Inspection on 23/01/08 for 15 Sorrel Drive

This inspection was carried out on 23rd January 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

15 Sorrel Drive 06/11/08

15 Sorrel Drive 08/02/07

15 Sorrel Drive 19/01/06

15 Sorrel Drive 01/09/05

15 Sorrel Drive 26/03/05

15 Sorrel Drive 19/11/04

15 Sorrel Drive 20/02/04

15 Sorrel Drive 10/12/03

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 15 Sorrel Drive 15 Sorrel Drive Boughton Vale Rugby Warwickshire CV23 0TL Lead Inspector Yvette Delaney Unannounced Inspection 23rd January 2008 13:00 15 Sorrel Drive DS0000004332.V347916.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 Sorrel Drive DS0000004332.V347916.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 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 15 Sorrel Drive Address 15 Sorrel Drive Boughton Vale Rugby Warwickshire CV23 0TL 01788 546310 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) Mrs Elaine Sandra Ward Mrs Elaine Sandra Ward Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 2007 Brief Description of the Service: 15 Sorrel Drive was originally an adult placement home and was later registered as a small care home for younger adults with a learning disability. It is currently registered for 3 people, with varying levels of physical and learning disabilities. The home is a detached property, which has been extended to provide suitable and accessible accommodation for people living in the home. Situated in Brownsover on the outskirts of Rugby the home is close to local amenities and services. People living in the home have their own bedrooms and share the home with the Registered person and her family, as part of the family. The residents have access to all areas of the home and communal rooms include the kitchen, dining room, lounge, conservatory and bathrooms. There is a shower room facility on the ground floor. Three bedrooms are provided are available for people who choose to live in the home. Two on the ground floor of the property and a third on the first floor. At the rear of the property, there is a small, well-maintained garden. The registered manager has advised the Commission of the fees payable by people accommodated in the home these range from £371 - £420. 15 Sorrel Drive DS0000004332.V347916.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 that the people who use the service experience adequate outcomes. This inspection was a Key unannounced visit, which addresses all essential aspects of operating a care home. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views of the service provided. This type of inspection seeks to establish evidence showing continued safety and positive outcomes for residents. Questionnaires completed by the two people that currently live in the home provided their views of the service. People living in the home express: “I’ve got my own room…I like it” “It’s (the home) alright, it’s the best.” The inspection included case tracking how the needs of the two people living in the home are assessed and met. This involves looking at people’s care plans and health records and checking how the needs are met during their day-today life. A number of records, which include care plans, policies and procedures, fire safety records, Statement of Purpose and Service User Guide were examined for information as part of this inspection. Discussions took place with the registered person and her husband and they are commended on the support they give to the people who they care for. The inspector thanks them for their cooperation, preparation and positive attitude during the inspection. What the service does well: This home is a family home for the two young adults that live there. The home has a warm and welcoming atmosphere, which encourages positive outcomes for the people who live with them as a family. People are encouraged and supported by the owners to maintain their independence. Opportunities to support both people to integrate into the community by taking part in social activities are encouraged. People are 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 6 involved in planning their daily meals. A record of meals served show that a balance between healthy eating and choice is given. People at the home said that they enjoyed their meals. 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 Sorrel Drive DS0000004332.V347916.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 Sorrel Drive DS0000004332.V347916.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): 1, 2, 4 and 5 Quality in this outcome area is adequate. People living in the home have information about their placement, which will support them to live comfortably within a family environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A Statement of Purpose and Service User Guide were seen and examined at this inspection. Both documents have been reviewed and updated to provide people with the information they need about the home. The documents would benefit from being illustrated to make them easier for the people living in the home to read. One person has left the home since the last inspection but no one has yet moved in. The manager confirmed that the admission process would include carrying out a full assessment of need as well as visit the home before moving in. The procedure includes a review after 28 days with the person and the placing management team. This review would ensure that the person is happy in the home and that their needs are being met. 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7and 9 Quality in this outcome group is good. People’s needs are planned for and regularly reviewed and their choices are recorded and respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information in the two care plans read was person centered and demonstrated that the owners are fully aware of each person’s needs and capabilities. Care plans identified the individual needs and wishes of the men living in the home and stated how these would be met. Information to identify their personal care wishes and choices was documented. This information is important so that people receive the care and support they need in the manner they like and at the time, they prefer. Although the physical abilities of both people are different, both are encouraged to be as independent as possible. People living in the home are 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 10 involved in determining the level of risk they are able to undertake before any intervention. The care plan for one of the people who use the service show the type of support they need when eating as they are prone to choking due to eating too fast. The care plan for this person examined through the case tracking process shows that they like their food and needs no special aids. The resident likes to put a lot of food on their plate at once the care plan says “Encourage…to put smaller amounts on…plate.” People in the home say that they have a say on what happens in the home each day. Both have their own bedrooms, which they can access at any time. Information read in people’s files and discussions with the registered person show that they are able to access support external to the home, which include social services or staff at the day centre. 