Care Home: Quorn Orchards Care Home

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What the care home does well It was observed that that staff were mostly friendly and helpful towards residents, the visitors said reported that staff welcome visitors and that the resident spoken to thought the food provided was good. Residents needs were well covered regarding medical authorities being involved where necessary following an accident.Staff training is encouraged by the Registered Manager in order to equip staff to meet residents needs. The Registered Manager has a positive attitude in seeking to improve the care standards in the service and was receptive to ideas as how to improve the service for residents. Facilities have been improved, as there has been refurbishment of the home to make it more comfortable to residents. What has improved since the last inspection? N/A. What the care home could do better: To improve the quality of life and welfare needs of residents there are a number of things that need to be introduced - Care Plans to contain more detail of the past life history of residents to help staff see residents as people with a valued past and it assists in talking with them. Care Plans need to have full details of medical checks so that the proper care is always given, and staff need to be aware of all the Care Plans. All staff need to encourage and prompt in a low key manner rather than being too directive at times, though this was only found to be the case for a small number of instances. Providing memory boards to lounges may assist residents with dementia to time, date, place etc. There needs to be more activities as currently there is no current input from an Activities Organiser. CARE HOMES FOR OLDER PEOPLE Quorn Orchards Care Home 11 School Lane Quorn Loughborough Leicestershire LE12 8BL Lead Inspector Keith Charlton Unannounced Inspection 8th May 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 Quorn Orchards Care Home DS0000071172.V364056.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. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Quorn Orchards Care Home Address 11 School Lane Quorn Loughborough Leicestershire LE12 8BL 01509 413094 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) Mrs Sayida Mawani Mrs. Sayida Mawani Care Home 30 Category(ies) of Dementia (30), Mental disorder, excluding registration, with number learning disability or dementia (30), Old age, of places not falling within any other category (30) Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered persons may provide the following category of service only: Care home only - Code PC To both female and male residents: Whose primary care needs on admission are within the following category: Dementia - Code DE. Mental disorder - Code MD. Old age - Code OP. 2. The maximum number of residents who can be accommodated is 30. Date of last inspection This is the first inspection of the home. Brief Description of the Service: Quorn Orchards is a care home offering accommodation for up to thirty older people. The home is registered to accommodate older people and older people with dementia and/or mental disorder. The home is located approximately fifteen minutes away from the centre of Leicester if travelling by car. Bus services are available to the home. The home can be found just off the main village road. The building itself is a converted old house with extension and situated in a quiet area. There is parking available at the front of the building. Accommodation is provided on the ground and first floor levels. All areas of the home are accessible to people who use wheelchairs. The home has a garden area for residents to walk and enjoy the outside. The home’s fees range from £441.00 to £450.00 per week. The Registered Manager provided this information on the day of the inspection. The Registration Certificate from the Commission of Social Care Inspection (CSCI) was displayed in the hallway. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided… The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection. The Registered Manager was on duty. Planning for the Inspection included reading the notifications of significant events sent to the Commission for Social Care Inspection, and the Annual Quality Assurance Assessment which the service sent in and which contains information as to how the home is run. There have been no complaints made to the Commission for Social Care Inspection since the registration of the home in December 2008. The Inspection took place between 9.30am and 4.20pm and included a selected tour of the home, inspection of records and direct and indirect observation of care practices. The Inspector spoke with three residents though only one resident in depth as communication with most residents was very limited owing to the difficulty with communicating with residents with a high level of mental frailty, three staff members, and three visitors. Forteen surveys had been received from a residents/relatives and three from staff – comments are included in relevant sections of this Inspection Report. What the service does well: It was observed that that staff were mostly friendly and helpful towards residents, the visitors said reported that staff welcome visitors and that the resident spoken to thought the food provided was good. Residents needs were well covered regarding medical authorities being involved where necessary following an accident. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 6 Staff training is encouraged by the Registered Manager in order to equip staff to meet residents needs. The Registered Manager has a positive attitude in seeking to improve the care standards in the service and was receptive to ideas as how to improve the service for residents. Facilities have been improved, as there has been refurbishment of the home to make it more comfortable to residents. 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. Quorn Orchards Care Home DS0000071172.V364056.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 Quorn Orchards Care Home DS0000071172.V364056.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): 3,6. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The admission process means that residents do not always get a detailed assessment, to ensure that their main health and welfare needs are being met. EVIDENCE: The Annual Quality Assurance Assessment stated that all prospective residents receive a visit from the management of the home and that people can come to visit over the course of a day to see whether they like it. An assessment was inspected and whilst it contained details of relevant information as to residents needs it did not include all aspects of medical checks – dental, optical, hearing checks etc as per the National Minimum Standard as a number of sections were blank. The Registered Manager said the form would be completed to cover all care issues in the future. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 9 The home does not offer intermediate treatment facilities. Quorn Orchards Care Home DS0000071172.V364056.