service provided to specific people who use the service living at the home; checking records relating to their health and welfare, care plans and other records; by talking to the specific people who use the service; viewing their personal accommodation as well as communal living areas), and spoke with other people who use the service , and relatives and also 3 staff and examined assessments, care plans, risk assessments, menus, complaint files, staff files and quality monitoring documents. The history of the service was examined prior to the site visit. This included the Self-assessment document, telephone contacts, letters, and notifications. What the service does well: People who use the service’s needs were known to the service prior to admission These two assessments ensured that the service have sufficient information to assess if the service was able to meet the person’s needs. People who use the service benefit from the provision of accurate care plans and were satisfied with the care and service being delivered. People who use the service and relatives expressed their views, during the inspection: ‘The care is good’. ‘We have no problems, they look after mum very well’. Activities were well organised and people who use the service were able to exercise their rights of choice with the service, therefore this will provide stimulation and enhance their quality of life. Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 6 On discussing the activities with the people who use the service, and relatives their opinions were that; ‘We enjoy playing bingo’. ‘They (activities co-ordinators) are very good’. ‘We enjoy doing things but we could go out more’. The general comments regarding the food were that; ‘The food is good’. ‘We can choose what we want.’ Positive comments were received from the people who use the service and the relatives regarding the home. The general comments were that; ‘The home is clean and tidy’. ‘Its clean and well maintained’. ‘My bedroom is regularly cleaned, I watch them do it’. An experienced manager is in post. This will contributed to the effective organisation and operation of the service. What has improved since the last inspection? What they could do better: When observing the people who use the service in the dining rooms it was noted that 80 of the people were sat in wheelchairs at the dining table. It was advised by the staff that the people who use the service wanted to stay in their chairs. When it was discussed with the people who use the service they commented: ‘I have to stay in my chair’. ‘Its easier for me to stay in my chair’. It was accepted that a few individuals might be at the table in wheelchairs i.e. those in electric wheelchairs who are maintaining their own independence. However the other people should have their individual needs assessed and the implications and complications of remaining in wheelchairs discussed with them and the staff, and care plans reviewed accordingly. Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 7 It was agreed that a prominent complaints procedure would be displayed to enable people who use the service, relatives, and visitors to be aware of who and where to complain. 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. Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 8 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 Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 9 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): Standards 3 and 6. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service’s needs were known to the service prior to admission These two assessments ensured that the service have sufficient information to assess if the service was able to meet the person’s needs. EVIDENCE: On examination of the care management assessments within three care plans, it was established that there were assessments from care management. The manager advised that the majority of the care management assessments arrived by fax prior to the manager undertaking her assessment. However all assessments from care management were received prior to the person’s admission to the home. It was discussed that the manager should raise this lack of assessments with the Social Services, as will the Commission for Social Care Inspection. Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 10 The manager or deputy manager undertook assessments prior to the admission of any persons who wished to use the service. The assessments detailed the people who use the service’s needs which would assist in providing sufficient information for the staff to decide if the service could met the person’s needs and provided sufficient information for care plans to be drawn up. The manager advised that intermediate care was not provided within the service. Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from the provision of accurate care plans and were satisfied with the care and service being delivered. EVIDENCE: On examination of the care plans, from three people who use the service, it was established that all three care plans were up to date. There were daily entries within the care plans. These entries recorded the care delivered on a daily basis, and the plans had been evaluated on a monthly basis. Comprehensive risk assessments were included within the documentation. These risk assessments had also been reviewed. It was agreed that the care plan documentation should be reviewed and old documents removed, so as to make the files more user friendly. Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 12 People who use the service and relatives expressed their views, during the inspection: ‘The care is good’. ‘We have no problems, they look after mum very well’. The storage, ordering, administration and disposal of medication procedures were discussed with the manager. The procedures explained by the manager were satisfactory. There was a signature-checking document, which contained the initials as written on the medication administration document and the member of staff’s signature. On examination of the medication administration records it was found that there were no omissions of signatures. All medication records had been signed when being checked in from the pharmacy. Moorgate Lodge Nursing Home DS0000066111.V361787.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): Standards 12, 13, 14 and 15. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities were well organised and people who use the service were able to exercise their rights of choice with the service, therefore this will provide stimulation and enhance their quality of life. EVIDENCE: The manager advised that 2 activities co-ordinators were in post and employed for 25 and 35 hours per week. There was a programme of generalised planned social events displayed and included activities within the service and outings. The manager provided evidence, relating to activities from the documentation within the file kept by the activities co-ordinator. These records showed when a person who used the service had participated in an activity, had a short period of one to one time or went out into the community. The manager advised that the activities consisted of playing dominoes or cards, bingo, reminiscence, entertainers and outings to Meadowhall, local parks and garden centres. It was discussed that the outings could be developed. It was advised that outings were limited because of the availability of the local community Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 14 transport. The benefits of the company providing its own transport were discussed. On discussing the activities with the people who use the service, and relatives their opinions were that; ‘We enjoy playing bingo’. ‘They (activities co-ordinators) are very good’. ‘We enjoy doing things but we could go out more’. Regarding the meals, the manager advised that the care staff took the meal order, the previous day. Copies of these were observed in the kitchen. The kitchen staff were then able to prepare the quantity of meals that were ordered. The general comments regarding the food were that; ‘The food is good’. ‘We can choose what we want.’ When observing the people who use the service in the dining rooms it was noted that 80 of the people were sat in wheelchairs at the dining table. It was advised by the staff that the people who use the service wanted to stay in their chairs. When it was discussed with the people who use the service they commented: ‘I have to stay in my chair’. ‘Its easier for me to stay in my chair’. It was discussed with the manager that this had been raised at the last inspection and clearly the practice was continuing. It was accepted that a few individuals might be at the table in wheelchairs i.e. those in electric wheelchairs who are maintaining their own independence. However the other people should have their individual needs assessed and the implications and complications of remaining in wheelchairs discussed with them and the staff, and care plans reviewed accordingly. Moorgate Lodge Nursing Home DS0000066111.V361787.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): Standards 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service had a complaints procedure and it was operating according to the company policy, this should provide confidence that complaints were taken seriously and acted upon to address any shortfalls in care or service provision. Safeguarding adults training made aware of their responsibility regarding the protection of vulnerable adults. EVIDENCE: The manager was of the opinion that the complaints procedure was displayed. On checking this fact the procedure could not be located. However copies were available in the Service User Guide. It was discussed that several complaints had been directed to Social Services and CSCI, where the first approach should have been to the manager of the service. It was agreed that a prominent complaints procedure would be displayed to enable people who use the service, relatives, and visitors to be aware of who and where to complain. The complaints file kept by the manager for her investigations was examined. All complaints within the file had been resolved. Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 16 Regarding safeguarding adults, the safeguarding policies and procedures were available to the staff. Staff had undertaken Safeguarding Adults training, and the manager was able to evidence this by producing the training records. Moorgate Lodge Nursing Home DS0000066111.V361787.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): Standards 19 and 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service live in an environment that had been maintained to a good standard to provide a well-maintained environment. EVIDENCE: On touring the building, the home was found to be clean, tidy, well maintained and decorated and furbished to a good standard. However several of the rooms had commode pans and plastic urinal bottles. It was noted that the home did not have a sluicing machine. The manager advised that as far as she was aware the home had never had a sluice machine since it was registered. She explained that at the time of the registration of the service the people who use the service were able to access the en suite Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 18 facilities in their rooms, but as the people who use the service had become frail then commodes and bottles had been introduced. It was questioned how these receptacles were cleaned. There was no evidence on a policy and the expected cleaning method for these receptacles. One pan, which was considerably stained, was found on the floor of a sluice room. The important of cleanliness and reducing the possibility of cross infection was discussed. It was advised that the manager would look at the practice of cleaning and the financial director would examine the possibility of purchasing a sluice machine. Assurances were given that this issue would be immediately acted upon. Positive comments were received from the people who use the service and the relatives regarding the home. The general comments were that; ‘The home is clean and tidy’. ‘Its clean and well maintained’. ‘My bedroom is regularly cleaned, I watch them do it’. The people who use the service’s rooms had been personalised and many contained photographs, personal belongings and items of furniture, which the individual or the family had provided. Moorgate Lodge Nursing Home DS0000066111.V361787.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): Standards 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager was unable to provide evidence that staff had received all necessary training, which would reflect on the quality of care being delivered to the people who use the service. However they were acting upon this issue. The staff recruitment process should provide protection for the people who use the service. EVIDENCE: On examination of the staff rotas and examination of staff on duty, the following was established. Am shift Pm shift Night shift Plus. Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 20 2 qualified nurses and 9 care staff. 2 qualified nurses and 9 care staff 2 qualified nurse and 4 care staff. A manager, a deputy manager, (who is half the time supernumerary) an administrator and 2 activities co-ordinators. Ancillary staff included; domestics, and catering staff. Caring for a present occupancy of 44 people who use the service. A full assessment of the dependency levels of the people who use the service was not undertaken and compared with the indicated staffing levels. On examination of the three staff files, all contained the required documentation, including Criminal Records Bureau and POVA (Protection of Vulnerable Adults) checks. On examination of the staff training records there were records that indicated all staff had received fire training, however only some of the staff had received moving and handling training. It was explained that the company had changed training companies and this had created the anomaly. The manager provided evidence that the new training company had produced a training matrix and the moving and handling for the staff was to occur on the 22nd April 08. In view of the fact that the company had identified the problem and had evidence to show that they had acted upon it and this issue would be resolved within a short timeframe, not requirement was listed. The comments from people who use the service and relatives were; ‘The staff are kind and very patient’. ‘Very good’. Moorgate Lodge Nursing Home DS0000066111.V361787.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): Standards 31,33,35 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An experienced manager is in post. This will contributed to the effective organisation and operation of the service. Quality assurance systems were in place that should assist the managers and company to measure the service against expected outcomes. EVIDENCE: The manager had been the deputy manager for 5 years prior to her appointment and had been in post for 2 months. She advised that there was a review of her position in a month and she would consider, at that point if she is Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 22 to make an application for registered manager. She also advised that she had 34 years experience in care and 5 years in management, and had commenced the registered managers award. Regarding service users monies there was a credit and debit system in operation. Regarding Quality Assurance, the manager and operations manager undertake the quality monitoring of the service. Regulation 26 documentations, which are a record of the registered person’s monthly visits, was complied on a monthly basis, evidence of this was seen at the visit. Regulation 37 notices, which are documents that are sent to the Commission regarding untoward occurrences, including falls, accidents etc; have been received by CSCI (Commission for Social Care Inspection). Moorgate Lodge Nursing Home DS0000066111.V361787.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 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 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 Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP15 Regulation 16 12 Requirement Residents must be transferred to dining chairs from wheelchairs at mealtimes, unless there is a risk assessment in place to explain why this is not required. (Previous requirement timescale was 01/02/07) Timescale for action 08/06/08 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 OP26 Good Practice Recommendations The commode pans and urinals should be adequately cleaned. A sluice machine would ensure that this was achieved. Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Moorgate Lodge Nursing Home DS0000066111.V361787.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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