Inspection on 02/12/05 for 150 Community Drive

This inspection was carried out on 2nd December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

150 Community Drive 17/07/07

150 Community Drive 05/12/06

150 Community Drive 04/07/05

150 Community Drive 21/02/05

150 Community Drive 19/07/04

150 Community Drive 06/01/04

Similar services:

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

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

CARE HOME ADULTS 18-65 150 Community Drive, Smallthorne Stoke-on-Trent Staffordshire ST6 1QF Lead Inspector Mr Berwyn Babb Unannounced Inspection 2nd December 2005 10:00 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 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 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 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. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 150 Community Drive, Address Smallthorne Stoke-on-Trent Staffordshire ST6 1QF 01782 839349 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) Choices Housing Association Limited Mrs Gillian Hussey Care Home 8 Category(ies) of Learning disability over 65 years of age (8), registration, with number Mental Disorder, excluding learning disability or of places dementia - over 65 years of age (8) 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2005 Brief Description of the Service: 150 Community Drive is a large detached house registered to provide accommodation for eight younger and older adults who have Learning Disabilities, or Mental disorders other than Learning Disability or Dementia. It is situated close to local shops on the edge of a residential estate, and is not identified by any stigmatising signs, names, or notices, and easily blends into the locality. The home is owned by Choices, a company that operates a group of homes for people with Learning Disabilities. The current group of Service Users are all male, ranging in age from the early fifties to the late seventies. They live on two self-contained floors, each housing four residents. There are generous communal areas inside the property, and a secluded garden outside, where some of the resident service users have established an allotment, as well as the usual lawns and shrubs. Young plants are brought on in the greenhouse. This had recently been renewed. Public transport buses pass the end of the Drive. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was undertaken to conclude the 2005-2006inspection programme with the aim of completing the examination of all those standards identified in the methodology as requiring to be reported upon once in each 12-month period. Some core standards may be repeated, together with a selection of other standards as indicated from observations made, and discussions held, during the course of the inspection. The Registered Care Manager was unable to be present, as she had gone to London to pick up one resident from hospital, where he had been undergoing tests to establish whether he was suitable for a pioneering operation to prevent him having seizures. Other members of staff were continuing to run the home in her absence, with residents attending appropriate day provision, out shopping with their key worker or on their own, as their assessment dictated, or occupying themselves in the home. The home was warm, clean, and tidy, and the observation of the interaction between residents and staff, confirmed the importance attached to replicating the individual nature of the resident’s, with different choices of place for, and timing and content of, lunch, as determined by the different program each man chose to follow, on that day. What the service does well: What has improved since the last inspection? There had been quite a program of renewal since the previous inspection, with most men having chosen new bedroom suites in real pine, and renewal of flooring to suit the needs of one gentleman. In the upstairs lounge there was a new leather three-piece suite, and in the garden there was new cast iron and wood patio furniture. The rolling program of re-decoration undertaken by the handyman team had resulted in the freshening of several areas of the home. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 6 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. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 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 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 From this inspection it was evident that prospective residents and their supporters will have sufficient information to make an informed choice about coming to live in the home. EVIDENCE: The inspector undertook a review of the documentary information available to those seeking accommodation for somebody with a learning disability, and found in the Statement of Purpose and the Service User’s Guide, information that was both accurate, and sufficiently detailed to inform someone considering entering the home, whether or not the assessed needs and choices of the individual could be accommodated at 150 Community Drive. As well as basic “received knowledge” readers would also learn that people considering admission would make a series of increasingly robust visits, culminating in an overnight stay, so that they could determine whether or not they would be able to fit in with the existing resident group. The home does not currently have any vacancies. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Care plans were expansive and inclusive, detailing the assessed needs of the residents, their medication regimes, and how they were supported to make decisions important to their lives. EVIDENCE: The inspector examined a sample care plan [P. C. P.], and was made aware of steps that had been taken to increase the independence of the individual, without compromising his safety, or unduly limiting his freedom of movement. There was also evidence of his personal choices being recorded, together with possible trigger events affecting his health. He had been in touch with the “Back to Work” team to consider their advice regarding his suitability for employment, and to gather whatever information they had available, so he was in a better position to consider his future occupation options. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 10 Some time previously, he had been very dissatisfied with the way a hospital visit had proceeded, and staff had put him in touch with an advocacy service who had assisted him to make a complaint about the way he had been treated. There were records of an Occupational Therapist having, first assessed his ability to undertake a given task, and then prepared a program for him to follow, to improve his safe engagement in the task, and hence magnify the scope of his independence. He had been assessed in the use of a mobile phone, so that he could carry one when accessing the community independently, and thus have ready access to back up, should he ever need this. