CARE HOME ADULTS 18-65
Scope - Harbour Close 8 - 11 Harbour Close Ridgeway, Murdishaw Runcorn Cheshire WA7 6EH Lead Inspector
Maureen Brown Unannounced Inspection 22 February 2008 10:00
nd Scope - Harbour Close DS0000005184.V351623.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 Scope - Harbour Close DS0000005184.V351623.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. Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Scope - Harbour Close Address 8 - 11 Harbour Close Ridgeway, Murdishaw Runcorn Cheshire WA7 6EH 01928 712973 F/P 01928 712973 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) www.scope.org.uk SCOPE Vacant post Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (3), Physical disability (9) of places Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. This home is registered for a maximum of 12 service users, to include: * * 9 service users in the category of PD (Physical disability) 3 service users in the category of OP (Old age, not falling within any other category) 3rd November 2006 Date of last inspection Brief Description of the Service: 8-11 Harbour Close is a purpose-built care home providing personal care and accommodation for 12 people who have physical disabilities. The home is located in the Murdishaw area of Runcorn and is within easy access of local amenities including shops, social and educational facilities. The premises consist of four bungalows (each accommodating three people), which are owned by Liverpool Housing Trust and managed by Scope. Each bungalow comprises of three single bedrooms, a kitchen/dining area, lounge, bathroom, separate shower room and a utility room. There are also pleasant and accessible garden areas to the front and rear. Limited car parking is available within Harbour Close. The staff team consists of the service manager who is supported by two senior support workers and nineteen support workers. The fees at Harbour Close are between 38,787.00 and £59,245.00 per year. Fees are calculated on individual assessment. Optional extras include CD’s, Videos, DVD’s, holidays, magazines, clothing, toiletries, transport costs and hairdressing. Scope - Harbour Close DS0000005184.V351623.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 that the people who use this service experience good quality outcomes.
An unannounced visit took place on 22 February and lasted 5 hours forty minutes. This visit was just one part of the inspection. Before the visit the manager was also asked to complete an annual quality assurance assessment (AQAA) to provide up to date information about services at the home. Questionnaires were also made available for people who use the service, relatives and staff to find out their views. Other information since the last key inspection was also reviewed. During the visit various records were looked at and a tour of the home was undertaken. A number of people who use the service and staff were also spoken with and they gave their views. All the key standards were assessed and all were met. What the service does well:
The home had an established staff team who were keen for high standards to be maintained. The care plans and individual case notes of people who use the service were well documented and reflected each persons needs. Most of the staff had NVQ level II and others were working towards this award. The home provides a good variety of relevant training and staff said that the training was good. Meals were varied and reflected each person’s preference. They offered choice and variety. The staff managed daily activities and entertainments well and provide a wide range of choice. People who use the service said they were pleased with the choices on offer. People who use the service commented “The staff always treat me well and the home is always fresh and clean”, “I feel I can do what I want within reason” and “I feel most of my needs are met but the staffing levels over the past few months have been short which means I have not been able to go out as much as I would have liked.” Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 6 Other comments include “I like where I live and the people who care for me. I feel safe and secure and I like the people I live with to”, “I would like to get out more. I don’t like staff shortages” and “Sometimes I would like to go out at the weekend but not enough staff are available.” The relatives contacted confirmed that they were welcomed into the home and they were satisfied with the overall care provided. Other comments included “I can visit my relative in private”, “I am not aware of the complaints procedure” and “I am satisfied with the overall care provided.” Staff spoken to and from information surveys received they commented that, “I have supervision with my team leader”, “The home has had problems with staffing levels for sometime. The use of agency staff has a knock on effect on the budget” and “Scope try to provide a good service and for the most part do however staffing levels are a problem. People who use the services don’t seem to get out a great deal.” Other comments include “I am given training relevant to my job. Information is usually passed on well”, “There are never enough staff to meet individuals needs” and “Supervisions take place however issues raised are not necessarily acted upon. Staffing levels are often below the needs of the people who use the service. Also they may be asked to go to another bungalow as there are not enough staff around.” What has improved since the last inspection? What they could do better:
The home provides a good service to the people who use the service. This was also confirmed this through discussions with the inspector and from information from questionnaires received. It is important for the home to maintain the high standards that they are currently achieving. The inspector considered the home looked after people well. Staff were asked what the home could do better. Comments include “Staffing levels are lower than they used to be. Staff rushing about, not spending enough time with individuals and staff getting run down and tired. Need to provide more staff” and “Support the staff more. The induction partly covered the areas I needed. I am not kept up to date with new ways of working. There are never enough staff to meet peoples needs.”
Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 7 Other comments included “Give staff rotas out in advance so that staff can be obtained from agency/team. Since the restructure all that seems to matter is financial costs” and “Ensure there are enough experienced staff on all shifts not just agency staff that are not familiar with the clients or aids used.” 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. Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 8 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 Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 9 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): 1 & 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient information is provided for people who use the service to make a decision about moving into the home. A pre-assessment document is available to ensure that the home can meet the people who use the service needs. EVIDENCE: Each person who uses the service had a copy of the home’s statement of purpose and function and service users guide. The service users guide is produced in large print format with pictures of the home throughout. It is currently being updated. It is recommended that changes to CSCI details be included in the new edition. A copy of the most recent inspection report was available in the office and discussions with staff indicated they were aware of this. People who use the service had visited the home prior to admission and trial overnight visits were encouraged. Admissions were planned and ranged from a short visit to overnight stays, dependent on the needs and wishes of the person. The introductory visit took place with senior staff. Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 10 Each person who uses the service has a contract that is known as service delivery agreement. This covers Scopes mission, values and key principles and expectation of the service including care and support. It also includes the costs, ending the agreement and the responsibilities of the people who use the service. The people who use the service or their representatives signed the agreement. Most of the people who use the service confirmed that they liked living at Harbour Close and that they felt safe within the home. Within each persons file a pre-assessment document was available which detailed their needs. From these files it was noted that families confirmed their involvement in care planning and reviews. Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 11 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): 6, 7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use the services’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: Three peoples care records were seen during this visit. These were presented in individual ring binders, which had been replaced since the previous visit when they were in a poor condition. The files contained the care plan, risk assessments, daily record sheets, twenty-four hour care summary, reviews of care plans and contract. These files contained all the information necessary to ensure that people who use the service needs are met. The care plans were clearly written and gave a clear picture of the support needed. Families confirm their involvement and knowledge of the care planning and review process. Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 12 Other records seen relating to the people who use the service included the social services reviews and terms and conditions of residence. All these documents were up to date with appropriate recordings. The daily records were very good and staff noted changes to people who use the service and activities undertaken. This enabled staff and family members to see what a particular person was undertaking during the day. They were written clearly, easy to follow and were signed by carers. People who use the service stated that they had chosen the décor and furniture within their own bedrooms and staff stated that all people who use the service had been involved in choosing the décor of the shared rooms. Most people who use the service confirmed that they were well cared for and that staff treated them well. Risk assessments were in place for each person who uses the service and covered a range of activities. All these were up to date having been reviewed in September 2007. People who use the service confirmed that staff helped and supported them when they needed it, such as with personal care tasks and that staff “The staff always treat me well and the home is always fresh and clean”, “The staff sometimes treat me well” and “Sometimes I like the staff attitude and sometimes I don’t.” Observations made during the site visit included seeing staff knock on the bedroom door before entering and staff interactions with people who use the service during the tour of the home. The staff were attentive to peoples needs and helped them when required. The general atmosphere within the home was warm and friendly. Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 13 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): 12, 13, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service were able to take part in a range of activities. Personal and family relationships were encouraged by the home and when required the staff team supported people with this. EVIDENCE: The people who use the service care plans reflect the range of activities undertaken which included a lifestyle programme where each person has three sessions a week. This includes going to “Sutton Fields” community centre, bowling, going to the allotment, cooking, crafts and flower arranging. Other activities, which could be on an individual basis with staff or in small groups, included going out shopping locally and to local attractions. People who use the service also go on holidays to Sandpipers at Southport or Skylarks at Nottingham. Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 14 People who use the service commented, “I feel most of my needs are met but the staffing levels over the past few months have been short which means I have not been able to go out as much as I would have liked”, “Sometimes I would like to go out at the weekend but not enough staff” and “I would prefer to go out more at the weekends.” Visits from family and friends were recorded in the care plans and case notes. People who use the service shared with the inspector the contact they had with family members and said they could choose to see visitors within their own room or in the shared lounge/dining area. Relatives confirmed that they could see people in their own bedrooms. During this visit it was seen that staff entered people who use the service bedrooms with their agreement. Staff said that people who use the service could go to their rooms at any time and they confirmed this. People who use the service were seen using all parts of the home. Observations of interactions between people who use the service and staff were noted. A relative stated, “I can visit my relative in private and the staff welcome me to the home” and “I am satisfied with the overall care provided.” At this time college courses are not available to the people who use this service at the local college. Discussions have taken place between the manager and the college and the manager continues to explore this. Samples of menus were seen during the site visit. These showed that a diet that had a variety of meat, fish and cheese was provided to the people who use the service. During the visit two people who use the service were making the evening meal with assistance from the staff member and they were planning to make a cake during the following week. Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 15 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): 18, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use the service health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: The sample 24-hour summary records seen described how the people who use the service preferred to be supported in their daily routines. Times for rising and retiring preferred moving and handling techniques and personal care preferences were recorded, as was choice of clothing, hairstyle and makeup. All people who use the service were dressed differently according to their own choice. Each person who uses the service had a visiting professional sheet that detailed visits made regarding all areas of health care needs. The information included visits to GP, chiropodist, opticians, dentist and medical appointments. People who use the services tended to visit GP’s, chiropodists, opticians and dentists in the local community. These professionals would visit the home on request. Appointments with consultants and other hospital appointments were also undertaken. Staff indicated that they supported people who use the service on these visits.
Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 16 The medication system is kept in a locked steel cupboard within the bathroom of each bungalow. A monitored dosage system was used and all medication was stored appropriately. The medication administration sheets seen were signed and up to date. Drugs are returned on a monthly basis. The home doesn’t have any Controlled Drugs on site at the moment, however facilities are available if needed. Staff are trained in medication awareness and staff files examined showed medication training undertaken. A medication policy and homely remedies sheets were available to staff. Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 17 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): 22 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear policies and procedures were in place to ensure that people who use the service were protected from abuse, neglect and self-harm. EVIDENCE: The home’s policy on complaints was seen and people who use the service said that they would speak to the staff if they had a complaint. Staff confirmed that they were aware of the procedure and would pass concerns onto the manager. The home had received one complaint in the last year and this was dealt with to the complainant’s satisfaction. The Commission since the last visit had received no complaints. People who use the service spoken with confirmed they would contact the manager if they had any problems. This was also confirmed through service user and relative’s surveys. The home’s Protection of Vulnerable Adults Policy was seen and this was consistent with the “No Secrets” guidance from the Department of Health. A copy of the Local Authority Adult Protection policy was available within the home and accessible to staff. The home’s whistle blowing policy was seen. On examination of training records it was evident that Protection Of Vulnerable Adults training had taken place. On discussions with the staff team they were able to explain what abuse was and that they would let the manager know if they were concerned about any person who uses the service.
Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 18 Staff who were Designated Adult Protection Advisors (DAPA) were available across the service. Two issues had been reported to Vulnerable Adults team and the documentation seen was appropriately completed. Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 19 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): 24 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a clean and comfortable environment for the people to live in. EVIDENCE: All four bungalows were visited during the visit. Each was furnished in a domestic style with additional equipment such as hoists, walk-in shower, low level light switches and tracking provided as necessary to meet the people who use the service needs. Bedrooms had been personalised by the people who use the service with their own furniture, pictures and mementoes. People who use the service confirmed that they liked their bedrooms and that “I like my bedroom” and “the home is always fresh and clean.” Each bungalow was clean, tidy and free from any unpleasant smells. The home was light, airy and warm. On discussions with people who use the service it was confirmed that the home was warm enough for them. Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 20 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): 23, 24, 35 & 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are protected by the homes recruitment policy and practices. EVIDENCE: The recruitment procedure appears to be consistently followed ensuring that the staff are suitable to work with vulnerable people. Three staff files were examined and these showed that pre-employment checks were carried out. The staff files were well presented and a clear system was used. Out of twenty staff, fifteen had NVQ 2 in Care, and three people were working towards this award. The staff team was well established. They had a range of experience and this was complimented by mandatory courses undertaken, such as medication, fire prevention, health and safety, adult protection, moving and handling and food hygiene. Specialist training included diversity awareness, first aid, complaints training and Cerebral Palsy. Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 21 Day to day and individual supervision and support from the manger is good and was confirmed by the staff team. A new staff structure is being put into place and is due to be fully operational from April 2008. The service manager will be supported by a team co-ordinator in each service and a number of care support workers. All records seen on staff files had up to date appraisals and supervision records and most staff had received supervision during the last few months. Four staff had not received formal supervision since June 2007 and the manager acknowledged that these needed bringing up to date. Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 22 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): 37, 29 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, safety and welfare of the people who use the service are protected and the views of these people are obtained and used to influence the running of the home. EVIDENCE: A quality assurance process was in place both for people who use the service and staff. Discussions regarding this were held with the manager. The process was undertaken in August 2007. The overall response from people who use the service was good and comments included “I am very happy here”, “l would like to go out more” and “It’s as clean as I would like.” A copy of the analysis was sent to the Commission in September 2007. Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 23 Safe working practices were in place. Up to date fire safety checks on the fire system were in place. A weekly sound test of the system was recorded. Fire doors and emergency lights were checked on a monthly basis and staff had received fire safety awareness training. Up to date gas safety and electrical wiring safety certificates were available. All wheelchairs and hoists were regularly serviced. Portable Appliance Testing had been carried out in May 2007. Regulation 26 notices were seen in the home and were up to date. All these checks ensure that the people who use the service are being protected by the procedures in place. Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 24 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 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 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 3 14 X 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 Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Scope - Harbour Close DS0000005184.V351623.R01.S.doc Version 5.2 Page 27 - 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!