Inspection on 01/12/08 for St Aiden`s Cottage

This is the latest available inspection report for this service, carried out on 1st December 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Aiden`s Cottage 26/09/06

Similar services:

The Highlands

Blenheim House

1 Lanark Close

Beaconsfield Court Care Home

Ann Charlton Lodge

The Gardens Care Home

Westmoor View Nursing Home

Ashlea Mews Residential Home

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

CARE HOME ADULTS 18-65 St Aiden`s Cottage St Aiden`s Cottage Auton Style Bearpark Durham DH7 7AA Lead Inspector Kathy Bell Key Unannounced Inspection 1st December 2008 10:00 St Aiden`s Cottage DS0000067579.V373726.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 St Aiden`s Cottage DS0000067579.V373726.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. St Aiden`s Cottage DS0000067579.V373726.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Aiden`s Cottage Address St Aiden`s Cottage Auton Style Bearpark Durham DH7 7AA 0191 373 1124 0191 373 3659 nevillesx@aol.com 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) Durham Careline Ltd Mrs Geeta Sharma Care Home 10 Category(ies) of Physical disability (10) registration, with number of places St Aiden`s Cottage DS0000067579.V373726.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Bedroom 9 will not be occupied by any resident whose mobility is restricted to a wheelchair. One named individual within the PD(E) category of registration. Not to exceed total number registered. 5th December 2007 Date of last inspection Brief Description of the Service: St Aidens Cottage is a purpose-built home, which is registered to provide care for 10 people aged between 18 and 65 years who have physical disabilities. It does not provide nursing care. The home opened in 2006 and at the time of the inspection 10 residents were living there. The building has two floors, with bedrooms and living space on both floors. It was built to meet the needs of people with physical disabilities and the facilities include adapted bathrooms and toilets and a kitchen which can be used by residents. The bedrooms are large, all single, and each has its own toilet. St Aidens Cottage is in the village of Bearpark,on the outskirts of the city of Durham. There are local shops, pubs etc and a bus service to Durham. Specialist transport can also be arranged by the home. St Aiden`s Cottage DS0000067579.V373726.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 3 star. This means that the people who use the service experience excellent quality outcomes. This inspection took place during one day in December 2008. At its last inspection, a year before, the home had been given an excellent rating and would not normally have been inspected again so soon. We did not inspect the home again because we had any concerns about it. The manager completed and returned an Annual Quality Assurance Assessment (AQAA). The AQAA is the services self-assessment of how they think they are meeting the National Minimum Standards. This information was received before the inspection and was used as part of the inspection process. During the inspection we looked around the building, although not in every room. We looked at records and we spoke with three staff and five residents. We also received surveys completed by nine residents, four staff and two care managers. We have reviewed our practice when making requirements, to improve national consistency. Some regulations from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not being put at risk of harm. In future, if the requirement is repeated, it is likely that enforcement action will be taken. What the service does well: What has improved since the last inspection? The home responded to the requirements made in the last report, on recordkeeping and including photographs of residents in the medication file. St Aiden`s Cottage DS0000067579.V373726.R01.S.doc Version 5.2 Page 6 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. St Aiden`s Cottage DS0000067579.V373726.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 St Aiden`s Cottage DS0000067579.V373726.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. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The home makes sure it will be able to meet peoples needs by obtaining full information about them before they are admitted. EVIDENCE: Records showed that the home obtains an assessment by a care manager before it considers admitting someone. The home also obtains information from hospitals when someone has moved from hospital into the home. Staff arrange for further assessments by occupational therapists or physiotherapists so they can set up the right level of care from the beginning. St Aiden`s Cottage DS0000067579.V373726.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): Standards 6,7 and 9. