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Care Home: Whitegates Private Nursing Home

  • Condor Road Laleham Staines Middlesex TW18 1UG
  • Tel: 01784441287
  • Fax: 01784466826

Whitegates is a privately owned nursing home which provides care for 39 residents who are 65 years and older. The home is situated in Laleham near Staines and close to the shopping centre and major roads and the river. The home provides 37 single bedrooms and one bedroom being shared with agreement from the commission. All the bedrooms are provided with a wash hand basin. Bathroom and toilet facilities are shared. The home is set over two floors with access to the first floor by stairs or lift. Each floor has a small dining area and a large lounge and conservatory are provided on the ground floor. The garden is accessible and provides a seating area for use during good weather. Weekly fees £750 to £775.

  • Latitude: 51.408000946045
    Longitude: -0.49200001358986
  • Manager: Mrs Janette Carter
  • Price p/w: £763
  • UK
  • Total Capacity: 51
  • Type: Care home with nursing
  • Provider: Whitegates Private Nursing Home Ltd
  • Ownership: Private
  • Care Home ID: 17884
Residents Needs:
Old age, not falling within any other category

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Whitegates Private Nursing Home.

CARE HOMES FOR OLDER PEOPLE Whitegates Private Nursing Home Condor Road Laleham Staines Middlesex TW18 1UG Lead Inspector Kenneth Dunn Unannounced Inspection 25th June 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 Whitegates Private Nursing Home DS0000017651.V365626.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. Whitegates Private Nursing Home DS0000017651.V365626.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitegates Private Nursing Home Address Condor Road Laleham Staines Middlesex TW18 1UG 01784 441287 01784 466826 info@whitegates-nursinghome.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) Whitegates Private Nursing Home Ltd Manager post vacant Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Whitegates Private Nursing Home DS0000017651.V365626.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category (OP) The maximum number of service users to be accommodated is 39. Date of last inspection 26th June 2007 Brief Description of the Service: Whitegates is a privately owned nursing home which provides care for 39 residents who are 65 years and older. The home is situated in Laleham near Staines and close to the shopping centre and major roads and the river. The home provides 37 single bedrooms and one bedroom being shared with agreement from the commission. All the bedrooms are provided with a wash hand basin. Bathroom and toilet facilities are shared. The home is set over two floors with access to the first floor by stairs or lift. Each floor has a small dining area and a large lounge and conservatory are provided on the ground floor. The garden is accessible and provides a seating area for use during good weather. Weekly fees £750 to £775. Whitegates Private Nursing Home DS0000017651.V365626.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. This unannounced site visit, which forms part of the key inspection to be undertaken by the Commission for Social Care Inspection, (CSCI) was carried out by Mr. Kenneth Dunn on the 25th June 2008. The CSCI Inspecting for Better Lives (IBL) involves an Annual Quality Assurance Assessment (AQAA) to be completed by the service, which includes information from a variety of sources. This initially helps CSCI (us) us to prioritise the order of the inspection and identify areas that require more attention during the inspection process. This document was received by CSCI and is referred to throughout the report. The registered manager post of the service was vacant at the time of the visit, however a person has been appointed to manage the Whitegates. The inspector was informed that this person was in the process of making an application to the commission to become the registered manager of the service. The information contained in this report was gathered mainly from observation by the inspector, speaking with residents, visitors, and care staff, a health care professional and from information contained within the AQAA. Further information was gathered from records kept at the home. All records sampled were up to date with care plans being signed by the residents and or by their representatives. What the service does well: Good procedures are in place for assessing residents prior to admission to the home. All prospective residents are also given the opportunity to visit the home prior to admission. Residents were supported in attending a range of social activities and were given choices about their lifestyle. The service benefits from a proactive activities coordinator who is very imaginative about introducing activities to the residents. Whitegates Private Nursing Home DS0000017651.V365626.R01.S.doc Version 5.2 Page 6 Residents have choice about their diet and meetings are held so they can discuss proposed menus changes. The service benefits from having an experienced cook who ensures that the residents have a health menu and can always have an alternative is requested. Staff were knowledgeable about safeguarding adult procedures and the whistle blowing policy. Staff also confirmed that they had access to and were supported in attending regular training sessions. There was a relaxed atmosphere in the home on the day of inspection with good interaction observed between staff and 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. Whitegates Private Nursing Home DS0000017651.V365626.