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): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are generally well looked after regarding their personal care and health. EVIDENCE: Relatives said they had not heard of a Care Plan. The Registered Manager needs to ensure that, with residents permission if possible, that relatives are involved in this process. Residents care plans were inspected and included records of their care needs. Care Plans contain the past life history of residents though this was not detailed. More detail will help staff see residents as people with a valued past and assist in talking with them. Staff said they had read all the Care Plans so were aware of all the care needs of residents. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 11 Risk assessments were found to be a part of the plans so that staff know how to keep residents safe. Care Plans did not clearly set out medical checks as it did not include all aspects of medical checks – dental, optical, hearing etc or whether the residents needed a chiropodist, and there was little information regarding daily living wishes, frequency of residents needing to go to the toilet etc. The inspector observed proper Moving and Handling practices whereby staff appropriately used the hoist. Accident records were viewed which showed that medical services were contacted if there had been injuries, e.g. a head injury to a resident, though records had not always been properly completed as to the nature of the injury. The Registered Manager said this would be done in the future. The inspector observed that in general staff were friendly and gave residents choices – e.g. what they wanted for breakfast etc, and explained how they were trying to help residents before doing it so as not to alarm the resident, and were explaining and encouraging in a friendly manner at the residents pace. There were also instances where a staff member was too directive in trying to get residents to do things, rather than explaining and encouraging in a respectful way. The Registered Manager said she would take this up further as it was definitely not the policy of the home. The visitors the inspector spoke with said they thought the staff were caring and friendly and did a good job. There were positive comments in surveys – staff ‘’always very friendly, and a very happy and homely feel as you walk in… cannot see anything they need to improve on…all very happy’’. ‘’They show kindness and caring to both patients and visitors’’. Staff confirmed that only senior staff issue medication and had undertaken medication training and this was being reinforced by a distance learning training course being taken by senior staff. The Registered Manager confirmed this. Medication was properly issued to a resident and medication record sheets were well recorded, though there was a need to have the GP’s written approval for a homely remedy that was being supplied. The Registered Manager said she would arrange for this to be done. Medication was being securely kept, and return of medication records in place to prove this was being properly handled to ensure thee was not a built up of unneeded medication. Quorn Orchards Care Home DS0000071172.V364056.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): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have the opportunity to lead an active lifestyle though this needs to be extended. EVIDENCE: The resident spoken to said she was not interested in having activities but she thought that it was good that staff allowed her to stay in bed and stay in her bedroom. She was appreciative that staff had helped her to walk and supported her to do a ‘sponsored walk’ in the home to raise money for charity – this is impressive creative thinking on the part of the staff. The inspector observed that some residents were encouraged to do a jigsaw – though having on them cartoons did not appear to uphold residents dignity as it looked childish. Residents were also encouraged to go into the garden and have tea, as it was a sunny day. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 13 Comments from some surveys said that there needed to be more activities organised and more staff were needed to do this and an Activities Organiser was needed to do this properly. One relative stated there were ‘’sometimes’’ activities that her mother could take part in. Staff said that they tried to do activities when they had time. The Registered Manager recognised that a proper Activities Programme needs to be set up with a designated Activities Organiser, as this issue has been emphasised by the Registered Manager in the Annual Quality Assurance Assessment. It was also recommended that the Activities Organiser receive specific training so as to be able to plan to provide relevant activities for residents with dementia. The inspector observed that individual memory boxes have been set up to help residents with reminiscence – this offers a good stimulating activity for residents if staff have the time to spend with residents. The Registered Manager said there are residents / relatives meetings and there were records to prove that these took place on a monthly basis. Relatives stated that visitors are always welcomed to the home by staff and there were no restrictions on such visits. Staff said that there were no rules for residents – they said they could rise and retire when they wanted and if they did not want a shower then this would be worked round so they did not have to have one at that time. Menus were inspected and found to have choice for the main meal though the tea time choice needs extending to provided more variety especially of hot snacks, to record what vegetables are served so that it can be seen that there is a good variety and also to have a choice of cooked breakfast on the menu. The cook said she knew residents food preferences and if a resident wanted something different that day she had the autonomy to change the menu and that is what happened on the day of the inspection. The inspector tasted the food. It was broadly good with three vegetables served though the mashed potato was bland and needed flavouring and was a little lumpy. The Registered Manager said she would follow this up. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from the possibility of abuse with the home’s Policies and Procedures and staff training being in place. Arrangements for receiving and responding to complaints are in place though the Complaints Procedure needs to be altered to make it easier to make a complaint. EVIDENCE: A relative stated that if there was a problem then she was confident the Management would sort it out. A Complaints Book is kept. There have been no complaints since the Registered Provider took over. The Complaints Procedure is generally satisfactory but does not give the complainant the opportunity to go to the lead Agency, the local Social Service Department, as per the National Minimum Standard. It also states that all complaints need to be made to the home first – the National Minimum Standard states complainants can choose to go to the lead agency first. The new address of the Commission for Social Care Inspection needs to be added. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 15 The Registered Manager said these issues would be put into place. Care staff spoken with were fully aware of the procedures regarding the safeguarding of residents and which Agencies to contact if the in house arrangement failed. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Facilities are comfortable and are currently undergoing improvement. Odour control is good. EVIDENCE: The resident spoken to said she was happy with her bedroom and with all the personal items she brought in to make it her own. The Registered Manager said that residents bedrooms had been decorated and this work was continuing to finish them all based on the décor preferences of residents. At the time of the inspection, new beds were being delivered. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 17 The inspector observed that bedrooms seen were personalised with personal items of residents furniture, pictures, photographs etc. The garden area looked attractive and user friendly. . There is some signing to the environment to assist with residents with dementia, but this needs to be more personalised for all residents e.g. pictures on bedroom doors that are familiar to them, same colour doors for bathrooms etc to make them more recognisable so residents can more easily find their way around etc. Radiators had the protection of having covers on them to protect residents from burns. A new bathroom with adapted shower had been installed and nearly completed at the time of the inspection. Odour control was of a good standard apart from one bedroom, which needed to have further investigation so that this problem is resolved. The Registered Manager said this would be done. The Registered Manager is looking at covering all times of the week for domestic assistance as currently this in only covered for weekdays. She said that another domestic worker had been recruited and she was awaiting references before commencing her employment. This will help with care staff not being called upon to carry out domestic duties so they can concentrate on residents care needs. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels need to increase to ensure they fully meet residents needs. Recruitment procedures are in place to properly protect residents welfare. Staff training systems are in place to plan to equip staff to meet residents needs and proper staffing checks are in place. EVIDENCE: There were positive comments in surveys that with the high dependency needs of residents more care staff were needed to meet their needs ‘’to ensure more quality time is spent with residents’’. The Registered Manager said she had already assessed this to be the case and had recruited staff to meet these needs that will shortly start work. The staffing rota demonstrated that there are three care staff on duty from 7am to 8pm then two night care workers with the Registered Manager also on duty. With the increase in staff the Registered Manager said there would be four care staff throughout the day. Staff said there had been training since the Registered Manager took over. Records seen by the inspector showed this. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 19 There was also evidence of induction training for new staff. The Registered Manager said that the recognised Skills for Care induction pack is to be used for new staff to supplement the basic induction programme used. This will equip them to meet residents needs better. The Registered Manager has devised a Training Matrix to identify key issues that staff need training which quickly shows who needs training in relevant issues – e.g. first aid, medication, infection control, Moving and Handling, challenging behaviour, health and safety, dementia, and specific training on residents conditions – e.g. diabetes, though training on other conditions, e.g. parkinsons disease etc, is also needed. Staff said they were encouraged to undertake National Vocational Qualification level training and the Annual Quality Assurance Assessment stated that the National Minimum Standard regarding of 50 of care staff with National Vocational Qualification level 2 is being met. Recruitment records were inspected with Criminal Records Bureau /Protection of Vulnerable Adults checks and written references in place to ensure residents are protected from unsuitable staff. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management systems are largely in place to protect the health and safety of residents. EVIDENCE: The Registered Manager has a Management qualification in care services. The visitor spoken with thought the home was well run. Staff said that the Registered Manager was very supportive and encouraging and their views were respected. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 21 There was evidence on records that staff are regularly supervised though this information was very minimal and did not evidence in detail how residents needs had been met etc. The Registered Manager said this issue would be put in place. Staff Meetings have been held and were recorded though appeared one sided in that staff did not appear to be asked for their views and comments though the Registered Manager said that they were and would include this in the future. There is a Health and Safety folder with Risk Assessments for safe working practices so residents are properly protected from any potential dangers in the home. The Registered Manager said monthly Quality Assurance residents surveys are carried out and completed forms were seen to prove this had happened. The Registered Manager is recommended to extend this to relatives and other interested parties, on a yearly basis - e.g. GPs, Social Workers, District Nurses etc, and to include the results in the Statement of Purpose. Residents monies records were found to be properly kept with running balances, and two signatures recorded to show that transactions are witnessed. Fire Precautions: a staff member was asked about the fire procedure and was fully aware of the procedure. System testing was on the required monthly schedules for emergency lighting and weekly fire bell testing. Fire drills are carried out on a regular basis. There was also a fire risk assessment on file, which needs to be reviewed, as this appeared basic. The Registered Manager said she would contact the Fire Officer regarding this to ensure it is fully detailed. The hot water temperature was checked in a bathroom and found to be 37c, which met the National Minimum Standard of 43c though was tepid for residents to enjoy a warm relaxing bath. The Registered Manager said this issue would be put followed up. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 4 X 3 X 3 X X 3 Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 23 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. 2. 3. Refer to Standard OP3 OP10 OP12 Good Practice Recommendations Assessments need to be detailed so that all residents needs are met after admission. That the Registered Manager ensures that residents are always dealt with in a respectful manner by staff. An Activities Programme based on residents needs should be drawn up and supplied to residents and the Activities Organiser undertakes specialist training to provide activities to people with dementia. Quorn Orchards Care Home DS0000071172.V364056.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Quorn Orchards Care Home DS0000071172.V364056.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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