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome group is good. People’s preferences are taken into account when planning their day-to-day lives, which includes providing a suitable range of activities and meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents living in this home have varying levels of independence and are encouraged and supported by the family to maintain their independence. People living in the home attend day centres and colleges which encourages life long learning. All residents eat their meals with the family. The owner of the home is aware of the resident’s food likes and dislikes. A menu was available showing examples of meals enjoyed by people living in the home and these were seen to be varied and nutritious. 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 12 People living in the home have access into the community either by a voluntary transport, which accommodates a wheelchair, a taxi or the owner’s car. At weekends and holidays people living in the home are included in activities with the family and individually. Visits are made to the cinema, the theatre and parks. Family holidays have been taken to Centre Parcs and occasional holidays abroad. The Registered Manager organises annual events throughout the year, which the residents are involved in these include barbecues, Christmas parties and service user birthday’s are celebrated. Residents are encouraged to maintain contact with their family by sending birthday, mothers/fathers day and Christmas cards. 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome group is good. The health and personal care that people receive is based on their individual needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans for both people were examined these were well laid out and presented an informative assessment and recognition of each persons care needs. Care records demonstrate that advise is sought from professionals as required. Support services are accessed as required to meet their specific and changing needs, this includes advice on aids and adaptations and assisting in meeting personal care needs. Examples of these include, a re-assessment of moving and handling equipment has been important, for one of the people living in the home. Support is also sort from social services for advice on social and psychological management as needed. One of the residents is of West Indian origin and attention has been given to attending to her cultural needs. As part of her personal care, suitable 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 14 products have been purchased for hair care. The service of a hairdresser, which specialises in the care of black hair, has been accessed. The registered person was able to demonstrate an understanding of the safe handling of medicines and appropriate records were maintained. Medicines were contained in a locked cupboard. The level of support needed for each person when administering medicines is documented in individual care plans. The registered person and her husband understood the importance of medicines being accounted for and the possible risks to people living in the home if they were not managed safely. All medication administered was clearly recorded on medication administration records (MAR) charts. Written statements in care plan documentation show that support is given to ensure access to hospital appointments, clinics, the GP and dental appointments. Evidence was seen on one persons file to demonstrate that an annual health check had been carried out. A further resident had had a special test carried out to determine their ability to swallow. 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome group is adequate. People living in this home are confident that their concerns will be listened to and acted upon in an objective and timely manner. The absence of evidence to confirm that the owners have attended up to date does not confirm the protection of residents from abuse, neglect and self-harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are systems in place for the people living in the home to express their concerns and make a complaint if they wish to. The complaint procedure was seen and read and people using the service are aware of the procedure. The registered person says that there are always opportunities to sit and talk. Relationships have developed over time people living in the home will come and talk about any concerns they may have. Comments made in questionnaires show that people living in the home know who they can talk to about any concerns they may have. These include people outside of the home for example social worker, staff at the day centre and college. There has not been any complaints received about this home either by the home itself or the Commission. . Discussions with the registered person and her husband demonstrate that they had a good understanding of the people in their care and were aware of 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 16 situations where external support may be required. A recent situation and area of concern showed that it was managed appropriately and other professionals had been involved. The husband of the registered person has recently become involved in providing support and care for people living in the home. A Criminal Records Bureau check has not been completed by the home. This needs to be completed for him and the temporary carer used to provide relief cover. This will ensure that all appropriate checks have been carried. In the absence of this the owner cannot be sure that the residents are in safe hands at all times. There was evidence that both the registered person and her husband need to update training related to the protection of vulnerable people. 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. The environment in which residents live provides a homely, private, comfortable and safe home, which meets their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a warm and welcoming atmosphere in the home. Situated in a residential setting the owners provide accommodation and support services for two adults with learning and physical disabilities. The home is near to shops and other local facilities. A homely environment is available, which is sufficient to meet the needs of the people that live there. The people who live in the home see it as their home. They have their own bedrooms and the inspector was allowed to view the bedrooms. One bedroom is on the first floor and the other on the ground floor for ease of access. The ground floor bedroom is designed to give level access to all rooms on this floor. Doors have sufficient width to accommodate wheelchair access. 