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 Whitegates Private Nursing Home DS0000017651.V365626.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): Standards 3 & 6 were assessed during this visit. People who use the service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. The people who use the service benefit from an assessment process that ensure that the care they receive is planned and tailored to their individual needs and circumstances. EVIDENCE: The home has a policy on assessment of needs and a member staff stated that all potential residents are admitted only after a full assessment of needs has been completed, by one of the services trained staff. The assessment tool used by the service is comprehensive and holistic. The information gathered during the initial assessment forms the basis of the future care plans. A random sample of residents files was conducted, a full needs assessment had been completed and a detailed care plan and person specification document had been developed. Whitegates Private Nursing Home DS0000017651.V365626.R01.S.doc Version 5.2 Page 9 In one files however the original assessment had been removed from the active file and placed in secure storage. Therefore a good practice recommendation was made to ensure that the service retains the original assessments in the resident’s active files. Whitegates Private Nursing Home DS0000017651.V365626.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): Standards 7, 8, 9 & 10 were assessed during this visit. People who use the service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. The people who use this service benefit from robust and interactive care planning. Health care needs are explored and plans are developed to promote good health. The arrangements for privacy and dignity are good. EVIDENCE: The care plans are drawn up with the involvement of the residents and or their representatives. The care plans sets out in detail the action or actions to be taken by staff to ensure that the individual residents needs are fully met. The care plans sampled indicated that there is clear information for the staff to follow to ensure that the needs of the residents are effectively met. The policy in operation at the service is to ensure that the residents care plans are reviewed monthly. A member of staff stated, “When a change is noted in the wellbeing of a residents the package of care is reviewed immediately and is kept under continual review”. Whitegates Private Nursing Home DS0000017651.V365626.R01.S.doc Version 5.2 Page 11 A member of staff informed the inspector that all the residents are registered with a local general practitioner (G.P.) who makes regular visit to the home and has built up very good relations with the residents and the families. In addition the GP will also visit the home when needed as an emergency or individuals can visit the surgery. The G.P. was visiting the service one the day of the site visit and gave very positive feedback about the care provided by the staff at Whitegates. The G.P. stated that when there is a need the service would contact him to make additional referrals for the residents to ensure that their health and wellbeing is maintained. The service has a rigorous medication policy, the Annual Quality Assurance Assessment states that “Medications are stored, handled and administered by trained staff” one of the 6 Registered Nurses employed by Whitegates. The service has reinforced their policy on residents self-medicating and “If requested residents can self-administer after a risk assessment and the appropriate storage arrangements have been implemented”. The G.P. was involved in the discussion process to develop the self-medication policy and make it more robust and user focussed. The service has a policy regarding the values of privacy, dignity, choice, fulfilment, rights and independence this subject is discussed during the induction for all new staff. The inspector was informed that the staff handbook contains details of the policy to ensure that the staff can have ready access to it. It was observed that staff knocked on the bedroom doors before entering. The care plans contained the details of the preferred name for each person who lives at the service. Whitegates Private Nursing Home DS0000017651.V365626.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): Standards 12, 13, 14 & 15 were assessed during this visit. People who use the service experience an excellent quality outcome in these areas. This judgement has been made using available evidence including a visit to this service. The resident’s benefit from a wide range of flexible and well-developed activities. The service ensures that the residents can access the local community and have the ability to exercise choice and control over their lives. Meals are nutritiously balanced and offer a healthy and varied diet for the residents of Whitegates. EVIDENCE: The service employs an activities coordinator, who is contracted to work Monday to Friday from 09:00 am until 15:00hrs. In discussion with the coordinator it was stated that the activities are built around the residents and are designed to be flexible to work with them. The coordinator further stated that the hours undertaken to complete her duties varies and has to be adaptable to ensure that all of the residents are offered the opportunity to engage in some form of meaningful activity. It was stated that this has at time required the coordinator to come in during the weekend to work one-toone with specific residents to allow them to participate in an event or particular