Inspection on 25/09/08 for Fairview

This is the latest available inspection report for this service, carried out on 25th September 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Fairview 04/07/07

Fairview 16/01/07

Fairview 09/02/06

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Treloar College

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOME ADULTS 18-65 Fairview Pinks Lane Baughurst Tadley Hampshire RG26 5NG Lead Inspector Damian Griffiths Unannounced Inspection 25th September 2008 09:30 Fairview DS0000065821.V372707.R01.S.doc Version 5.2 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 Fairview DS0000065821.V372707.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 Adults 18-65. 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. Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairview Address Pinks Lane Baughurst Tadley Hampshire RG26 5NG 0118 981 4280 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) hannah.sheather@choiceltd.co.uk Community Homes of Intensive Care and Education LTD Miss Hannah Sheather Care Home 6 Category(ies) of Learning disability (0) registration, with number of places Fairview DS0000065821.V372707.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 only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 6. Date of last inspection 29th May 2008 Brief Description of the Service: Fairview is registered to provide care and accommodation for 6 people aged 18-65 who have a learning disability. Fairview is a two storey four-bedroom detached property with an annex that contains two single rooms with en suite, lounge and kitchen. On the first floor of the main house there are four single rooms and a bathroom; two of the rooms have an en-suite facility. The ground floor has a separate toilet with washbasin, large lounge / dining room, kitchen, laundry, sleep-in room and a conservatory. A fence separates the two units and their gardens, however staff move freely between them both. The back gardens are laid mainly to lawn with a vegetable plot in the annex garden, and the front garden is laid with gravel with room to park several cars. The home is situated in the village of Baughurst, within walking distance or short drive to the amenities within the village of Tadley, and within 30/40minute car journey to the towns of Basingstoke, Newbury and Reading. The range of fees at the home were £1035 to £2658.72 per week, depending on the needs of the person using the service. Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection of Fairview took 5½ hours beginning at 12 and ending at 5:30 p.m. Mr. Damian Griffiths Regulation Inspector completed the visit and was assisted throughout the day by the Senior Care Assistant and care staff. The manager and deputy manager were on annual leave however the deputy manager was contactable by phone. The Inspector met and spoke to four service users who commented on issues about the home gave the Inspector a tour of the premises. The last inspection of the service took place on the 29th May 2008. Unfortunately, due to circumstances beyond the control of CSCI the completed key inspection report was delayed. It was felt that due to the delay the key inspection was not a fair reflection of the current service. It was decided that another key inspection would be conducted in order to present a more up-todate report. The Inspector would like to thank the service users and care staff for their assistance and hospitality. This key inspection report takes into account information from the Annual Quality Assurance Assessment (AQAA) provided by the registered manager and samples from a number of service users and staff personnel files; Feedback from residents has been included. Statements from the ‘AQAA’ are written in italics and some words have been changed in respect of confidentiality. What the service does well: Fairview ensured that regular care plan review and assessment involving service users, the family and key care staff ensured that changing needs and personal goals were achieved in a way that encourage the development of an independent lifestyle. The home environment was clean tidy unobtrusive and designed to enable a maximum freedom and independence of each service user in a safe manner. The gardens provided recreation and relaxation as required for service users and care staff. A full use of the local community and events further a field were carefully planned and potential risks were considered and measured against the benefit for the individual. This ensured that service users were given the opportunity to work in a variety of ways and attended regular activities in their local area including the occasional holiday. Shopping cooking and choice of food was decided by service users who are supported by staff and nutritional experts. Everyday domestic chores and Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 6 personal tasks were completed by the service users as much as possible with the support and guidance of care staff. Healthcare needs were regularly implemented as needed and service users and their families and appropriate practitioners were fully involved to ensure that all health care services were planned in a way that the service user preferred and would promote a successful outcome. Care staff receive training and support enabling them to provide the appropriate care support for service users. Service users were encouraged to participate in health and safety practices relating to everyday domestic chores and fire drills and actively promoting awareness of risk and promoting equality and diversity within the home. 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. Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. Quality in this outcome area is good. Service users had received a thorough preadmission assessment to ensure that their care needs could be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three service user files were inspected for details care need assessments. The home advised that there had been no admission to the since the last inspection. Service users existing care need assessments showed that preadmission assessments had been completed. Information supplied in the AQAA stated: The last service user who moved to Fairview was included in a long process of assessment/visits/overnight stays etc at Fairview, meeting other service users, staff etc to ascertain his suitability for the home as well as the suitability of the service for his needs. This process involves his family, friends, care managers. Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 6, 7, and 9. Quality in this outcome area is good. Service users participated in the creation , review and monitoring of care plans that helped to build a practical relationship between staff and service user based on receiving care in a way that the service user preferred. