Inspection on 04/01/07 for 112 Henderson Road

This inspection was carried out on 4th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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

CARE HOME ADULTS 18-65 112 Henderson Road Southsea Hampshire PO4 9JG Lead Inspector Neil Kingman Unannounced Inspection 4 January 2007 14:00 112 Henderson Road DS0000067309.V318903.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 112 Henderson Road DS0000067309.V318903.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. 112 Henderson Road DS0000067309.V318903.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 112 Henderson Road Address Southsea Hampshire PO4 9JG 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) 02392 783373 Bayrose Limited Miss Claire Alison Cusack Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 112 Henderson Road DS0000067309.V318903.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users only to be admitted between 25 and 65 years of age Date of last inspection N/A Brief Description of the Service: 112 Henderson Road is a residential home providing care, support and accommodation for up to three younger adults with learning disabilities. The home has been in existence for some years but was registered under the Company Bayrose Ltd in March 2006. The home is one of a terrace of ordinary family style houses, situated in a residential area of east Portsmouth. Local shops and other facilities, including the beach and swimming pools are all within easy reach. The home aims to promote the rights of the resident group to lead as independent and ordinary a life style as possible. The three single bedrooms for residents, each with a lockable door, are sited on the first floor. Residents have chosen not to have sinks in their bedrooms. While the home is not centrally heated each room is provided with a standalone heater. Windows are double glazed. Communal areas comprise a lounge, dining room, kitchen, bathroom/toilet and seperate toilet with wash hand basin. There is a small garden to the rear of the property to which the residents have access. Parking spaces can usually be found in Henderson Road or other adjoining roads. 112 Henderson Road DS0000067309.V318903.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the results of an evaluation of the quality of the service provided by 112 Henderson Road and brings together accumulated evidence of activity in the home since it was registered under the Company name Bayrose Ltd in March 2006. The home has actually been in existence for many years and has previously been inspected on a yearly basis. Since the change of registration the home has continued to operate with the same management and staff group as before. Included in the inspection was an unannounced site visit to the home by an inspector on 4 January 2007. During the visit the inspector toured the building, looked at a selection of records, spoke with the manager, the staff team and both residents. The responses from the consultations were very positive. What the service does well: While the home is registered to accommodate three people, since it was last inspected one of the residents has been assessed as being able to move on to a more independent lifestyle. This is an example of what the home does well. The focus of the service is to support and encourage the residents to make the most of their life skills, to be as independent as possible. The two residents currently accommodated are consulted and involved in the daily running of the home. They retain their own personal plans, which are very ‘person centred’ and play an active part in the monthly reviews of their needs. There is a stable staff team to support the residents. Observations and discussions during the site visit showed that they were very positive, and committed to the wellbeing of the residents. The evidence gained during the inspection showed the home is run for the benefit of the people who live there, and continues to promote ordinary life styles for them within their local communities. 112 Henderson Road DS0000067309.V318903.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 112 Henderson Road DS0000067309.V318903.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 112 Henderson Road DS0000067309.V318903.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. To ensure residents care and support needs are met, a proper assessment is undertaken before they move into the home. EVIDENCE: Pre-admission assessment 112 Henderson Road provides long-term care and support for up to three younger adults with learning disabilities. One of the aims of the home is to support and encourage residents to be as independent as possible, with a view to them being able to move eventually to a more independent living scheme. At the time of the inspection the home was accommodating only two residents, one having moved on to independent living since the home was last inspected. It has been five years since a new resident moved in. However, in anticipation of the existing vacancy being filled there is a pre-admission assessment tool in place, which, according to the manager would be used to ensure the home was right for the prospective resident. The manager showed a good understanding of the importance of a preadmission assessment, describing how there would be several introductory visits to the home by the prospective resident to establish compatibility with existing residents. 112 Henderson Road DS0000067309.V318903.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): 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. Opportunities for residents to make decisions and choices in their lives are determined by assessment and recorded in individually agreed personal plans, drawn up between the home and the residents. Residents are enabled to take control over their lives. Any limitations are identified in the assessment process and recorded in their personal plans. They are encouraged to be as independent as possible and to take sensible risks, which enhance their enjoyment of life. EVIDENCE: Personal plans – Each resident has a personal plan, which reflects their individual needs, aspirations and goals. They look after their own plans and retain them in their rooms. 