Inspection on 20/06/07 for 1 Wood Close

This inspection was carried out on 20th June 2007.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

1 Wood Close 16/06/09

1 Wood Close 01/08/05

1 Wood Close 12/05/05

1 Wood Close 30/11/04

1 Wood Close 29/06/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1 Wood Close Salfords Surrey RH1 5EE Lead Inspector Vera Bulbeck Unannounced Inspection 20th June 2007 11:05 1 Wood Close DS0000013442.V343630.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 1 Wood Close DS0000013442.V343630.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. 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 1 Wood Close Address Salfords Surrey RH1 5EE 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) 01293 430685 Ashcroft Care Services Ltd Ms Jacqueline Carol Jones Care Home 6 Category(ies) of Learning disability (0) registration, with number of places 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following category 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 1st August 2005 Brief Description of the Service: 1 Wood Close is a home within the Ashcroft Care Services providing care and accommodation to six male and female Younger Adults with profound learning disabilities. Wood Close is situated on the outskirts of the market town of Horley in the village of Salford’s, in a quiet residential area, with a nature reserve duck pond within a few minutes walk. The home has a seven-seater vehicle, which is used to transport service users to various places of interest and on holidays. Service users are encouraged and helped to participate in the activities and amenities offered in the nearby town of Horley and within the Village. All six bedrooms in the home are single rooms with en-suite toilet and washing facilities to three bedrooms. The home has a large garden laid mainly to lawn with a wide range of garden furniture in place for the use and enjoyment of the service users. The fees range from £1,150.00 to £1,800.00 items not covered by the fee are personal items, some holidays and a weekly contribution towards the petrol for the homes vehicle of £12.50. 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit formed part of the key inspection process and took place over six hours commencing at 11.05 and ending at 17.05pm. Mrs V Bulbeck, Regulation Inspector carried out the visit. A full tour of the premises was undertaken. Two care plans were sampled and the care observed for the two service users. The inspector spoke with the six service users; however, the service users are unable to communicate to obtain any feedback. All the staff was spoken to during the visit and a number of records were observed. The registered manager Ms Jacqueline Jones was on duty. There were six service users living in the home on the day of the site visit and there were no vacancies. The inspector would like to thank the service users and staff for their cooperation and hospitality during the inspection. What the service does well: What has improved since the last inspection? The Annual Quality Assurance Assessment received states a number of changes have been made in the home, changes made are, a new higher fence in the garden to provide more seclusion to the service users and neighbours. 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 6 Changes to the menu have been made with advise from the nutritionist involved with the home. The management of the home has promoted a stable staff team and very rarely any changes are made to the staff team. The home operates a bank staff cover, any member of staff who is unable to cover their working shift; another member of staff will cover the duty. A number of policies and procedures have been updated. 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. 1 Wood Close DS0000013442.V343630.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 1 Wood Close DS0000013442.V343630.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): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each service user is only admitted to the home following a needs assessment to ensure that the home can meet the service user’s identified needs. The home does not offer intermediate care EVIDENCE: All service users entering the home have a pre needs assessment carried out to ensure the home can meet the service users needs. The registered manager explained that full details of any potentially new service user would be undertaken when the service user enters the home. The admission procedures and criteria reflect the principles of admission and assessment appropriate to the home. The pre assessment document was seen and it was noted that service users and care managers are involved in the assessment to ensure the home is able to meet the service user’s needs, prior to admission to the home. The registered manager informed the inspector that a copy of the service users guide is available for each individual service user, relatives and care managers, are also provided with a copy. This document was not checked on this visit; the inspector was informed that the documents are updated on a regular basis to ensure any changes to the home are reflected in the statement of purpose and the service users guide. 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 9 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 10 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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users health, personal and social care needs are set out in the main file of the service user, to demonstrate needs are met in accordance with the homes philosophy. Service users are treated in a respectful and sensitive manner. EVIDENCE: Two service users files were sampled and there was evidence that service user’s health, personal and social care needs had been identified and assessed. Care notes were detailed to include service users daily routines. However, the home needs to develop a care plan for each individual service user this should be used by the staff as a working tool to ensure the needs of the service users are being met. Service users, relatives or an advocate should be involved with their care plan. An action plan is in place to meet the physical care needs of the service users, to ensure the support, comfort and dignity of the service users is maintained. The service users two files are kept in the dining area of the home in a lockable cupboard and staff has access to the files. 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 11 Staff stated that service users are supported to make decisions affecting their lives in a number of ways. Each service user has an allocated key worker, who is trained to offer one to one support and who knows the service user well and understands his or her needs. The service users communication is limited and staff has the experience to enable service users to make decisions and choices, for holidays, menu planning and outings. Staff advised that information is provided to service users to assist with decision- making and this is in a format to suit their individual needs. Observation by the inspector, staff are respectful to the service users. It was also noted that service users and staff have a good rapport. 