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 18 The garden to the rear of the home is easily accessible. The garden area is suitably landscaped to provide easy access for both people including when using a wheelchair. Ongoing maintenance takes place in the home and the home is well presented. 15 Sorrel Drive DS0000004332.V347916.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 and 35 Quality in this outcome group is adequate. People living in the home benefit from the training attended by the owners of the service, which promotes safety, consistency and continuity of care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The standards in this section are not fully applicable, as the registered person only employs a relief member of staff occasionally to cover holidays. The home operates as a family home, with the registered person and her husband providing care as needed to the people living in the home with support from other professionals external to the home. However, some areas need to be considered. The owner was unsure whether a criminal record check was needed for her husband who has recently started to support her with providing care to people living in the home. Discussions confirmed that this check is required to be completed. Evidence of a criminal record check was also not available for the relief carer. 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 20 Records were not available to confirm training undertaken by the owners of the home, which would ensure that they are up to date with training appropriate to help them meet the needs of the people in their care. Training that needs to be considered includes moving and handling, first aid and food hygiene. 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome group is adequate. Management and operation of the home ensures the safety of residents at all times, which supports and increases their self-worth and quality of life. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Service User Guide states that the Registered Manager and owner of the home has qualifications in social welfare studies, community care, first aid and food hygiene. Evidence was not available to confirm that this training was up to date to ensure care given to people living in the home is based on current and up to date practice. This home provides a homely family environment for the people who live there. Procedures in the home have been reviewed and updated these support the 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 22 home to run well and ensure that all the family members have some guidance as to acceptable practices and behaviour in the home. Observations, a tour of the home, care practices and discussion with the family evidence that the premises are safe and secure. However, the safety and welfare of the people living in the home is not fully promoted and protected due to the lack of training related to the protection of vulnerable people. Adaptations have been made to the home to help the people living in the home to move around safely. The registered person and her husband have started to organise and collate the information required to support and evidence outcomes for the people living in the home. This information is collated in folders for easy access. The husband of the registered person has reviewed fire procedures in the home so that people living in the home are aware of what to do in the event of a fire. Smoke and fire alarms are tested weekly, and records are maintained to demonstrate this. The evacuation plan to be followed in the event of a fire was seen and residents were aware of what they must do. Records, policies, and procedures read include health and safety, Medication Administration Records (MAR) Charts, complaints and missing person policies. A quality survey from which to determine the views of people that use the service has been developed. Samples of the surveys were examined and these show that positive feedback about the services provided by the home had been received. A record is maintained in the home of any accident or incident that happens to people living in the home. A recent incident involving a person living in the home evidence that the home is not ensuring that the Commission is informed of all accidents, incidents or events, which affect the well being of people living in the home. 15 Sorrel Drive DS0000004332.V347916.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 2 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X 2 2 X 15 Sorrel Drive DS0000004332.V347916.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 YA23 Regulation 18 Requirement Timescale for action 30/06/08 2 YA32 YA42 18 3 YA34 YA42 19 4 YA41 37 All people working in the home must attend up to date training in the protection of vulnerable people. This will support the protection of people living in the home. 30/09/08 All persons working in the home must have up to date training in topics related to the needs of people in their care. Training which needs updating include moving and handling, first aid, food hygiene etc. This will ensure the health and well being of people who live and work in the home and that people are not placed at risk. All people working in the home 31/03/08 to provide care to the people who live in the home must have all appropriate checks carried out, this includes a criminal records bureau check. This will support the protection of people living in the home. The Commission must be notified 24/01/08 of all accidents, incidents or events, which affect the well being of the residents accommodated in the home. DS0000004332.V347916.R01.S.doc Version 5.2 15 Sorrel Drive Page 25 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 OP1 Good Practice Recommendations The registered person should pursue providing copies of the Statement of Purpose and Service User Guide in an accessible and suitable format for service users living in the home. This will help people to make informed choices The manager should have a written programme, which details when training is due to be updated. Training to consider should include knowledge of the disabilities and specific conditions of people living in the home. This will further provide people who work in the home with current knowledge to meet the needs of people living in the home. 2 OP35 15 Sorrel Drive DS0000004332.V347916.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Sorrel Drive DS0000004332.V347916.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!