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. Each person has a detailed care plan so staff know what each person needs and wants. People can make choices in their daily lives. The home helps people be independent but protects them from harm as far as possible. EVIDENCE: Each resident has a care plan which explains the care and support they need. The care plans are completely updated every three months so there is a clear description of their current needs. Each persons plan contains information which is relevant for them. For people who need personal care, there is detailed guidance on how they like this to be done. For other people the emphasis is more on developing their independence and abilities. One care plan included information on how staff should respond if the person became angry or upset and showed the staff knew how to help someone develop ways of coping with memory problems. A care manager said, Initially there was a strong and detailed care plan that they worked to. We agreed the placement was time-limited and we set a timeSt Aiden`s Cottage DS0000067579.V373726.R01.S.doc Version 5.2 Page 10 which we managed to fulfil. We met several times as a group with the client to review. Records of daily life in the home showed that people were making individual choices. While some attended the same activities, others could follow their particular interests, like an art class for one person or computer classes for others. One lady described how the staff would prefer to provide one aspect of her personal care in a particular way, for her benefit, but she has made the decision that this is not what she wants and staff respect this. One resident explained how he could be independent-he just needed to tell staff if he was going out and take a mobile phone. In the surveys, the eight residents who responded said that they could always do what they wanted. Care plans include assessments of any risks which might be involved with people carrying out activities independently, like going out alone. The emphasis is on helping people be independent. The records clearly show the process staff go through in supporting someone, for example, to go to Durham on the bus. At first they travel with them, checking they know the routes and bus stops, then they meet the person at the bus stop when they have travelled independently. Staff have also developed a detailed process for looking at whether someone can look after their medication by themselves, or how much help they need. St Aiden`s Cottage DS0000067579.V373726.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. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. Staff help people take part in a range of activities, both for enjoyment and to regain their confidence and skills. Staff support and respect peoples rights to have personal relationships. The home provides satisfactory meals and people can cook for themselves if they want to. EVIDENCE: Records showed that residents take part in many different activities, to match their interests and needs. Some go to social activities in the local community. One enjoys art classes locally and two have begun computer courses. Staff have supported someone to attend a specialist service for people with brain injuries and this is leading to a work placement. Some people enjoy their choice of craft activities within the home. But not everybody feels they are occupied enough, one person said he was bored and a care manager thought the home could improve by providing more diversionary therapy. Also a relative said in a recent survey done by the home that they could perhaps do better if they had more in-house activities in the winter. So staff should St Aiden`s Cottage DS0000067579.V373726.R01.S.doc Version 5.2 Page 12 continue to look at each persons needs for leisure activities and try and meet them. Discussions with staff showed how they support people to maintain family and personal relationships. The home provides a choice of meals and also some people choose to cook for themselves. The records of the food provided showed that people often have something different from the main choices. The home has a small kitchen for residents to use. Records showed that a varied and nutritious diet is provided, which caters for individual needs. Some people choose a very restricted range of foods-I get exactly what I want. A relative said that the home makes great efforts to make sure people are satisfied with the food. St Aiden`s Cottage DS0000067579.V373726.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): Standards 18,19 and 20. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The home provides personal care in a way which helps people regain their independence as far as they can. They make sure people get the health care they need. They have systems to look after medication safely but staff were making small but important mistakes in the recording. But because of the other records they keep and because there are few changes in the staff group, these were unlikely to lead to people receiving the wrong medication. EVIDENCE: When we asked in the surveys, Do the staff treat you well?, eight residents said always, one said usually and one said yes. Six said that the carers listened and acted on what they said always, two said usually and one said sometimes. A care manager praised the way the home worked with a young man who had become disabled, enabling him to become independent again. They tried to understand him from his perspective rather than their own. One resident explained how staff respect her choices in how shes made comfortable and supported in bed. A relative said in a survey carried out by the home that The staff excel at personal care. Records showed how staff worked through all the different health problems someone had, which were affecting how she lived, and improved her general St Aiden`s Cottage DS0000067579.V373726.R01.S.doc Version 5.2 Page 14 health. They saw that poor pain relief was affecting her mood and sleep, agreed with her GP to give the medication at different times and