Inspection on 03/06/08 for 139 Homefield Road (Homefield College)

This inspection was carried out on 3rd June 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

139 Homefield Road (Homefield... 26/09/06

139 Homefield Road (Homefield... 17/01/06

139 Homefield Road (Homefield... 03/08/05

139 Homefield Road (Homefield... 07/12/04

139 Homefield Road (Homefield... 17/08/04

139 Homefield Road (Homefield... 10/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 139 Homefield Road (Homefield College) 139 Homefield Road Sileby Loughborough LE12 7TG Lead Inspector Keith Williamson Unannounced Inspection 3rd June 2008 09:30 139 Homefield Road (Homefield College) DS0000001645.V365650.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 139 Homefield Road (Homefield College) DS0000001645.V365650.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. 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 139 Homefield Road (Homefield College) Address 139 Homefield Road Sileby Loughborough LE12 7TG 01509 814827 01509 815696 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.homefieldcollege.ac.uk Homefield College Limited Ms Mandy Potts Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 26th September 2006 Brief Description of the Service: 139 Homefield Road is a four bedroom, semi-detached bungalow situated on a pleasant residential road in Sileby. The home is one of seven, which are managed by Homefield College. The college is a specialist provision whose underlying philosophy is that of inclusive learning. The college and the houses provide programmes of care aimed at personal, social and educational development, which are focussed on the acquisition of independent living skills as well as educational and vocational skills. Students are initially accommodated at the college site, moving to one of the houses when assessment determines the requirement for greater independence. Students at the college are placed and funded by the Learning Skills Council. These placements are generally term time only and limited to 3 years. However, some students continue to be funded by Social Services Departments and their placements become long term. The home is a converted and extended bungalow. Shared accommodation consists of a large lounge (with office accommodation at one end), kitchen (including a dining room), and an enclosed garden. There are four bedrooms, one of which is used by staff. A copy of the last Commission For Social Care Inspection (CSCI) inspection report is available in the home, and copies of this report are available from the registered manager. The range of fees charged is £470-£800. Charges for extras range from £5 for books and magazines to £300 for a holiday. 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The focus of the inspections is on outcomes for residents and their views of the service provided. The main method of Inspection used was ‘case tracking’ which involves selecting a sample number of clients and tracking the care they received through talking with them where possible, and looking at their records and accommodation, in this case one resident was chosen. This visit took place over one day, commencing at 9.30am and took four hours to complete. An opportunity was taken to talk with residents and staff, look around the home, view records, policies and care plans. Information was obtained from the Annual Quality Assurance Assessment (AQAA), which gives information on the home, and is filled in by the manager. All the residents were seen and one staff member and the manager were also spoken with. What the service does well: Residents care needs are assessed and a contract is produced prior to them moving into the home. Care plans are then produced, and these documents are created in an “easy read” format using pictures and symbols. Risks to residents and staff are assessed before activities are undertaken. Residents have a variety of activities based around their individual needs, and practical life skills, promoting people’s independence, choice and decisionmaking. Residents are encouraged and assisted to keep in contact with relatives, and meals and menus are regularly discussed at the weekly residents meetings. Staff check some medicines on a daily basis, and make sure others being returned to the chemist are recorded in the paperwork. Overall the medicines are given to people properly. Decisions that the residents make are recorded in the daily notes. Resident’s time during the week is taken up by college courses or social care time, which covers all seven days. Meals and menus are varied and residents have choices and flexibility with social care offered to them. 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 6 Complaints information is displayed throughout the home, and is also available in the student guide. Staff are aware of how the complaints and whistleblowing procedures works. The home is comfortable and clean. Residents’ bedrooms are personalised with pictures and electrical equipment. Staff employed in the home have a number of checks before they were allowed to work at the home. Supervision, which is a meeting between the manager and staff on a one to one basis, is continuing. Enough staff are employed to assist residents in line with their care plan. Staff meetings take place on a regular basis; these are minuted and share vital information between staff. The insurance certificate was noted to be in date. What has improved since the last inspection? What they could do better: None of the residents’ signs their care plans. An appropriate medicine cabinet must be fitted in place. More residents could be instructed and observed storing, handling and taking their own medication. The policy and procedure to assist in this process has yet to be produced. The washing machine is sited in the kitchen; the staff must be informed how to reduce the risk of cross infection and cross contamination in the home. The fire risk assessment and fire escape plan has to be updated, and shared with those in the home. Other tests relating to Health and Safety in the home are not performed regularly, these must be arranged and the outcomes recorded. The resistance testing of the electrical system has not yet been arranged. The fire risk assessment and escape plan are up to date. 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 7 The registered person has yet to commence visiting the home. Copies of the reports must be forwarded to the Commission for Social Care Inspection. Questionnaires, or some way of gauging resident satisfaction must be commenced, and feedback from this entered into the Statement of Purpose, Service User Guide or student information booklet. Financial receipts were in place but these could be numbered to aid auditing. A weekly check is done of the balances held; the person doing so could countersign these. 