Inspection on 01/02/07 for 15 Osborne Road

This inspection was carried out on 1st February 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

15 Osborne Road 26/01/06

15 Osborne Road 08/09/05

15 Osborne Road 10/02/05

15 Osborne Road 29/06/04

15 Osborne Road 17/02/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 15 Osborne Road 15 Osborne Road St Annes Lancashire FY8 1HS Lead Inspector Phil McConnell Unannounced Inspection 1st February 2007 09:30 15 Osborne Road DS0000010025.V323041.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 15 Osborne Road DS0000010025.V323041.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. 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 15 Osborne Road Address 15 Osborne Road St Annes Lancashire FY8 1HS 01253 712547 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) None United Response Mr Stephen Turner Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th January 2006 Brief Description of the Service: 15 Osborne Road is a small care home for adults with learning disabilities, registered for three people. The well-established national charitable organisation United Response is the registered provider. The home is a detached two-storey house, with an excellent range of communal living space and good access to local services and amenities. The organisation provides a vehicle to enable individuals to take part in leisure activities and access amenities. The staff team provide support in all aspects of daily living according to assessed needs and as identified via the care planning process. People are supported and encouraged to develop their independence and take part in all aspects of community living. The service adopts an active support approach, in a stable environment, which enhances opportunities for personal growth and development. The staff team are supported by an experienced management team and an organisation, which clearly values its employees, and the people they support. 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The assimilation of information was used to assess the key standards that are identified in the National Minimum Standards for Adults 18-65, including: the pre inspection questionnaire (completed by the registered manager), staff rota’s, meal menus and an unannounced inspection visit to the home. The two service users living at Osborne Road have complex needs, including specific sensory and communication needs. The service users’ files were examined and they contained up to date, relevant and appropriate information. Three staff files were also examined and their files contained all of the required information to meet the national minimum standards. The homes manager was available throughout the day and there was also the opportunity to have conversations with other 2 staff members and the registered manager who was present for most of the day. The providers’ policies, procedures and all other documentation including health and safety files and certificates were examined and they were all present and up to date, except for the Gas inspection certificate. (See standard 42) What the service does well: The service users’ care plans are actively used, with individuals’ needs being reviewed on a regular basis. The staff team are established, well trained and committed to providing a good quality service to the individuals that they support. This helps give the service users stability, confidence and continuity in the care that they receive. The communication document that has been developed by the staff team is excellent. (See Personal and Healthcare section). The staff commented they would appreciate some further training, with regard to communicating with people who have no verbal communication skills. This demonstrates that they want to provide the best possible service that they can. There is an obvious rapport and good interaction between the staff and the service users. 15 Osborne Road DS0000010025.V323041.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. 15 Osborne Road DS0000010025.V323041.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 15 Osborne Road DS0000010025.V323041.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. There is a thorough pre admission process in place, helping to ensure that individuals are properly and adequately assessed, in order to meet their needs. EVIDENCE: An up to date ‘statement of purpose’ and a ‘service users guide’ were available for inspection and these documents gave concise clear information about the organisation and how the care will be provided. Although there have been no recent admissions to the home, there are good systems in place, to help ensure that relevant and appropriate information is gathered, in order to complete an assessment of a persons needs. In discussion with the house manager, it was clear that a thorough preadmission procedure would be carried out for a prospective service user. This would include, “ensuring that people are correctly matched up, make sure they are compatible, observe how people are with each other” and “make sure 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 9 that assessments are properly carried out and arrange a number of visits to the home, including the person staying overnight”. It was also evident that the present service users would be consulted and empowered to give their opinions and enabled to make choices and decisions. This would include determining and judging their own feelings and involving service users’ representatives or advocates. 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users’ care plans are detailed with more than sufficient information, helping to ensure that the best possible care is given to vulnerable people. People are empowered in various appropriate ways to make and take decisions in their daily lives. Relevant corporate and individual risk assessments are in place, in order to promote independence and wellbeing. EVIDENCE: The service users’ files contained concise, detailed and informative care plans, which are internally reviewed on a monthly basis. A more in depth review is 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 11 carried out every six months and a full and a comprehensive annual review is completed with the involvement of the service users’ social worker and members of the service users’ family, who are always invited to reviews. One staff member said, “care plans are used every day, they are working documents”. There was a key worker (service users have a named worker) system in place; helping to promote trust and confidence between the service user and the staff member, thereby, helping to ensure a service users’ changing needs are identified and acted upon as quickly as possible. Other information included in service users’ files was, ‘Listen to me workbook’, including: what’s important in my life, family contact, daily routines, what happens