Inspection on 19/05/05 for 137b Tentelow Lane

This inspection was carried out on 19th May 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

137b Tentelow Lane 26/07/07

137b Tentelow Lane 05/02/07

137b Tentelow Lane 06/02/06

137b Tentelow Lane 28/01/05

137b Tentelow Lane 27/05/04

137b Tentelow Lane 03/02/04

137b Tentelow Lane 10/09/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 137b Tentelow Lane Norwood Green Southall Middlesex UB2 4LW Lead Inspector Sarah Middleton Unannounced 19 May 2005 9.15AM 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 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 Stationary 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. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 137b Tentelow Lane Address Norwood Green, Southall, Middlesex UB2 4LW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0208 893 6635 0208 893 6635 Milbury Care Services Limited Mr Charles Ashong Mettle Care Home 4 Category(ies) of Learning Disability (4) registration, with number of places 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: NO Date of last inspection 28/01/05 Brief Description of the Service: 137b Tentelow Lane is a home for four male service users with learning disabilities. The owner and provider is Milbury Care Services. The home is a four bedroomed, semi-detached house, located on a busy road between Southall and Hounslow. There are local shops nearby and Southall, Ealing and Hounslow shopping centres can be accessed by car. There is a house car for both 137b and the adjoining care home, (137a). There are no bus or rail routes close by. The adjoining house is for four female service users. There is a joint staff team for 137a and 137b Tentelow Lane. 137b has four single bedrooms. One is on the ground floor and has its own shower. There is a shared toilet nearby. One first floor bedroom is en-suite, with its own bath. The two further bedrooms on the first floor share a bathroom and toilet. The lounge, dining room, kitchen and laundry room are located on the ground floor. The office is on the first floor. There is a rear garden, which is mostly lawn with a patio area. There are parking spaces for both homes to the front of the house. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. A total of just over three hours, 9.15am-12.25pm, was spent on the inspection. The Inspector carried out a tour of the home and inspected service user plans, staff files and other relevant documentation. Two service users and two staff were spoken with as part of the inspection process. It must be noted that it is sometimes difficult to ascertain views of service users with learning disabilities. It must also be noted that there are similarities in this inspection report as there are in the report for the adjoining residential care home, 137a Tentelow Lane. The documentation is almost the same, as there is a joint staff team and the same organisation owns both of the homes, therefore policies and procedures will be the same for both homes. The home had two previous requirements made at the last inspection and one of these was met. At this inspection one new requirement was made to add to the outstanding requirement. What the service does well: The home is well managed with a strong staff team who know the needs of the service users. There are many activities offered in a variety of ways. Support is often given on a one to one basis, offering service users quality time with members of staff. Staff encourage service users to make choices and to plan what they want to do each day. There are robust systems in place for care plans, outlining service users individual needs. In addition there are systems in place to protect the welfare of service users, such as servicing records and recruitment procedures. Feedback from both staff and service users was positive about the home. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 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. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 4 & 5 The home has not had any recent admissions. Systems had not been robust in the past for service users being admitted into the home. Pre-admission assessments and gathering details from external professionals varied depending on the situation. The current Registered Manager acknowledged the need to ascertain as much information as possible in order to offer a place to a service user which will aim to meet all their assessed needs. Prospective service users would be encouraged to visit the home in order to enable them to make an informed choice. Service user agreements are given to all service users, this ensures they are aware as much as possible about the services and support they can expect to receive. EVIDENCE: Two of the four service users have lived in the home for ten years, the other two moved a few years ago. There were no referral details from external professionals or any pre-admission forms used by Milbury when they were looking to place these service users within the home. However, the Registered Manager said there are more robust systems in place if they should have a vacancy in the future. Service users would be encouraged to visit prior to admission along with their representatives. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 Page 9 A full assessment would be carried out by the Registered Person to ensure the home can meet the needs of any prospective service user. All service users are issued with service agreements, these outline details of the home. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 & 9 The health and personal needs of service users had been identified and were being met. There was limited evidence of staff consulting with service users when developing or reviewing the individual care plans. Risk assessments were detailed and reviewed on a regular basis, to ensure the health and safety of service users was a priority. Staff encourage service users to make decisions about their lives. The support staff offer is flexible to offer sufficient time and care to individual service users. EVIDENCE: Individual service user plans were available and samples were viewed. These were comprehensive and detailed how the service users identified health, personal and social care needs would be met, for example how staff should support a service user in their personal care, or respond to behaviour that challenges the service. These plans were up to date and had been reviewed regularly. There was no evidence of consultations taking place with service users when devising or reviewing the care plans. