Care Home: Park Grange

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What the care home does well People were observed relaxing and socialising in the lounges and dining room. People said they like living in the home as "people are very friendly" and "staff are wonderful and caring". One relative writes` "The carers are very good and it is obvious, they are committed way beyond their call of duty". A visiting professional writes, "Staff are very professional, they are helpful and very caring towards both clients and visitors. I would have no reservations in recommending the home to others and their families". Another relative says "The carers are very helpful and kind and happy in their work, it`s always a pleasure to visit". Another relatives survey says "The carers show dignity to clients and liaise with relatives in a friendly way". Another say`s "The management are always very helpful and nothing is to much trouble. They are always cheerful and any requests are sorted out immediately". To make sure peoples care needs can be met by the home these are assessed before people are offered a service. One relative says the care provided is "excellent" One person living in the home says they "want for nothing, they have everything they need". People are protected by the way staff are recruited and selected and by the way medicines are dealt with. One relatives survey shows they "are completely satisfied with the care and attention their relative receives every day". The cook said following a visit from the Environmental Health Department they have been awarded a Gold Standard Award for the quality of the meals provided. One person living in the home said the "meals are very good indeed and they choose what they would like to eat". The manager said activities are arranged everyday for those who wish to join in. People say they enjoy playing Bingo, having quizzes and sing-a-longs. One person said they enjoy "trips out in the mini bus". What has improved since the last inspection? The homes Annual Quality Assurance report shows people are happier with the meals provided since employing a new cook. The report also shows there are now weekly audits of the cleanliness of the home and the new Housekeeper is maintaining high standards of cleanliness and has commenced a National Vocational Qualification training in Housekeeping and Hospitality. All senior staff that administers medicines has recently received update training in how to do this correctly and safely. Everyone`s care plans have been reviewed and updated and include more information showing staff what they must do to meet peoples care needs. More staff now has a National Vocational Qualification at Level 2 and 3, and three senior carers are currently undertaking a NVQ Level 3 with Age Concern. Several bedrooms have been re-decorated along with the toilets and bathrooms. A new shower has been fitted and the kitchen has a new cooker. CARE HOMES FOR OLDER PEOPLE Park Grange Neville Avenue Kendray Barnsley South Yorkshire S70 3HF Lead Inspector Tony Railton Unannounced Inspection 27th 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 Park Grange DS0000018250.V368289.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. Park Grange DS0000018250.V368289.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Grange Address Neville Avenue Kendray Barnsley South Yorkshire S70 3HF 01226 286979 0113 2370419 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) None Park Care Limited Mr Steven Chance Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Park Grange DS0000018250.V368289.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. For any two service users under 65 years of age but over the age of 60, may reside at the home 20th February 2008 Date of last inspection Brief Description of the Service: Park Grange is a care home providing personal care and accommodation for up to 36 older people. People can stay on a permanent or short stay basis and also offers a day care service. The home occupies a central position in Kendray, near Barnsley, close to local shops and other amenities. The home is a three-storey building and has 22 single bedrooms and seven double bedrooms. There is a passenger lift. Set back in its own grounds there is car parking provided and a large garden that is accessible to people using the service. Information about the home and the services provided including the statement of purpose, service user guide and CSCI inspection report and terms and conditions are on display in the entrance hall. On the 28th August the registered manager said the current scale of charges is £351.50 per week. Additional charges are made for chiropody, hairdressing and day trips and outings. Park Grange DS0000018250.V368289.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Following this visit the service has been given a Two Star Rating that means people using the service experience good quality outcomes. This visit to the home started at 09.00 and ended at 13.00. During the visit there was the opportunity to meet and speak to most people living in the home. Some people using the day care service were also spoken to. There was also the opportunity to speak to the registered manager, senior care worker, care staff and kitchen staff. A sample of peoples records including assessments, care plans, daily and medical records were seen. A sample of staff records seen included references, and police checks and staff training records. Other information considered included the previous inspection visit report, service history, the homes Annual Quality Assurance Assessment (AQAA) and some returned quality assurance surveys. Other information included staffing rotas, record of activities, menu’s and maintenance check records. A tour of the premises was also undertaken. The inspector would like to take the opportunity to thank those living in the home; the manager and their staff