at weekends, hopes and dreams, food I like, people important in my life, what happens at night and my ‘communication profile’, which gave specific and extremely detailed guidance on how to identify what a person may be trying to communicate or is possibly feeling. This document had been devised and drawn up by the existing staff team. There were individual risk assessments in service users’ files, with specific information and guidance, in order to promote and encourage independence. In observation throughout the visit, it was apparent that the team work well together in a calm relaxing manner and it was also apparent that the service users are empowered to be as independent as possible. Service users’ appeared to be confident and trusting of the support and care that was being given to them. Members of staff were observed communicating with service users in a respectful, relaxed, and dignified way and the service users were responding in a positive way, helping to demonstrate that service users and their families have the assurance and confidence that they are treated with respect and dignity. 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are positively supported in participating in meaningful and appropriate activities, in order to provide stimulation, motivation and promote community presence and participation. Good relationships exist between service users, staff and families, all working together in helping to provide a relaxed, caring and supportive environment. The quality of the meals provided is consistently good; with the food menus providing a balanced and wholesome diet, helping to promote a healthy eating plan for service users. 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 13 EVIDENCE: As previously mentioned the service users’ files contained individual ‘Listen to me work books’ with detailed information including a learning log, identifying what worked well, what the person liked and what the person disliked about a particular activity. Both of the service users are involved in different and varied activities, in the community and in the home including, art and crafts, swimming, attending college, drama classes, visiting the local library, shopping and going for walks. It was evident that community participation and community presence is positively and actively promoted. During the inspection visit it was observed that both of the service users were coming and going throughout the day accessing different activities. It was also apparent that these were regular and normal pursuits, with people obviously enjoying the trips out and the activities. In the home there was also evidence of recreational and leisure activities being available, with each person being involved in the running of the home, having their own ‘tasks/daily routines’ to perform, for example, polishing, vacuum cleaning and helping to prepare meals. Service users are given full support in all activities, with daily communication records being maintained and a ‘ programme of monthly goals’ is reviewed at every individual review. It was clear that staff support individuals in the varied activities they have, to gain as much experience as possible. Thereby enabling people to maximise their independence, whilst also initiating self worth and wellbeing. It was stated that both service users have regular weekly visits from different family members and individuals are regularly supported to visit their relatives in their homes. Food menus were examined and were seen to be nutritious, varied and appetising. During the mid-day meal one service user was observed being supported in a calm, unrushed and relaxed manner. 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home works in partnership with other agencies to ensure that service users’ health needs are fully assessed and addressed. Equality, dignity and respect is actively and positively demonstrated in the way that care is provided. Staff are adequately trained, competent and confident in the storage, administration and recording of medication. EVIDENCE: The organisations policies and procedures were examined and found to be up to date, concise and thorough. 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 15 Service users’ files contained information regarding the level of personal care that individuals are in need of. The service users’ care plans were examined and were found to be up to date, containing relevant information with clear guidance on how to provide individual personal care and how to meet a person’s health care needs. As already mentioned these care plans are reviewed frequently, helping to ensure that all care needs are monitored, in order to guarantee that peoples’ needs are being provided in an appropriate, dignified and respectful way. Each person had a ‘medical profile’, including weight checks, GP appointments, hospital appointments, dentist and chiropody appointments. One person’s file contained a report from a speech and language therapist. The home is in the process of purchasing a four-wheeler bicycle for one person, who is sometimes reluctant to walk outside in the community. This will give help give the person necessary exercise and helps to demonstrate that the organisation is actively promoting peoples health. The storage, administering and recording of medicines was examined and found to be secure, thorough and well organised and kept in an unobtrusive cabinet. Medication records were double signed, with all staff being adequately trained in medication procedures. Detailed information was also available regarding the medication being administered, for example any possible side effects. 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It is evident that vulnerable people are protected and safeguarded. This is demonstrated by the policies and procedures that are in place. Staff are adequately trained in the protection of vulnerable adults, thereby helping to ensure that service users are protected EVIDENCE: There was a thorough and adequate complaints policy and procedures in place for dealing with a complaint, which contained appropriate phone numbers and specific details of who to contact. Complaint cards were also available, which were in a picture format, helping people to have a clearer understanding. There were no records of any complaints being received, since the last inspection. There was a thorough policy in place to deal with a suspicion or allegation of abuse. In discussion with one member of staff there was a full awareness of the procedures to follow, if there was any suspicion or alleged abuse and would be totally confident in the process to follow. All staff receive protection of vulnerable adults training and are familiar with the ‘whistle blowing’ policy and the ‘No secrets’ document, which is detailed 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 17 government guidance and advice on how to identify and what to do in the event of the suspicion or alleged abuse of an individual. It was apparent that United Response is committed to providing good regular training, in order to ensure as much as possible that people in their care are protected and safeguarded from harm and abuse. 