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. 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment process is detailed and effective resulting in accurate information for prospective residents and staff. EVIDENCE: Residents have access to a Statement of Purpose, which outlines the role of the care home, providing additional information as to the services offered, the accommodation and information on policies and procedures. Other information is given to students in the form of the “student handbook”, this is similar to a Service User Guide (or student booklet) which gives people information on their stay, including a copy of the complaints procedure. As yet there has been no results from the quality assurance questionnaires completed by those people with an interest in the home. These have also to be added to the Statement of Purpose. There have been no new people admitted to the home since the last visit. There is a set admissions procedure, which shall offer new people a slow introduction to those already living there. People’s needs are assessed prior to moving into the home. 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 10 A contract is on file, and this provides security for the person living in the home. 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are looked after well in respect of their personal care needs and choices. Areas of risk are assessed appropriately. EVIDENCE: The care plans for residents are well written and easy to understand. These give the residents and staff clear indications of areas of strength, and others that need support. The care plan is made up from a number of documents that cover the risks involved in living in, and whilst out of the home. Plans and documents are adapted into a format understood by the individual resident. Residents have a variety of activities based around their individual needs, and practical life skills, promoting people’s independence, choice and decisionmaking. 139 Homefield Road (Homefield College) DS0000001645.V365650.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, 14, 15, 16 & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The promotion of residents’ rights, provision of activities within the local community, contact with families and the quality of the food all still continue to contribute to a positive lifestyle. EVIDENCE: The residents have an individual timetable of pastimes and activities arranged around their education from the college. Residents were seen to be enjoying a manicure and pedicure on the morning of the visit. Another resident was enjoying making the cakes for the coffee morning that was due to take place the following day. There were a number of residents from other college houses taking part in this event, which the residents confirmed takes place on a regular basis. This enhances the social care experience for residents with a chance to mix and meet socially with others. 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 13 The menu book was seen, and this reflects the residents’ individual cultural dietary needs, and is backed up by a likes and dislikes list. The book contains a list of what choices residents have opted for at meal times. Meals and menus are regularly discussed at the weekly residents meetings. Residents indicated they have choice and flexibility over what they eat for meals, with a “free” choice from what has been bought at the weekly grocery shopping that most residents take part in. Residents made the decision to order a “carry out” meal for tea that night. Residents are encouraged and assisted to keep in contact with relatives, letters were apparent in one file, with another resident stating “my mum will ring me tonight, wont she X” (staff member), to which the staff member agreed. One comment card was returned from a persons parents – what the home does well – “Supporting A (resident) and encouraging them to life within the local community”. 139 Homefield Road (Homefield College) DS0000001645.V365650.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 & 20 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. There is currently no clear policy and procedure to enable residents to selfadminister medication; this leaves people at risk in the home. EVIDENCE: Personal support is offered to residents on a flexible basis, and is reflected in the care plans, and confirmed by staff and enteries in the daily records. Residents’ healthcare is good with evidence of recent health checks with local a General Practitioner. Evidence is also apparent of specialist health care staff assisting with care planning and behavioural techniques. There were a few missing signatures on the medication administration records (these mar charts are used to record what medicine has been given and when), though these were for a cream which had been recently commenced. New medication delivered from the chemist was accurately recorded, along with items being returned to the chemist. 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 15 Discussion with the staff on duty indicated that one resident was selfadministering medication. This is an area the manager has indicated shall be concentrated on, as some residents are being prepared for a move to living independently in the community. There is currently no clear policy and procedure to enable residents to self-administer medication, nor clear guidance for staff to assist safely in the process. This leaves people at risk in the home. The inspector discussed the storage facilities for special medication received into the home. Secure storage must be put in place. 139 Homefield Road (Homefield College) DS0000001645.V365650.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 & 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are kept safe and protected from abuse. EVIDENCE: Residents wishing to make a complaint can do so as a procedure is in place. A copy of this is included in the “student handbook” as well as people having their own copy. There have been no complaints received by the Commission for Social Care Inspection since the last inspection. Care staff have been trained in safeguarding procedures; staff on duty at the time gave well thought out answers to the questions posed by the Inspector. The policies and procedures on safeguarding have been amended since the last visit. There have been no safeguarding issues forwarded to the Commission for Social Care Inspection. Residents’ finances that are held securely by the office staff, were up to date, and had receipts for any purchases made. 139 Homefield Road (Homefield College) DS0000001645.V365650.