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 12 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 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users have opportunities for personal development and to take part in appropriate activities within the home and in the local community. They are supported and enabled to maintain and develop appropriate personal and family relationships. EVIDENCE: Service users are supported to make choices in their everyday lives as far as they are able. Families of service users are consulted and encouraged to be involved in the decision making process. The six service users attend various activities. There is an activity programme, which identifies an activity for each service user. Four service users go line dancing on Mondays and every Friday two service users and two members of staff go out with a walking club and walk at least five miles, they take a picnic lunch. An application has been submitted to a college for two service users to attend different courses starting in September. 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 13 During 2006 five service users went on holiday to various places. They visited Norfolk, Cornwall and Yorkshire. One service user went to Malta with his parents. One service user prefers to go out for days, days out are at least twice a month to different places, and a place recently visited was Eastbourne. There are plans for a holiday this year however, there has not been a decision made as to where they may go. Last week the whole house including staff went to Bognor for the day, they had a picnic on the beach. Two vehicles were used. All the service users have recently been to France for the day and the Isle of Wight. One service user is going to Norfolk Centre Parc in September with his parents and another service user is going to Portugal with his parents. The meals observed were nutritional and well balanced. Staff informed the inspector that service users are involved with the menu planning. The menu is in pictorial form service users are able to make decisions regarding the food they want to eat, but staff support service users to ensure they eat healthily. Food intake and nutritional content is monitored and all service users are weighed monthly. A nutritionist is involved with the menu planning, and provides the home with advise on the food intake. The manager and a senior support worker have attended a health and nutrition course at Nescot College. All members of staff receive training at induction on respecting and promoting the rights of service users. 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 14 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 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Personal care and healthcare support and assistance is planned and was seen in care notes, to be provided, where needed, in a respectful and sensitive manner. EVIDENCE: The inspector was informed by a member of staff, service users are able to choose when to go to bed and when to get up and are supported to choose their own clothes, hairstyles and other aspects of personal grooming. Communication by the service users with the staff is undertaken by a number of methods. The staff has a good understanding of the needs of all the service users. There are regular visits to the local G.P and service users have an annual health check. All service users have good support from the medical team as well as other professional health care people, including the dentist, optician, chiropodist and physiotherapist. The management of the home will liaise with support services to ensure appropriate equipment is received for any service user if required. A number of risk assessments were seen and are reviewed on a regular basis. Several 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 15 risk assessments were in place for each service user, and the registered manager explained the process is updated on a regular basis. Advice was obtained from the Regional Pharmacy Inspector regarding the process the home used for administering medication, for three service users who are unable to climb the stairs in the home, to where the medication is held and administered. This process was discussed and confirmed by the Regional Pharmacy Inspector the home is operating to a high standard. The Medication Administration Record (MAR) sheets were seen and no gaps in the recording were noted. Staff stated key workers, who report in turn to the registered manager, monitor the MAR sheets. Any recurring gaps or errors would be referred to the manager, and this would be discussed at a supervision meeting. It was pleasing to see that guidelines are in place for medication that is given “as required”. A photograph of each resident is provided with the MAR sheets to guide staff to the correct service user and a medication information sheet gives details of the medications for each service user. Staff stated that any additional entries to the MAR sheet, which have been handwritten on, are signed by the member of staff making the entry and by a second member of staff who checks that it is correct. This had been carried out. Two staff signs the MAR sheet for all medication given and for the receipt of medication into the home. Sample signatures of all staff that administer medication were held with the MAR sheets for ease of reference. Medication was seen to be well organised and all staff have received training. There are no service users who are able to self medicate. 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 16 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 and 23. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. All staff have received training in protecting vulnerable people and are aware of the procedures and practices, to ensure that service users are safeguarded, as far as reasonably possible, from harm or abuse. EVIDENCE: There were two recorded complaints; which had been handled appropriately the registered manager informed the inspector one was an external complaint received. Records seen indicated that complaints would be responded to within the guidelines. The Commission for Social Care Inspection (CSCI) have not received any complaints. The homes complaints procedure for service users is in pictorial form and staff stated that some service users would be able to use it when necessary. The complaints form is written with widget symbols and easy for service users to understand. All relatives have also received a copy of the complaints procedure. There is one new member of staff who needs to attend training on the protection of vulnerable people. The majority of staff has completed the vulnerable adults training. The registered manager confirmed that she would undertake any in house training for the new member of staff. All staff spoken to stated they had undertaken training in the protection of vulnerable adults and would report any concerns they had to the manager. Staff said they would be willing and able to report any concerns and “would go to any level to protect service users”. 