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall standard of the environment is very good, demonstrating that the whole environment is clean, safe and comfortable for service users and for staff. EVIDENCE: A full tour of the home was completed and throughout it was found to be of a good standard, it was clean, homely, fresh smelling, comfortable and hygienic with a fully equipped kitchen, which was bright, airy and fresh. 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 19 The laundry is situated in the utility room, which follows on from the kitchen and it was adequately equipped to cater for the homes needs. The home throughout was found to be well decorated, with service users’ bedrooms containing their own personal possessions, demonstrating their own personality and identity. The home is very spacious, which enables the service users to have their ‘own space’, with each of the service users having their own ‘chill-out’ areas. In observation throughout the inspection visit, it was apparent that the service users benefited from having the availability of this individual space. The outside of the home was easily accessible to service users and the gardens were very neat, tidy and were maintained to a good standard. Overall the environment of the home was observed to be safe, comfortable, hygienic and very well maintained. (See standard 42 regarding health and safety, specifically the gas inspection certificate). 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team have the necessary skills and experience to provide a good standard of care to vulnerable people. The organisation has a thorough recruitment process, which gives the confidence that service users are protected and safeguarded as much as possible. The training provided is satisfactory, helping to ensure that the service users are cared for and supported by well-trained staff. EVIDENCE: The staffing levels at Osborne Rd were found to be adequate and satisfactory, with an established staff team. 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 21 The staff files were examined and they contained information with regards to the experience, skills and training that staff have received with mandatory training being provided to all staff. A thorough recruitment process is in place, with staff files containing evidence that Criminal Record Bureau (CRB) checks had been carried out and staff are only employed on the satisfactory completion of these checks with two independent satisfactory references being obtained, thereby helping to ensure that service users are protected and safeguarded by having a robust recruitment and selection process. There was the opportunity to speak to the staff team during the inspection visit and they were very complimentary and positive about working for United Response and particularly enjoyed working at Osborne Rd. Some of the comments were, “I really enjoy working here, especially seeing how much the service users have progressed” and “I just love working here, I get so much satisfaction from my job”. The training provided to all staff is satisfactory and relevant, in order to meet the needs of vulnerable adults. All of the staff team have achieved the national vocational qualification in care (NVQ). One person said, “the training is really good, but we would really appreciate some specific training in communicating with people who have no verbal communication”. The team have developed their own excellent ‘communication programme’ in order to be able to have a better understanding of the service users’ needs. (See individual Needs and Choices section). Throughout the visit all of the staff demonstrated a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. The supervision and training records were inspected and found to be up to date and satisfactory, helping to demonstrate overall that staff are suitably qualified, well-trained and supervised in order to meet the service users’ assessed needs. 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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 managed and organised, ensuring as much as possible that service users receive a good quality service. EVIDENCE: A team manager has responsibility for managing the staff team on a daily basis, under the supervision of the registered manager. The registered manager is responsible for managing four United Response care homes in the St Annes area. 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 23 The team manager has many years experience of working with people who have a learning disability. She is well qualified and in 2006 was successful in obtaining ‘The Registered Managers Award’ (RMA). There appears to be a really good working relationship between the team manager and the rest of the staff team. The organisation has maintained ‘The investors in people award’ for a number of years, which is a quality assurance-monitoring organisation. United Response have their own quality monitoring system and periodically questionnaires are sent to relatives, enquiring of their opinions regarding the standard of care being delivered to their relatives. Health and safety files were examined and almost everything was in order and up to date, including: water inspection checks, portable electric appliance testing, fire extinguishers, emergency lights and fire alarms. However, no gas inspection certificate was available for examination. The registered manager and the team manager were informed that a gas inspection certificate needs to be available for examination, in order to confirm that the gas installation system has been inspected by a qualified ‘Corgi’ registered engineer. It is essential that all health and safety checks be carried out, to help ensure that service users and staff are protected and safeguarded with regards to health and safety matters. An assurance was given by the registered manager that a gas inspection certificate would be obtained as soon as possible. 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 X 3 X X 2 X 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 25 NONE 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 YA42 Regulation 13 (4) (C) Requirement The regular servicing of all gas installations is to be carried out by a CORGI registered engineer and an inspection certificate is to be obtained. Timescale for action 28/02/07 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 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 15 Osborne Road DS0000010025.V323041.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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