checked that this change was actually working for her. They also supported her to use hospital services, while respecting her choices. Care plans give staff guidance on how to respond if someone gets upset and angry and one resident confirmed that staff do handle him well when this happens. Records showed that people receive regular dental and eye checkups. Every three months, staff write a summary in the care plan which explains any medical problems people have had and what advice or treatment they were given. This means staff can see easily what has happened, or if a problem has occurred before. Staff pass on information by handovers, to make sure everybody knows of any changes. We asked the staff in a survey, Do the ways you pass information about people between staff work well?. One said always and three said usually. All the staff who look after medication have had training. The systems for storing,giving out and recording medication are safe but staff had not always written down the information they should. The list of medication each resident takes was not always complete and did not show the start date-but this information was kept elsewhere as well. Full instructions on when a drug for one person should be taken were not on the drug sheet which staff would look at when they give medication. One person is prescribed a drug to be taken if he becomes very agitated. The home did not have guidelines on how long an interval there must be between doses and they must ask the prescribing doctor to advise them on this. But the staff described how they tried to find out the causes of any agitation first, and if they were not sure about giving medication, they would ask for medical advice. No one looks after their own medication at the moment but the home has developed a system to assess whether someone can do this safely. St Aiden`s Cottage DS0000067579.V373726.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): Standards 22 and 23. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. Residents feel they can make complaints and the home responds to any complaints properly. People are protected from harm as far as possible. EVIDENCE: The home has a satisfactory procedure for dealing with complaints. When we asked residents in surveys if they knew who to speak to if they were not happy and how to make a complaint, they all said yes. The home keeps records of any complaints, and most of these are to do with one resident being unhappy about the behaviour of another. When a resident felt that staff hadnt taken the time to listen to her, they had explained why it had not been possible on that occasion and apologised. Residents sign on the complaints form if they are satisfied with how the home has responded. We saw how the manager had responded fully when a relative had made a negative comment in a survey. When we asked care managers in the survey if the home responded appropriately if they or the resident raised concerns, one said always-there was always the ability to sit around a table and talk through issues and to negotiate outcomes., the other said it usually did. In a survey, all the staff who responded said that they knew what to do if someone had concerns about the home. All the staff have had training in how to recognise abuse and what they should do if they suspect someone is being badly treated. The manager has followed the proper procedures when one resident has struck another and followed the safeguards agreed with care managers. The home carries out the proper checks before new people start work to make sure that, as far as possible, they only employ people St Aiden`s Cottage DS0000067579.V373726.R01.S.doc Version 5.2 Page 16 who are safe to work with vulnerable adults. Where they look after residents money for them, they keep full records so they can account for the money spent. St Aiden`s Cottage DS0000067579.V373726.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. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The home is a pleasant place to live, which meets peoples needs. EVIDENCE: The home was built with the needs of people with physical disabilities in mind. All the bedrooms are singles and all are large with their own ensuite toilet. There is a dining room/lounge on each floor and adapted bathrooms. There is a small kitchen where residents can prepare snacks if they wish. The building is bright and spacious. It was decorated and furnished to a good standard for its opening in 2006. Residents can have their bedrooms as they want them-one lady enjoys Christmas decorations and the staff had already helped her decorate her room. When the home was first built, restrictors were fitted to first-floor windows, so they could not be opened wide, to avoid any risk of people falling out. It shouldnt be possible to open these restrictors without a special key or tool. But a resident had found that there was a release button, within easy reach. We discussed this during the inspection and advised the deputy to follow the St Aiden`s Cottage DS0000067579.V373726.R01.S.doc Version 5.2 Page 18 guidance published by the Health and Safety Executive. After the inspection, we were told that the home had acted at once to make these windows safe. The AQAA describes how the home ensures cleanliness and infection control, with a cleaning schedule, training in infection control and a monthly audit. We asked in our surveys if the home is fresh and clean. Six residents said always, three usually and one said yes. St Aiden`s Cottage DS0000067579.V373726.