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 Page 11 Service users were involved in their individual planning meetings and could participate as much as they wanted to or were able to. Daily records were available and samples viewed offered satisfactory details of the care provided. Service users were encouraged to make decisions for themselves. One service user did not want to come back to the home for lunch on the day of the inspection. The staff were seen to respect this decision and plans were put in place to support the service user to have lunch elsewhere. Plans can be flexible so that daily programmes can alter, if there are sufficient numbers of staff to support the changes. Service user meetings are held regularly and minutes are taken by staff to record discussions that have taken place. These meetings look at any issues in the home and discuss day trips or holidays. The Registered Manager is considering how to involve service users when the home is recruiting future staff. Care plans illustrated detailed risk assessments for each service user. These cover a variety of different areas for each individual service user, for example, swimming, cooking and going out in the community. These were checked and reviewed by staff regularly. Action is taken to minimise risk, whilst encouraging independence for the service users. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 & 17 Service users have the opportunity to continue with their religious beliefs as they are supported in attending local churches and mosques. Activities and opportunities to develop and gain new skills are offered daily through College, day centres or activities planned with service users and staff. To ensure relationships are maintained, regular contact with family is encouraged. Meal provision reflects variety and choices, whilst seeking to maintain a healthy lifestyle for service users. EVIDENCE: Service users attend the local church weekly and one attends the local mosque. Each service user has a daily programme of varied activities. One service user said they work a few hours a week and enjoyed doing this. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 Page 13 Most of the daily activities offered are through local college courses and day centres. These activities are reviewed to ensure they meet the changing needs of the service users. The opportunity to access local resources is offered daily to all service users. They attend the leisure centre, cinema and bowling alley. As there is a joint staff team between the two adjoining houses, staff being able to offer one to one support and encouragement is a frequent occurrence. There have been no problems with the neighbours or people living near to the home. Much of the service users entertainment takes place outside of the home. Those that are interested in day trips or holidays are assisted to take part in these leisure activities. The home encourages service users to have visits from family or friends and these visiting times are flexible. Service users can also spend time visiting family away from the home. Staff said they always knock on service users bedrooms and respect the decisions service users make. Service users can have a key to their bedrooms if they want to have privacy. Staff were seen to interact positively with the service users, taking time to listen to what they were saying. Service users are encouraged to choose their meals, with some support and guidance from staff. Menus were seen and reflected choices. Where possible, service users are encouraged to assist in preparing meals, with the support from staff. Mealtimes are flexible, as service users are out at different times during the day. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 & 20 Respect and privacy is upheld when supporting a service user with their personal care. Health needs are met, with staff assisting service users to attend all health appointments to ensure this area of a service users life is promoted. Medications systems in place were being followed and monitored the health and safety of the service users. EVIDENCE: One service user requires full supervision and support in their personal care needs. Mainly this is offered by male staff where this is not possible, female staff record if they carried out any personal care and the reason for this. There have been no problems with this arrangement. All personal support for any service user is carried out in private. Times for getting up/going to bed are flexible, as are mealtimes. Service users have access to a full range of healthcare professionals, for example, opticians, Psychiatrists and GP’s and attend appointments with staff. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 Page 15 Robust systems are in place for the administration and handling of medication and it is locked and stored appropriately. Samples of the medication administration records were checked and were correctly completed. In addition, samples of medication were viewed; no problems or mistakes were noted. No service users self medicate. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 The home has a complaints procedure and service users and staff were confident any concerns taken to the Registered Manager would be listened to and acted upon. Systems were in place for the protection of vulnerable adults. EVIDENCE: The home has a detailed complaints procedure. Complaints records were viewed, these outlined the complaint and any action taken. There had been no complaints for a year and the CSCI had not directly received any complaints. Service users and staff spoken with said any concerns would be taken to the Registered Manager. The home has a clear procedure for the protection of vulnerable adults (POVA) and this dovetails with the Local Authority documentation. Staff were aware of POVA issues and what to do should they witness a POVA incident. POVA training was available for all staff to attend. The home has had no POVA investigations. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28 & 30 Overall the home offers a warm and welcoming environment for service users living there. The bedrooms offer space for service users to choose items they would like in the room and on the wall, thus encouraging service users to make decisions about how they live. The home was clean and bright on the day of inspection. This minimises the risk of infection throughout the home and protects the health and welfare of the service users. EVIDENCE: A tour of the home was carried out and a sample of rooms viewed. These were being satisfactorily maintained. The home was bright and clean throughout, with furnishings and fittings appropriate for a homely environment. All bedrooms are single rooms with hand basins, one service user has a shower in the bedroom and one has an en-suite bathroom. There were sufficient numbers of bathrooms and toilets for the number of service users living at the home and these were being maintained satisfactorily. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 Page 18 The bedrooms viewed were personalised, with adequate furniture to accommodate their individual needs. Bedrooms were lockable for those wishing to have privacy. There was a large lounge and separate dining room. These facilities offered service users the space they require if they want time alone or if they want time with others. In addition the home has a large garden and patio area for service users to access. The home has separate laundry facilities, where any toxic products are locked away for the safety of service users. The laundry facilities were adequate and met the needs of the service users living in the home. The home has systems in place to minimise the risk of infection. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33,34, 35 & 36 There is a shortfall in the number of staff working in the home, however the Registered Manager is addressing this and seeks to only use regular bank staff to provide consistency and support for both service users and staff. The systems for the recruitment of new staff were robust and aimed to safeguard service users. Supervision is offered on a regular basis to support staff. Staff had mandatory training available for them but there was some confusion as to what NVQ level staff would be starting on and when the course would start. Staff need assurance that their development is being invested in and through offering courses to staff, new ideas and theories learnt could improve service users lives. EVIDENCE: Staff spoken with were aware of their roles and responsibilities and felt the training on offer was satisfactory. They could describe the needs of the service users and how they met those needs. One staff member described how staff encourage service users to make choices and attempt to offer a variety of stimulation for service users living in the home. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 Page 20 Mandatory training is on offer for staff in areas such as health and safety and moving and handling. Service users feedback on staff was positive with one service user saying they were happy with the staff working in the home. The home has several staff hours vacant. However, where possible, the Registered Manager tries to ensure there is consistency for service users by using regular bank staff that are employed through Milbury Care. The Registered Manager has recruited new staff, subject to various checks being carried out, which should solve some of the staff shortages. There are usually sufficient numbers of staff during each part of the day to offer service users one to one support. This occurs when another service user might attend the local day centre or College without the need for the staff to attend with them. Regular staff meetings are held to ensure information is cascaded to all staff and they have an opportunity to discuss any issues. The staff employment files viewed contained details of the applicants completed application form, Criminal Reference Bureau checks, references and identification. There is a robust system in place to obtain all the necessary documentation prior to the start date of a new staff member. Staff have applied to study the NVQ course and three are currently studying at NVQ level 3. The Registered Manager feels the majority of staff are competent to begin at NVQ Level 3, however this needs to be clarified with both the College/University and Milbury Care. Currently there is a shortage of staff undertaking this course and this must be rectified to ensure staff are encouraged to develop new skills and reflect on existing skills. Staff receive regular supervision and a sample of supervision notes were viewed, these were detailed. One staff member said their previous supervision had not been as in depth as they would like. However they were hopeful, now they have a new supervisor, that this problem would be resolved. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39 & 42 The home is well managed with a clear and open style of a management. The staff team aim to meet the needs of the service users and the organisation has held a quality assurance review to identify areas that work well in the home and areas that require attention. Consultation took place with service users and their family to ensure they were a part of this process. Servicing records are up to date and ensure the home aims to promote the health and safety of service users at all times. EVIDENCE: The Registered Manager is in the process of completing the Registered Managers Award and NVQ Assessors qualification. They have worked at the home for a while and are familiar with the role and responsibilities of Registered Manager. Service users and staff spoken with said they would go to the Registered Manager if they had any problems. Staff said the Registered Manager was approachable and kept them informed of ways to reflect on the running of the home. There is a clear sense of direction in the home, with all staff and service users encouraged to participate their ideas. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 Page 22 There had been a quality assurance review held in January 2005, the findings were viewed during the inspection. There had been consultation with the service users and their family members, seeking their opinions on the home. These findings can then be used to monitor how the home is running and if there are any problems. The servicing records were viewed at random and all seen were up to date. Fire drills are held regularly with details of who was present. Water temperatures are taken weekly to ensure the home monitors any possible risk to the service users. 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 137b Tentelow Lane Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 x G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 Page 24 YES 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 6 Regulation 15 Requirement Timescale for action 30/6/05 2. 35 The Registered Person, where possible, shall consult with the service user when developing or reviewing their individual care plan. 18 (1) (c ) Milbury Care must ensure that 1/9/05 (i) staff are offered the opportunity to commence with NVQ training. The home must aim to train 50 of staff to NVQ level. (Previous timescale not run out) 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. Refer to Standard Good Practice Recommendations 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Ground Floor 58 Uxbridge Road Ealing, London W5 2ST National Enquiry Line: 0845 015 0120 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 137b Tentelow Lane G61-G10 s27764 137b Tentelow Lane v214840 190505 Stage 4.doc Version 1.30 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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