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In all three care plans inspected, the service user had been included in the preparation and review and service users consulted also confirmed this. A service user commented; I like training for independence. Sections relating to general healthcare, attention to mental and emotional care were evident in all the care plans inspected. Key information such as height, weight, family details and a pen-picture of service user had been recorded in all files. Care plans acknowledged the importance of recording the individuals’ behaviour patterns especially when complex and challenging care needs had been identified in the care needs assessment. In order to ensure a beneficial Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 10 outcome when meeting a service user for the first time, a section titled “Method of Approach was included. All care plans contained up-to-date notes of the days events and ensured service users and care staff had a record to refer to in order to compare the day’s outcomes. This record would also be available for reviewing the service users care plan. The home operated a key workers system to ensure continuity of care and to ensure that a named member of staff was responsible for the smooth running and review of a service users care plan. Throughout the day care staff were observed relating to service users in a relaxed, sensitive and consistent way and the service users were confident when discussing their needs with care staff. A wide range of comprehensive risk assessment had been completed including areas such as; bathing, health care, food allergies, self help skills and challenging behaviour and guidelines for staff were also available. Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17. Quality in this outcome area is good. Individual care plans listing activities chosen by service users helped to promote independence and personal development and service users were able to make their own decisions about how they lived their life. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The homes AQAA state; Service users make good use of their community, pubs, library, swimming etc. At the time of the inspection service users were at home, working or were attending the local day centre. The service users at home enthusiastically discussed becoming as independent as possible by attending college, domestic chores and areas of activity confirming the statement in the AQAA. Service users consulted during inspection were not interested in attending church services or in spiritual matters peferring the practical application of their time in developing independence skills. Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 12 A service said that he did voluntary work with a National charity and another said that he was employment at a local farm. Care staff and service users confirmed that they would shortly be attending a short break at a well-known holiday camp and another service user regularly attended a well-known football club on a regular basis with the support of their key worker. The homes AQAA stated; continue to support the service users to access a variety of community links and to maintain relationships with friends and families. The service users confirmed that they kept in touch with friends and family and in some cases ex-boyfriends/girlfriends. Service users were observed discussing what meal to have for the day. This corresponded with comments in the homes AQAA stated that service users; chose the meals on a daily basis and contributed to the shopping. Service user’s choice of the day included mince, sweet and sour chicken. Records are in place showing that special diets were catered for and that risk of allergies was prominently featured. Care staff consulted about service user’s special diets were knowledgeable and aware of the care need in this area. Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 18, 19 and 20. Quality in this outcome area is good. Service users received healthcare support the way they chose and care staff ensured that medication was administered in a safe manner. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It is required that the homes care plans contained detailed information about how best to provide health care in a way that the service user prefers. The homes health care plans were detailed and corresponded with service users current healthcare needs. Care staff were able to demonstrate how they had worked closely with the service users parents in order to ensure that he required healthcare treatment in a way that he understood and preferred. This ensured that any distress was lessened and the service user understood, as much as possible, what was going to be happening. This demonstrated how the home worked closely with the family when the opportunity presented itself and respected the service user and family relationship. It confirmed that the home was seeking to provide health care needs in a way that was most likely to bring about a good outcome and support in a way preferable to the service user. It was observed that the service user and a member of staff supporting them, communicated Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 14 with each other, in a practical and efficient way that acknowledged each others skills . Service users required support with the administration of prescribed medication. Care staff administering medication had received dedicated training in this area to ensure the safe handling of medication was consistently practiced. Medication Administration Records (MAR) of three service users were inspected to confirm that the medication was being administered and recorded appropriately. The MAR contained a photo of a service user and detailed accounts of each service user’s medication requirements. A sample of the care workers signature ‘initials’ were featured at the front of the MAR. The records inspected were complete and corresponded to the daily prescribed medication requirements of the service users in question. Medication, to be returned to pharmacy, had been recorded in a special a returns book. All prescribed medication was stored in a secure location. Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 22 and 23. Quality in this outcome area is good. Service Users were confident that their concerns would be listened to by care staff. Service users benefited from the day-to-day routine and staff awareness of safeguarding issues. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users could access the homes complaints procedure simply by looking at directions placed conveniently in the communal areas. Details had been produced in a format that was understood by the service users. Service users consulted felt they could discuss their concerns with care staff. The Inspector was advised that the complaints records were being developed. The homes AQAA stated that; all staff have been PoVA trained and are familiar with service user guidelines so as to help minimise challenging behaviours. Care staff were extremely knowledgeable relating to service user behaviour and were well informed about the safeguarding procedures in place at the home. The home advised that observing the daily routines and rituals of the service user and being aware of the usual and unusual behaviour exhibited by the service user helped to identify potential safeguarding issues. The home had a restraint policy in place and clear details of how care staff should respond if necessary. The home had notified CSCI whenever and incident occurred that affected the service users well being. In some cases this involved the need for care staff to respond to difficult situations with Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 16 service users. Staff advised that methods of distraction were widely used when faced with challenging situations. Notifications sent to CSCI relating to these issues confirmed that staff had used distraction methods when confronted with challenging behaviour and records showed that physical restraint had not been necessary. The home had Hampshire county councils protection of vulnerable adults’ procedures and whistle blowing procedures in place Service user’s money was safely stored and recorded at the home. The home confirmed this by demonstrating how they recorded details in a service users receipt book following a recent shopping trip. All monies corresponded to the service user’s records and receipts contained in the service users receipt book. There were no concerns relating to the homes practice in this area. Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. Quality in this outcome area is excellent. Service users experience a pleasant and safe home environment that promotes everyday living principles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had its own drive that provided parking for number of cars and ease of access for service users. The home was indistinguishable from other houses situated in Pinks Lane. A tour of the premises was given by one of the service users and was able to confirm that the home was clean, tidy and free from any offensive odours. Service users confirmed that they enjoyed living at Fairview and viewed it as their home. It was evident that service users lived in a homely environment that also offered a secure place to live. Service users had their own keys and where appropriate coded keypads were in place on the doors. Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 18 The home provided accommodation in two distinct areas to ensure that it provided an appropriate environment for all service users at Fairview. One part of the home offered accommodation for service users who had been assessed as needing a separate area enabling care staff and service users more control over their home environment. The garden of this part of the home contained a vegetable plot that was tended by service users with the support of care staff. Care staff and the service users were able to enjoy a cup of tea in the homes other garden that had a pleasant lawn, garden table and chairs. Bedrooms mirrored service user’s interests and personality. Each room contained adequate storage, the service users choice of furniture and their preferred décor. An up-to-date maintenance plan was in place listing areas requiring attention throughout the home. Communal bathrooms and laundry areas were clean and tidy and the homes hygiene and infection control policies were in place and easily accessible to staff. Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35. Quality in this outcome area is good. The homes recruitment and selection procedure ensured that care staff were well qualified and trained to meet the service users care needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three personnel files of staff (on duty) were sampled. Care staff had received training relevant to meet the needs of the service users. Care staff who were consulted confirmed that the home provided staff the opportunity for continuous professional development. On the day the inspection care staff were receiving supervision from an assessor for the National Vocational Qualification (NVQ) awards. The homes AQAA stated that 33 of care staff have attained level 2 NVQ. Files certifying that training had been completed were contained in staff training files. These included, safe handling of medication, epilepsy awareness, mental health and the homes mandatory training such as, antidiscriminatory practices, safe food handling, and health and safety. Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 20 Service users were encouraged and supported to take part in the selection of care staff and potential recruits were encouraged to spend time with service users at the home. A selection of staff personnel files were inspected to confirm that the homes recruitment practice was sound and robust. All three files inspected, including that of a new member of staff, contained criminal records bureau (CRB) and PoVA first checks that been obtained prior to employment of care staff. Two references and complete employment historys were also in place. The personnel files were in good order containing sections that clearly defined the documentation specified in the care homes regulations (2001) confirming good recruitment and training practice. Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 37, 39 and 42. Quality in this outcome area is good. The manager and management team were well supported by the homes care staff and service users were consulted about issues concerning the running of the home. Service users were supported to take an active part in health and safety routines ensuring that equality and diversity was promoted within the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The new manager, who is not yet registered, was away on annual leave at the time of inspection. The homes senior care assistant was on duty and assisted with the inspection. The deputy manager, also unable to attend on the day Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 22 due to prior commitments, was available for contact by phone and was able to contribute to the inspection. All staff on duty demonstrated a high degree of confidence with the daily management of the home. Service users confirmed that they were consulted by staff and were involved in important decisions about the home and weekly service users meetings took place. The AQAA stated; CHOICE quality assurance, is thorough, regular and conducted with all relevant parties And: CHOICE has just produced a new care planning/personal centred planning document which will incorporate more of service users input into the development of the service. Staff had received training in health safety and evidence of recent fire safety checks were on record. Service users understood where the assembly points were in the event of fire. Fire safety equipment was regularly checked and in order and carbon monoxide levels had been measured weekly. The planned holiday at a well-known holiday camp, had also been risk assessed. The home did not have up-to-date public liability insurance on display. The deputy manager confirmed the next day that the home did have the relevant insurance policy and a copy was sent to CSCI as requested. All areas of health and safety inspected had been checked on a regular basis and there were no obvious concerns in this area. The homes AQAA stated that: health and safety checks and audits are in place. There were no recommendations or requirements made during this inspection. Fairview DS0000065821.V372707.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 Adults 18-65 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 x 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 3 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? 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. Refer to Standard Good Practice Recommendations Fairview DS0000065821.V372707.R01.S.doc Version 5.2 Page 25 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 Fairview DS0000065821.V372707.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. 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!