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, 33, 34 and 35. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The home provides enough, well-qualified staff who receive the training they need to meet peoples needs. Before anyone starts work, the home checks that they will be suitable to work in a care home. EVIDENCE: Most of the staff are more highly qualified than we require for care workers. Four of them are nurses and the deputy manager is a physiotherapist. Another care worker already has the qualification recommended for care workers, The National Vocational Qualification in care at level 2. Residents praised the staff, one said it was the staff that made the home good. Another had told his care manager how hard-working they were. There are two or three staff on duty through the day, and staff work extra hours to take people to appointments or to social activities. As a number of people can go out independently, this seems enough. At night, there is one person on duty awake and one sleeping in from 12:30-5:30am and both work until 8 am so they can help get people up in the morning. The training records showed that all the staff have had the essential training they need to work safely. They have all had training in food hygiene, moving and handling, first aid, fire safety, epilepsy and safeguarding vulnerable adults (protection from abuse). All staff who handle medication have done a safe St Aiden`s Cottage DS0000067579.V373726.R01.S.doc Version 5.2 Page 20 handling of medication course, and all but one have done training in challenging behaviour. Four have had training in equality and diversity so they will understand how to respect the differences between people. Extra training has been provided when staff need extra skills to meet particular needs, like somebody who needed PEG feeds. In the surveys, when we asked staff if they felt they had the right support, experience and knowledge to meet the different needs of people, three said always and one said usually. A care manager said that from what she saw in the home (with limited time there) and what she heard from her client, she felt most of the staff did have the right skills and experience to support individuals social and health care needs. We looked at the records for the only new member of staff. These showed that the proper checks were carried out to make sure she was suitable to work in a care home. The home obtained a Criminal Records Bureau/Protection of Vulnerable Adults List check, two references and asked for the information it should. St Aiden`s Cottage DS0000067579.V373726.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): Standards 37, 39 and 42. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The home is well-managed and run safely. The owners of the home find out what residents, relatives and care managers think of it so they can provide the service people want. EVIDENCE: This home has its own registered manager but she has had to be absent for family reasons. The manager of the home next door, run by the same company, has effectively been managing St Aidans for some time. She is very experienced and has the required qualifications for managers. A deputy is in place in St Aidens cottage who takes considerable responsibility for the dayto-day care. We will be discussing with the owners of the two homes future management arrangements. Meanwhile, the home seems to be run well. The home has set up systems to find out the views of residents and people involved with their care, so that they can continue to improve the service and St Aiden`s Cottage DS0000067579.V373726.R01.S.doc Version 5.2 Page 22 meet peoples expectations. They recently carried out another survey to find out peoples views. The record showed that when people made any negative comments, the home responded to these. The home is a new building and has safety features, like an up-to-date fire safety system, low surface temperature radiators and thermostatically hot water, to avoid risks of people burning themselves. Staff carry out the regular checks required such as hot water temperature checks and fire safety checks. All staff have taken part in fire drills. Equipment is regularly serviced and maintained as it should be. The only problem was that the window restrictors were not of a suitable type. The home took action promptly to make sure there was not a risk of falls from windows. St Aiden`s Cottage DS0000067579.V373726.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 4 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 4 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 3 X 3 X X 3 x St Aiden`s Cottage DS0000067579.V373726.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. 1. Standard YA20 Regulation 13 Requirement Staff must take more care when recording medication to be given out. They must ask the prescribing doctor to tell them the interval which must be left between doses of a drug which is to be given as required. The owners of the home must agree with CSCI arrangements for its management. Timescale for action 31/01/09 2. YA37 8 30/04/09 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 St Aiden`s Cottage DS0000067579.V373726.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Aiden`s Cottage DS0000067579.V373726.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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