112 Henderson Road DS0000067309.V318903.R01.S.doc Version 5.2 Page 10 At the site visit both residents showed the inspector their plans and were happy to talk about them. It was clear from discussions that they were very much involved in the development of their plans and contributed to the monthly reviews that take place. The inspector noted the plans were very person centred, covering all aspects of their daily lives, including guidelines for staff around routines. The manager explained that there is a form of key-worker system in the home but with only two residents it is not so important, as the process of meeting residents’ needs is shared by all staff. Decision making Speaking to the residents and observing their interactions with the staff showed that they know how to express their opinions and make choices in their lives. They are independent in many respects, from choosing their own clothes, fashions and lifestyles to going out alone, and in one case finding and keeping a job. A stable staff group has many years experience of working with these residents; they know what they want and provide residents with the information and support they need to make decisions. The manager was very clear about the benefits of accessing the advocacy service in appropriate circumstances. One resident can call upon family for independent support if needed, and the other has the cognitive ability to make their own decisions about advocacy. Both residents have the ability to manage their own finances with minimum support. The home provides lockable facilities for them and arrangements for their own banking. All support in this respect is documented and kept under review. The inspector spoke with both residents in the presence of staff, and in the privacy of their rooms. They stated they were happy with the level of independence they are given and the support provided by staff. Risk taking – The inspector noted clear and specific risk assessments on residents’ personal plans. They are encouraged and supported to take responsible risks which enhance their enjoyment of life, e.g., going out to the shops, to a social club and to have personal relationships. 112 Henderson Road DS0000067309.V318903.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): 12, 13, 15, 16 and 17 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged and supported to take part in a range of activities appropriate to their age and individual likes and dislikes. They are supported to maintain regular contact with their families. Routines in the home promote independence for the residents who have unrestricted access around the home. They are offered meals they enjoy, which are varied and healthy. EVIDENCE: Education and occupation Both residents attend the local day centre to which they make their own way. At the day centre they are involved in a range of activities, mainly craft based that help with their independent life skills. 112 Henderson Road DS0000067309.V318903.R01.S.doc Version 5.2 Page 12 One resident has secured, mainly therapeutic employment, helping out at a nearby pub. At the site visit the resident told the inspector that he enjoyed the job and looked forward to going when he finished at the day centre. Community links, social inclusion and relationshipsIt was clear from the inspector’s observations and from information in personal plans that residents enjoy going out from the home. A weekly programme of activities ensures their lives are varied and interesting. Staff treat residents as individuals and support them variously to visit local pubs, restaurants, shops and a social club. They choose their own holidays and one resident made special mention of the one planned for 2007. One resident has regular contact with family and a personal relationship with a person of choice. They other has less contact with family but did show the inspector correspondence received from a relative. The home makes visitors welcome and residents are able to receive visitors in the communal areas, or the privacy of their rooms. It is understood from previous inspections that both residents take the opportunity to vote at elections. Daily routines Bedrooms were seen to be well personalised and reflected residents’ different interests and preferences. In discussions with staff it was clear that they respected residents’ privacy, which as the inspector observed was not difficult, as residents were very particular about their own private space. Residents have keys to their own room and a lockable facility. Staff can access all bedrooms in the event of an emergency. The inspector noted the warm and friendly interactions between residents and staff, with plenty of goodhumoured banter on both parts. In discussions with residents they confirmed that they share responsibility for various household tasks. However, it was clear in discussions with them that they need some encouragement. Residents keep two cats in the home that are cared for by everyone. No residents smoke, and staff respect that by not smoking in the home. Meals – During the site visit the inspector asked residents about meals. They said they were very happy with the food provided and confirmed that for the most part the type of food they enjoyed enabled them to prepare their own meals. On Sundays meals tend to be communal. On days that they attend a day centre they take a packed lunch with them, and eat a hot meal in the evening. 112 Henderson Road DS0000067309.V318903.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): 18,19 and 20 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff provide flexible but consistent support for residents and are responsive to their changing needs. They encourage residents to make choices, which reflect their individual personalities. Residents’ healthcare needs are assessed and key workers enable and support them to receive healthcare checks at appropriate intervals. The home promotes the rights of residents to self medicate in a safe way. EVIDENCE: Personal support – Personal plans developed with the residents identify the support and/or encouragement they need from staff. Both residents are currently fully independent and need only prompts or encouragement with their personal care. From discussions with residents and staff it was evident that residents choose their own clothes and styles, which reflect their personality. One in particular is very conscious about appearance. Daily recording on personal plans showed there is flexibility around times for getting up and going to bed 112 Henderson Road DS0000067309.V318903.R01.S.doc Version 5.2 Page 14 and it was noted that respect for dignity was an important issue, especially in the area of privacy. Healthcare – Care records showed that residents’ health care needs are regularly addressed. They receive checks from the GP, dentist, optician and specialist health care professionals. All health care needs of the residents are identified in their personal plans. The manager said that all residents have their own GP in Portsmouth and liaison with the practices is very good. One resident who wanted to talk about a recent trip to the dentist confirmed that medical attention is always arranged by the home when required. Medication The manager and staff confirmed that currently neither resident is in receipt of medication. This was confirmed in discussions with the residents. In the event that medication is required they are assessed as being able to manage the process themselves. Risk assessments are in place. 112 Henderson Road DS0000067309.V318903.