team for their hospitality and co-operation throughout the visit. What the service does well: People were observed relaxing and socialising in the lounges and dining room. People said they like living in the home as “people are very friendly” and “staff are wonderful and caring”. One relative writes’ “The carers are very good and it is obvious, they are committed way beyond their call of duty”. A visiting professional writes, “Staff are very professional, they are helpful and very caring towards both clients and visitors. I would have no reservations in recommending the home to others and their families”. Another relative says “The carers are very helpful and kind and happy in their work, it’s always a pleasure to visit”. Another relatives survey says “The carers show dignity to clients and liaise with relatives in a friendly way”. Another say’s “The management are always very helpful and nothing is to much trouble. They are always cheerful and any requests are sorted out immediately”. Park Grange DS0000018250.V368289.R01.S.doc Version 5.2 Page 6 To make sure peoples care needs can be met by the home these are assessed before people are offered a service. One relative says the care provided is “excellent” One person living in the home says they “want for nothing, they have everything they need”. People are protected by the way staff are recruited and selected and by the way medicines are dealt with. One relatives survey shows they “are completely satisfied with the care and attention their relative receives every day”. The cook said following a visit from the Environmental Health Department they have been awarded a Gold Standard Award for the quality of the meals provided. One person living in the home said the “meals are very good indeed and they choose what they would like to eat”. The manager said activities are arranged everyday for those who wish to join in. People say they enjoy playing Bingo, having quizzes and sing-a-longs. One person said they enjoy “trips out in the mini bus”. What has improved since the last inspection? What they could do better: People throughout the visit were observed being treated with dignity and having their wishes respected, however, the daily records do not contain descriptive words to show and reflect peoples choices and preferences and any decisions they make about how they live their daily lives. Although activities are arranged on a daily basis and people said they enjoy them and like joining in, the records do not show who participated or who was asked and chose not to take part. Park Grange DS0000018250.V368289.R01.S.doc Version 5.2 Page 7 Although there have been some improvements to the way the home looks, some remedial work was noted around the home and in particular the wall covering in the lounges and the corridors and the floor covering in the dining room. 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. Park Grange DS0000018250.V368289.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 Park Grange DS0000018250.V368289.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): 3 and 6 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the home. To make sure the service can meet peoples’ personal care needs these are assessed before coming to live in the home. The home does not provide a specialist rehabilitation service. EVIDENCE: Three peoples records show their person care needs are assessed before coming to live in the home. The registered manager confirmed this. Peoples and their relatives’ signatures show they are involved in writing their assessments and have a say in how they want to be cared for. The records seen show people also have an Easy Care Assessment completed by the Social Services showing their personal care needs and how people should be cared for. Park Grange DS0000018250.V368289.R01.S.doc Version 5.2 Page 10 The registered manager says everyone’s assessments have now been updated and contain more details showing staff what they need to do to meet peoples care needs. The assessments confirmed this and also show people have a photograph in their records. The manager said the home does not provide specialist equipment or services for rehabilitation or intermediate care. Park Grange DS0000018250.V368289.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): 7, 8, 9 and 10 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the home. People are treated with dignity, their wishes are respected and they have a say in how they live their lives. People are also protected by the way medicines are dealt with. EVIDENCE: People were observed throughout the visit being treated with dignity and having their wishes respected. However, the daily records do not contain descriptive words to reflect and show peoples choices and preferences. One relative survey say’s Staff “treat people with respect and are very friendly and helpful” Another survey says “I am very satisfied with the care and attention my relative receives everyday”. Another say’s “the carers do show dignity to people and liaise with relatives in a friendly way”. One person living in the home said they are “very happy living in the home and want for nothing”. Another said they have “everything they need”. Park Grange DS0000018250.V368289.R01.S.doc Version 5.2 Page 12 The manager says everyone’s care plans’ are looked at regularly, and updated, to show that peoples’ care needs are met. A sample of three peoples records and in particular the monthly reviews confirmed this. The daily records also show that peoples care needs are met. A sample of three peoples medical records were seen and the medicines checked and found to be correct. People living in the home are protected by the way medicines are dealt with as the manager said staff giving out medicines has been trained to do this correctly and safely. The staff training records and training MARTIX and Annual Quality Assurance Assessment confirmed this. Park Grange DS0000018250.V368289.