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 17 Their family manages the finances for two service users and the registered manager, including the opening of bank statements, manages four service users finances. All service users have an individual bank account. The finances of two service users were checked and found to be correct and the money balanced against the records held. The receipts were available and matched the records. 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 18 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements in the home are continuous in order to ensure a safe and wellmaintained environment for service users. The home was observed to be clean and hygiene. EVIDENCE: The environment is homely and welcoming all bedrooms were personalised with some items purchased by the service users. There were a few areas that required attention for example the window frame needs attending too in a service users bedroom and the blind was broken. It was also noted that an electric freestanding radiator had a broken dial. The radiator needs to be secured to the wall and an appropriate safety cover needs to be fitted. It was also noted that the service user was without a hook to hang his towel on and the towel was seen folded on the radiator. The registered manager stated the work would be completed as soon as possible. In fact the day after the inspection the manager telephoned the inspector to say the work was being undertaken that day. 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 19 The garden is nicely presented and during the good weather service users are able to use the garden. The garden is accessible and clearly the service users enjoy sitting in the garden when the weather permits. There is ample room and the garden is nicely laid out. 1 Wood Close DS0000013442.V343630.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): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a comprehensive staff recruitment procedure, which is designed to ensure, as far as reasonably possible, that service users are supported and protected. The number of staff on duty was adequate to meet the needs of service users. EVIDENCE: The management of the home constantly review the staffing arrangements. At present there are five members of staff on duty for each shift. On service user is on a one to one member of staff. The staffing arrangements for night time are two waking member of staff on duty. Three staff files were inspected and it was noted that staff files were in order and relevant documents were in place. All staff had completed induction training over a period of time depending on the availability of training courses. The majority of staff working in the home has been employed for some considerable time, staff members stated they work as a stable team and cover for each other if the need arises. The home currently has two members of staff on long term sick and the inspector was informed that it has been difficult at times covering the shifts, and sometimes there have been staff shortages. 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 21 The inspector was informed that recently two possibly new members of staff were lost and found another job because of the length of time to process staff applications. Staff training was up to date. A training plan is used to ensure training is kept as a priority. The home is in the process of all staff undertaking equality and diversity training. Two members of staff spoken to confirm they are aware of the different needs of the service users, and staff work with service users in this area to ensure their needs are being met. Interaction between staff and service users was observed to be good. Seven members of staff have completed NVQ Level 2 and above, and three members of staff are in the process of completing NVQ Level 2 and above. 1 Wood Close DS0000013442.V343630.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, 39, 41 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are able to make their views known and management of the home ensure that the health, safety and welfare of service users is promoted and protected from harm and abuse. EVIDENCE: The registered manager has completed the Registered Managers award and is experienced and competent to manage the home. Staff confirmed the manager is supportive and has an open door policy. The manager has recently completed equality and diversity training at a local college and is waiting for the certificate of attendance to be sent. The course is over a two-month period and during that time three units need to be completed in two to three weeks to complete the course. Two members of staff are currently undertaking the course. 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 23 A quality assurance audit is undertaken on a regular yearly basis. The last survey was undertaken in December 2006 this was for the service users and relatives. The monthly monitoring visits by the responsible person were well documented and covered a wide area of care practice in the home. Timescales and action was included. The home operates a number of good practices with regard to health and safety. For example, risk assessments are in place for all service users, the hazardous substances cupboard was securely locked, and a member of staff has been given responsibility for overseeing the health and safety of the home. A variety of safety certificates were seen and found to be satisfactory. The relevant policies and procedures have to be read by each staff member and then signed by them. A number of records were observed and were well documented. However the use of correction fluid must not be used on legal documents, for example the rota. The Commission for Social Care Inspection received 4 surveys in total: service users relatives completed two surveys. Two surveys were from Health professionals. The majority of comments were positive for example • • • My son is treated well Staff are always polite and helpful Completely satisfied with the care provided 1 Wood Close DS0000013442.V343630.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 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 4 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 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 3 X X 3 X 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 25 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 YA6 Regulation 15 Requirement Care plans to be developed. Timescale for action 11/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 3 4 Refer to Standard YA37 YA24 YA24 YA41 Good Practice Recommendations The home should obtain the amended copy of The Care homes regulations 2001. The home to provide a hook to hang a service users towel. The management to ensure maintenance in the home is kept up to date, and records with dates of work kept. Correction fluid must not be used on legal records including the rota. 1 Wood Close DS0000013442.V343630.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 1 Wood Close DS0000013442.V343630.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. 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