outing. Whitegates Private Nursing Home DS0000017651.V365626.R01.S.doc Version 5.2 Page 13 The service has purchased and adapted a Hackney Cab to allow the activities coordinator to work more closely with specific resident with restricted mobility. The coordinator stated by using the cab she can design an activity that some individuals would otherwise not be able to participate in. A notice board clearly displays up to date information about activities and social events. Activities available include: exercise sessions; bingo; cards and visiting entertainers and involvement with local schools and churches. The activities coordinator makes detailed notes re the activities the individual residents participate in to ensure that this can be reviewed and further developed. However these notes were stored on top of the desk in the main reception area and therefore open to anyone reading them. A good practices recommendation has therefore been made. A second good practices recommendation was made to ensure that written permission is obtained before resident’s photographs are displayed in public areas. The residents have access to an in house hairdresser, which one service user commented on being a “treat that she looks forward to”. Individual residents have the opportunity to participate in religious ceremonies as their faith so determines. The service has a visitor’s policy and relatives are able to visit the home at any time unless a resident said they did not wish them to do so. A member of staff stated that all friends and relatives were encouraged to attend any function at the home and if they so chose were able and encouraged to take meals with their family member. During the site visit a number of fiends and relatives were observed coming and going to the home and participated in the activities and other social event with the residents. The service employs a very experienced cook who demonstrated good knowledge of the needs of the residents. A clear guide was kept providing detailed information of the specific dietary needs of some of the residents. The cook stated that meals were flexible and in the event of a person not wanting something or making a request for a specific meal these would be catered for, as long as it was agreed medically. Whitegates Private Nursing Home DS0000017651.V365626.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): Standards 16, & 18 were assessed during this visit. People who use the service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. The residents can feel protected by the service detailed complaints policies and procedure. There are robust safeguarding policies in place to protect the residents from abuse. EVIDENCE: The service has comprehensive set of policies and procedure in place for complaints. The policies are accessible to the residents and their family members. The Annual Quality Assurance Assessment provided information of two complaints received by the service since the previous inspection report, however on reviewing this information the service has only received one complaint. This complaint was dealt with in an appropriate and timely manner. The system of collation of complaints was robust but complicated and during discussion this was seen as the reason the Annual Quality Assurance Assessment stated an additional complaint was made. It is therefore recommended that the service develop a single format for logging of any future complaints. The commission has not been notified of any compliant about the service. Whitegates Private Nursing Home DS0000017651.V365626.R01.S.doc Version 5.2 Page 15 The service has a copy of Surreys Multi-Agency Policies and Procedures on Safeguarding Vulnerable Adults. The senior staff have attended training in these policies. The inspector was informed that the training has also been cascaded throughout the staff team. No referrals have been made under the local multi agency Safeguarding Adults procedures. Whitegates Private Nursing Home DS0000017651.V365626.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): Standards 19, 23, 24, 25 & 26 were assessed during this visit. People who use the service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. The residents live in a safe well-maintained environment that is kept clean and hygienic. EVIDENCE: A tour of the service was undertaken the premises were seen to be well maintained and suitable for the residents. The areas accessible to the residents were of a good standard, the resident’s bedrooms were individualised to their or their families’ wishes and were seen to contain many personal items and mementos. The service was undergoing an extensive enlargement programme which has involved some disruption to the normal running of the home, however appropriate measure have been put in place to minimise these effects on the residents. The enlargement programme has necessitated the storage of Whitegates Private Nursing Home DS0000017651.V365626.R01.S.doc Version 5.2 Page 17 surplus items of furniture around the service specifically in the public rooms, reducing the usability of these areas. It is recommended that risk assessments be carried out on the storage of additional furniture in the public areas of the service to ensure the continual safety of the residents and staff. On the day of inspection the service was found to be warm and bright with a comfortable and homely atmosphere and a high standard of housekeeping noted. Whitegates Private Nursing Home DS0000017651.V365626.