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 People living in the home experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the home. People have a say in how they live their lives and have a choice from a varied and balanced menu. EVIDENCE: One person living in the home said, “The meals are wonderful”. Another says they “Have a choice of breakfast, dinner and tea”. Someone else says they “get plenty to eat and the food is great”. One visiting relative writes the meals are “excellent”. Discussion with the cook found they have received a Gold Standard Award for the meals and food preparation following a visit from the Local Authority Environmental Health Department earlier this year. The manager confirmed this. The menus show there is a varied and balanced diet. People were observed having a choice of menu and enjoying their meals in relaxed and pleasant surroundings. The Annual Quality Assurance Report says “the kitchen is open 24 hours a day and people can have a meal or snack at anytime”. One person living in the home says there “relatives live nearby and visit regularly”. One person was enjoying the company of their grandchild who was visiting the home. One relatives survey says, “Staff are very welcoming and Park Grange DS0000018250.V368289.R01.S.doc Version 5.2 Page 14 very friendly” Another writes “The carers are very helpful, kind and happy in their work. Its always a pleasure to visit” A survey completed by a visiting professional says “I find the home environment very welcoming. The staff are professional, approachable and friendly”. People living in the home were observed making choices and decisions about their lives and what they would like to do. However, the daily records and record of activities do not contain descriptive words to reflect peoples’ choices and preferences. People say they enjoy activities that are arranged on a daily basis in the home. One person says they “like the outings best and going out in the mini bus”. The manager confirmed this and said there is two staff employed to arrange and carry out activities and the home provides two mini busses for trips and outings. It is acknowledged that people enjoy a range of organised activities. However, the record of activities’ shows what activities and trips have been provided but not who participated or chose not to take part. The homes Annual Quality Assurance report shows people and their relatives are happy with the services provided and in particular the “entertainers that continue to come on a regular basis”, and “the Domino league which continues to be very popular”. The minutes of the residents meetings show they have the opportunity to comment on and have a say the meals and activities provided. One person living in the home says “its like a social club, not a residential care home”. Park Grange DS0000018250.V368289.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 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the home. People and their relatives know their concerns will be listened to and acted upon. People are protected from any kind of abuse. EVIDENCE: The manager says peoples concerns are taken seriously and dealt with very quickly. One relatives survey says, “The management are very helpful, nothing is to much trouble for them. They are always cheerful, and any requests are sorted out immediately”. The complaints book shows complaints are appropriately recorded and acted upon. People living in the home say “I have never had any need to complain”, “I would tell the staff and they would sort it out”. “There is nothing to complain about”. The complaints policy and procedure is accessible and is displayed in the home. The manager said all staff has Safeguarding training provided by the local authority. The staff training records, certificates of attendance and letters requesting training and care staff confirmed this. The service history shows the home usually tells the CSCI about any incidents in the home that effect people using the service. However, one incident earlier this year was discussed with the manager, as this was not reported correctly to Park Grange DS0000018250.V368289.R01.S.doc Version 5.2 Page 16 the appropriate authorities. The manager said any future incidents would be dealt with correctly and reported appropriately. The minutes of the residents meetings and returned residents, relatives and visiting professionals surveys show they have the opportunity to comment on the running of the home and the quality of care provided. Park Grange DS0000018250.V368289.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 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the home. People live in a home that is comfortable, clean and safe. EVIDENCE: People living in the home were observed relaxing in comfortable and clean surroundings. A tour of the premises found all areas to be clean. Eight returned relatives’ surveys show they are very happy with the cleanliness of the home. One person said “Its like home from home”. Another says they are “Very happy” and the home is “comfortable and clean”. One person sitting in their bedroom says they “have everything they need” and “want for nothing”. The homes Annual Quality Assurance Report shows people were involved in choosing the colour scheme for the re-decoration of the dining room. It also shows improvements to the home since the last inspection visit that include rePark Grange DS0000018250.V368289.R01.S.doc Version 5.2 Page 18 decoration of the toilets and bathrooms. The manager and a tour of the premises confirmed this. It also says there is a new shower on the ground floor and the kitchen has a new cooker. The quality assurance report also says the lounges and corridors need to be re-decorated. One person relaxing in the lounge says’ “the damage on the walls is caused by the high back chairs”. The manager confirmed this and says they plan to re-decorate the lounges, corridors, and replace the floor covering in the dining room. To make sure people live in a safe environment the Health and Safety Audits show the home is well maintained. The manager who said all areas are checked regularly confirmed this. Park Grange DS0000018250.V368289.