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 & 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Staff do not use protective clothing whilst performing personal care tasks; this puts people at risk in the home. EVIDENCE: The home is warm, comfortable and homely. Residents can expect a single bedroom, and these are tastefully decorated. The home has a well maintained garden, which has a ramped access from the home. An extension to provide an extra bedroom has resulted in some of the internal doors to be “deadlocked”. These need to be removed or made unusable to protect residents in the home. The washing machine is sited in the kitchen of the home. Staff must guard against cross infection and cross contamination in this food preparation area. 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 18 Staff do not adhere to protecting residents when performing personal care tasks, and again must guard against cross infection at all times. 139 Homefield Road (Homefield College) DS0000001645.V365650.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, 34, 35 & 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of trained staff to meet resident’s care and social needs. EVIDENCE: The staffing rota showed that staff are employed to assist residents on a one to one, or one to two basis. Staff are also employed to sleep on the premises overnight. The hours worked by staff are flexible to enable residents to engage in education, as well as recreation and leisure activities. Staff are responsible for supporting the residents with self care, cooking of meals, cleaning of the home and the washing and ironing, though some of these tasks are planned at night when residents are in bed. Staff employed at the home have the appropriate pre-employment checks performed before starting employment. 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 20 Staff training has continued and the courses that staff have undertaken recently, consist of those that by law must be run annually. There are a number of courses that have yet to be arranged and delivered to staff, to ensure the safety of residents in the home. Staff supervision, which is one to one meetings between staff and the manager, continue to form a part of staff development. Staff meetings take place on a regular basis; these are minuted and share vital information between staff. 139 Homefield Road (Homefield College) DS0000001645.V365650.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, 40, 41 & 42 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Shortfalls in safe working practices, and poor monitoring of the home and staff by the responsible individual put people at risk in the home. EVIDENCE: The registered manager is qualified and has many years care experience with the current resident group. The registered person has not yet commenced visiting the home. These were mentioned at the last visit of the service, and until they commence cannot assist in the overall improvement quality assurance of the home and development of the staff group. 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 22 Policies and procedures are issued by the Head Office, some being reviewed on a regular basis. The policy and procedure relating to the safe selfadministration of medication has yet to be completed. Some areas within health and safety are well monitored, with staff doing a number of tests on a regular basis. The fire risk assessment and escape plan are not up to date, and need to be reviewed to provide adequate safety for residents and staff in the home. Tests on the fire alarm system and hot water are performed regularly, though some have been at intervals longer than that are required. The five-year testing of the electrical system has not yet been arranged. The financial balance held on behalf of residents was correct. Receipts were in place but these could be numbered to aid auditing. A weekly check is done of the balances held; these could be countersigned by the person doing so. The public liability insurance certificate was noted to be in date. 139 Homefield Road (Homefield College) DS0000001645.V365650.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 3 2 3 3 X 4 X 5 3 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 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 X 3 X 2 2 3 2 X 139 Homefield Road (Homefield College) DS0000001645.V365650.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. 1 Standard YA20 Regulation 13 (2) Requirement The Registered Person must develop a self-medication policy and procedure for residents in the home. Timescale for action 10/07/08 2 YA30 13 This is to ensure staff are aware of what to check, and how to assist residents with this task. 03/07/08 The Registered Person must demonstrate that staff have been made aware of, and protect residents from, cross infection and cross contamination in the home. This would ensure residents remain safe whilst living in the home. 3 YA39 16, 24 The Registered Person must look at ways of obtaining views of residents and others involved with the home with regard to the service offered. This would ensure that people’s views were taken into consideration when developing the home through quality assurance. 10/08/08 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 25 4 YA42 26 The Registered Person shall visit the care home at least once a month; Seek the views of the residents and their representatives, staff, inspect the premises and check the record of events and compliance and prepare a written report on the conduct of the care home. A copy of the report must be sent to the Commission for Social Care Inspection. This would ensure the Responsible Individual oversaw continued development of the home. 10/07/08 5 YA42 26 Documents pertaining to the health and safety of the home, must be brought up to date. This would ensure a safe environment for residents and staff. 10/07/08 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 Refer to Standard YA42 YA42 Good Practice Recommendations Two signatures are obtained when residents’ financial balances are being audited. Receipts showing expenditure for residents are numbered consecutively 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 139 Homefield Road (Homefield College) DS0000001645.V365650.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!