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): 22 and 23 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ complaints are treated seriously and given an appropriate response. The home’s policies, procedures and practices ensure that residents are safeguarded from abuse. Procedures for responding to suspicion or evidence of abuse are robust. EVIDENCE: Complaints The home has a clear complaints policy and procedure in place. However, residents said they would speak to the staff if they had any worries or concerns. In discussions with staff they said that both residents were very assertive, and would not hesitate to report anything they were unhappy about. They confirmed that minor issues are dealt with immediately and anything more serious would be reported to the manager and recorded. No concerns were raised. Adult protection The home has a ‘whistle-blowing’ policy for staff, and an adult protection policy and procedure that follows locally agreed multi-agency protocols as regards the reporting of incidents. Staff training covers abuse. Care support workers were very clear about how to recognise abuse, what to do, and the importance of reporting issues of concern without delay. They said that adult protection 112 Henderson Road DS0000067309.V318903.R01.S.doc Version 5.2 Page 16 training was provided, and felt that the home benefited from a long-standing stable staff group that had good relations with the residents. 112 Henderson Road DS0000067309.V318903.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): 24 and 30 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s premises are suitable for its stated purpose. They are reasonably comfortable, safe and maintained. On the day of the site visit the home was clean, hygienic and free from unpleasant odours. EVIDENCE: Premises The inspector toured the building with one of the residents who showed him round. It was noted that in general terms the house is suitable for its stated purpose; accessible, as both residents are mobile; safe and reasonably well maintained. All three bedrooms are for single occupancy, and are located on the first floor. The sizes of the lounge and dining room are adequate for the numbers of residents and staff, with enough seating and space for relaxation and activities. 112 Henderson Road DS0000067309.V318903.R01.S.doc Version 5.2 Page 18 There is a kitchen, bathroom with toilet, and separate toilet with wash hand basin, introduced since the home was last inspected. The premises are reasonably decorated and comfortable. Rooms looked to reflect the personalities of the residents and were clearly decorated according to their individual tastes. Carpets looked tired and worn, and, according to the manager are due for replacement during 2007. Outside is a small enclosed garden, which is mainly laid with gravel. Cleanliness The inspector noted all areas to be clean, reasonably tidy and free from unpleasant odours. Support workers undertake the domestic tasks; an arrangement that seems to work well in what is essentially a domestic style setting. Laundry is carried out in the kitchen. However, given the needs of the residents there are no soiled articles to contend with. 112 Henderson Road DS0000067309.V318903.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): 32, 33, 34 and 35 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are deployed in sufficient numbers and have the necessary skills and experience to meet the needs of the people who live there. 60 of the care support staff are qualified at NVQ level 2. A robust recruitment procedure ensures residents are protected. EVIDENCE: Staffing levels The staff team consists of three support workers and one registered manager. Staff rosters showed that staffing is flexible, and responsive to the needs of the residents. There are several other services in the Bayrose Ltd group, and staff work flexibly between the services at times when there are shortfalls due to holidays and sickness etc. These staffing levels are considered appropriate for the current needs and numbers of residents in the home. 112 Henderson Road DS0000067309.V318903.R01.S.doc Version 5.2 Page 20 Staff recruitment Although there was a change of service registration during 2006 the home has essentially remained unchanged. It has been inspected many times in the past; most importantly the recruitment process was assessed in November 2005 and found to be meeting the standard. Since that time there have been no new staff recruited to the home. In fact all staff have been employed for at least five years. Staff training, development and competencies The inspector looked at the staff training plan and was shown a selection of training certificates. The plan sets out the dates for statutory training scheduled for 2007. Additional service specific training includes: • • • • • • Autism Asperger’s syndrome Bereavement Epilepsy Communication Risk assessments The care support workers confirmed the Company has a very good training package, which equips them well for work in the home. 112 Henderson Road DS0000067309.V318903.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): 37, 39 and 42 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run by a fully qualified manager, who has many years experience working in services for people with learning disabilities. The home has developed effective quality assurance systems for measuring its performance based on seeking the views of residents, representatives and stakeholders. The home’s policies, procedures and staff training generally ensure as far as is reasonably practicable, the health and safety of the residents and staff. EVIDENCE: Management The manager has many years experience of working with people with learning disabilities and has managed 112 Henderson Road for over two years. As 112 Henderson Road DS0000067309.V318903.R01.S.doc Version 5.2 Page 22 regards qualifications she has achieved the NVQ at levels 3 and 4, and also the Registered Managers Award (RMA). All staff spoken with regarded the home as being well run, with regular staff meetings and formal supervision. They confirmed that the morale of staff was good and the manager was approachable and supportive. Quality assurance The home is relatively small and domestic in scale. In discussions with the manager she outlined the steps taken to monitor the quality of service at Henderson Road, which includes: • • • • • Written quality assurance feedback from residents (available for inspection). Monthly reviews of personal plans. Annual care/support reviews involving residents, families, key workers, representatives from day services and social services. Staff meetings and supervisions. Monthly statutory visits to monitor the conduct of the home. The manager and staff made the point that with so few residents it was possible to have a comprehensive knowledge of the ongoing views of the people who receive the service. Health and safety All care support staff undertake statutory training, which includes health and safety awareness, food hygiene, first aid, manual handling and fire training. The inspector was shown the range of policies and procedures, which cover health and safety issues in the home. A sample of records was viewed, including fire logs, risk assessments, records of weekly carbon monoxide tests and an electrical inspection certificate, all of which were found to be in order. 112 Henderson Road DS0000067309.V318903.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 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 112 Henderson Road DS0000067309.V318903.R01.S.doc Version 5.2 Page 24 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 112 Henderson Road DS0000067309.V318903.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 112 Henderson Road DS0000067309.V318903.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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