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): Standards 27, 28, 29 & 30 were assessed during this visit. People who use the service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. The residents benefit from a staff team who are trained, skilled and in sufficient numbers to meet their changing needs. EVIDENCE: The staff duty rotas were reviewed and they evidenced that staff are employed in sufficient numbers to meet the assessed needs of the residents. The staff spoken to had a good understanding of the resident’s needs, and their care plans. They also had a good understanding of their roles and responsibilities. There is a well-established staff team in place with a low turnover. The home has a set of recruitment policies and procedure in place. A review of the policy confirmed that it is robust and was designed to offer protection to the residents living at Whitegates. Four staff files were sampled. These are well maintained and included all the required documents required for employment legislation, including two written references, an employment history, and a CRB (Criminal Records Bureau) disclosure number. There is a strong commitment to staff training at the service and staff are encouraged and supported to attend various training event including all Whitegates Private Nursing Home DS0000017651.V365626.R01.S.doc Version 5.2 Page 19 mandatory training. However the recording of staff training was not clear and although the information available it was not in a user friendly format. It is recommended that the service develops a staff training matrix to allow training information to be accessed and action taken to ensure all training is maintained. Whitegates Private Nursing Home DS0000017651.V365626.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): Standards 31, 33, 35 & 38 were assessed during this visit. People who use the service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. The management and administration of the service is based on openness and in the best interests of the residents. The service has effective quality assurance systems in place to ensure that the residents and their families can have impute into the care they receive. EVIDENCE: The Annual Quality Assurance Assessment was detailed and contained relevant information about the service, which was fully supported by a review of appropriate evidence during the site visit. The Annual Quality Assurance Assessment provided evidence of a good level of understanding about the importance of equality and diversity and a range of measures that have been put in place to demonstrate how the service listen to the residents. Whitegates Private Nursing Home DS0000017651.V365626.R01.S.doc Version 5.2 Page 21 There have been management changes made since the last inspection of the service, including a new person appointed to manage Whitegates. At the time of this site visit the inspector was told that the manager was in the process of making her application to the commission for registration. The member of staff appointed to manage the service demonstrated that she has kept updated on issues relating to care of the residents and staff at Whitegates. In discussion with this member of staff it was evident she was knowledgeable about the care needs of the residents and the training needs of the care workers. There are clear lines of accountability within the service; each member of staff spoken to on the day of the inspection was clear about their role and responsibilities. The commission was informed that the service does not become involved with residents finances except for those service users who have asked for their spending money to be kept by the home. Review of documented records demonstrated that health and safety checks are routinely carried out at the service. All equipment examined on the day was properly maintained. Records indicated that fire drills, fire alarm, water temperature were regularly checked. Random sample of care workers’ training files demonstrated that up to date and relevant training were carried out by care workers to protect the health, welfare and safety of the residents. In discussion with care workers it was evident that they had an understanding and implementation of appropriate procedures to safeguard residents, and they spoke about their understanding of promoting safe working practices based on their health and safety training. Whitegates Private Nursing Home DS0000017651.V365626.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 3 X X 3 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 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Whitegates Private Nursing Home DS0000017651.V365626.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard OP3 OP12 OP14 OP16 OP19 Good Practice Recommendations The service should retain the original needs assessments in the resident’s active files. The daily activities log should be securely stored at all time. The service should request written permission to take and display the photographs of the residents. The service should develop a single format for the logging of any complaints. It is recommended that risk assessments should be carried out on the storage of additional furniture in the public areas of the service to ensure the continual safety of the residents and staff. It is recommended that the service develops a staff training matrix to allow training information to be accessed and action taken to ensure all training is maintained. 6. OP30 Whitegates Private Nursing Home DS0000017651.V365626.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Whitegates Private Nursing Home DS0000017651.V365626.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!

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