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 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the home. The numbers and skill mix of staff meet peoples’ needs, and they are protected by the way staff are recruited and selected. EVIDENCE: One person living in the home says, “staff are wonderful”, another says, “staff are very kind and caring”. One relatives survey says “The staff are always very friendly and helpful when they visit and very good with the care of their relative”. A visiting professional survey says “The staff are always professional, approachable and friendly” Another relative writes “It is a pleasure to visit the home, all carers are very good and friendly and caring, nothing is to much trouble for them”. Another relative writes, “Staff treat people with respect and are very friendly and helpful”. Another says they are “Very satisfied with the care and attention their relative receives every day”. The manager says to provide continuity of care the home has a very low staff turn over and staff are very happy working in the home. Discussion with care staff confirmed this with one saying they “like the work they do” and “feel supported by the managers”. Park Grange DS0000018250.V368289.R01.S.doc Version 5.2 Page 20 Peoples care needs are met by qualified staff as the training records show over 70 of staff have a National Vocational Qualification Level 2 or above. The manager and training MATRIX confirmed this. The Annual Quality Assurance report also shows three senior carers are currently undertaking a NVQ Level 3 in care. The manager confirmed this. People are protected by the way staff are recruited and selected as a sample of three staff records show references, police and POVA (Protection of Vulnerable Adults List) checks are taken up before they are employed. The manager said there are enough staff planned to be on duty to meet peoples care needs. The staff rotas confirmed this. Enough staff was observed to be available on the day of the visit to meet peoples’ needs in a relaxed and unhurried manner. Park Grange DS0000018250.V368289.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, 36 and 38 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit to the home. People live in a well managed home that is run in their best interests and where they are safe. EVIDENCE: A sample of three peoples records including assessments, care plans, reviews, daily and medical and financial records show the care management systems in the home are good and protect people living in the home. A sample of three staff records including, references, police checks, and training records, the staff rotas, supervision records, residents, relatives and visiting professionals comments show the staff management systems are good and protect people living in the home. Park Grange DS0000018250.V368289.R01.S.doc Version 5.2 Page 22 A visiting professional survey says, “The manager is very professional, they are very helpful and very caring towards both clients and visitors”, and they “would have no reservations in recommending Park Grange to other clients and families”. A relative survey says, “The management have been very friendly and helpful from the very start of my relatives admission”. Another writes, “The management are always very helpful, nothing is to much trouble for them, they are always cheerful and any requests are sorted out immediately”. Another relatives survey says, “Management listen to carers and offer advice and treat people in the home very well in a friendly manner”. The homes Quality Assurance Report and returned residents, relatives and visiting professionals surveys and minutes of residents meetings and record of complaints show peoples views are sought on the quality of care and services provided. The homes Annual Quality Assurance Report shows changes are made to the way the home runs as a result of peoples comments. People live in a safe environment and their health and safety is promoted and protected as the Health and Safety Audits and fire equipment tests show these are tested regularly. Staff training records also show people are protected as they have First Aid, Moving and Handling, Food Hygiene, Safe Administration of Medicines and Safeguarding and Control of Substances Hazardous to Health (COSHH) training. To make sure peoples needs are met the work staff do is supervised and the supervision notes show all staff receive six line management supervision sessions per year. The manager confirmed this. Park Grange DS0000018250.V368289.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 2 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 3 X 3 Park Grange DS0000018250.V368289.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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 OP14 Good Practice Recommendations To show people have a say in what happens to them and to show peoples choices and preferences are respected both on a day today basis and in particular with regard to activities descriptive words should be used in the daily records and record of activities to reflect and show their choices and any decisions they make about how they live their lives. To make sure the home remains comfortable and homely the minor remedial work to the lounge and corridor walls and dining room floor covering should be rectified as soon as is practicable. 2. OP19 Park Grange DS0000018250.V368289.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 Park Grange DS0000018250.V368289.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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