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,14,15,16,17 Standards 12,13, 14, and 17 were all satisfactorily commented on in the previous report for this year. From this inspection, there was evidence of substantial work being undertaken to ensure that one resident was able to access the local community safely, and that the daily routine and running of the home focused on including residents, and in respecting their rights, responsibilities, privacy and dignity. Residents had spent their time in a manner both appropriate to their status and of their own choosing, and were seen to exercise choice over time and content of meals. EVIDENCE: Residents were [individually] out and about in the community when the inspector arrived, or went out later, either to go to the shops, or to have lunch in town, or to access daytime activities. They told the inspector about going to places of entertainment and to pubs and restaurants, and several belonged to the Working Men’s Club in the village, or to other specialist clubs that they identified with. They also told him about 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 12 various neighbours and members of the business community, who joined them for social events at the home, such as the Christmas party, or summer Bar-BQ’s. The inspector learned of the different holidays taken by the men this year, some as smaller groups, and some individually with their carers. They were already discussing venues and companions for next year’s holidays, and extolling the virtues of the different style or place that each man supported. They also told him of the regular contacts they had with family members or friends, one man visiting and being visited by his mother and sister, another going to visit his sister who lives in another home, a third meeting up with his brother every week, and several involved in inter-house visiting. Those men who elected to do so observed religious devotions at different churches, and others apparently regularly attended car boot sales, or charity shops to meet their need to collect favourite items. When being shown individual bedrooms by their occupants, the inspector was able to observe that they had keys to their rooms, as well as having control over the security lock on the front door. They had agreed to an ingenious measure that would be invaluable in case of a fire, of using a card with a small picture of themselves above their chosen name, and placing this in one of two segments in a box kept by the front door. Labelled “In” and “Out”, these would provide fire crews with an immediate recognition aid, should they need to search the building. During the day, different arrangements were chosen for meals based on the individual, not on the unit, and a member of staff assisted in the making of different lunches for those who stayed in the home, whilst others ate out, either at their place of day time occupation, or at a pub or café as part of a well established lifestyle. Both kitchens were well-stocked, clean, and tidy, with sufficient utensils, cutlery, and crockery, and good quality stores in the cupboards, fridges, and freezers. Fresh meat was mentioned as being important to the men, and they had established an excellent relationship with the local butcher, someone who, according to members of staff, has been very supportive to the home and its residents. Care plans included information about favourite dishes, [yellow fish, sandwiches, or brown bread], and notices on fridge doors reminded users of optimum temperatures. These were also recorded in a log book of daily readings, together with the temperatures of various cooked meats being served. A certificate from Stoke-on-Trent City Council Housing and Consumer Protection Department recorded top marks in all three domestic categories. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20 Standards 18, 19, and 20 were reported upon favourably after the inspection of 4th July, but standard 19 is repeated to record the positive benefits of the relationship with specialist professional. Standard 20 is repeated to record good practice observed during the administration of medication. EVIDENCE: During his examination of the health modules of the P. C. P. the inspector was able to record ongoing partnerships with health professionals concerned with the care of residents. These included the Epilepsy Community Nurse, Community Psychiatric Nurse, Neuro-psychiatrist, Dietician, Audio Specialist Nurse, Visual impairment Nurse, Continence Advisor, District Nurse, Consultant Psychiatrist, Dentists, and Chiropodists. The records showed regular preventative check ups, as well as hospital and clinical appointments particular to the health needs of each man. They were all registered with a G. P., and usually attended surgery for their consultations. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 14 During the course of this inspection, the senior in charge of the home was observed administering medication, both directly to the residents present at lunchtime, and into a “Medidose Wallet” for one man to take out with him so that he could have lunch out in town, at a café of his choosing. She followed procedure to the letter, and arrangements for the storage of medication matched the guidelines suggested by The Royal Pharmaceutical Society. A total review of the sheets used to record medication administration was made without uncovering any errors or discrepancies, and the member of staff interviewed in depth, confirmed that he had not been allowed to handle medication until he had received training in all aspects, including knowing what the medications were intended to achieve, and possible unwanted side effects to be aware off. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Whilst standards 22 and 23 were favourably reported on at the last inspection, they are repeated in this inspection, in line with the inspector’s belief that it is imperative that they should be addressed at every opportunity. Residents continued to be able to correctly identify whom they would approach if they had a complaint, and the company’s induction procedure provided evidence of staff receiving formal training in the protection of the vulnerable adults for whom they care. EVIDENCE: A resident with whom the inspector had a protracted conversation was able to give a good outline of the procedure they would follow if they were concerned about anything. This was backed up by the evidence of the “Grumbles” book, which showed where early intervention by staff, acting as mediators in line with the published procedures of the company, had diffused conflicts. They had then reviewed the matrix of accommodation within the building, to safeguard the integrity of one resident, who was feeling threatened by the challenging behaviour of one of his companions. In spite of that mans challenged integrity, records revealed that members of staff had spent time with him explaining that whether intended or not, the outcome of his behaviour was a form of abuse, as it caused distress to his fellow resident, who was not of such a robust nature as he was. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 The environment was well maintained with evidence of further upgrading, the rooms, both private and communal, were well decorated and comfortably furnished, and everywhere was extremely clean, tidy and odour free. EVIDENCE: With the exception of one resident whose furniture had been renewed just prior to the last inspection, the gentlemen had obtained new pine furniture for their rooms, and at least one [who displayed his room to the inspector], had arranged for a modification to the standard wardrobe, to fulfil a particular need of his own. Different styles and sizes of bed were also evident, as was a variation in floor covering, to address a medical condition, as agreed with the resident. The generously sized private and communal rooms showed the benefit of the rolling program of regular redecoration and repair, and the approaches, grounds, and exterior, all appeared in a good state of repair. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 17 The home blends in with its surroundings, and is not distinguished as a care home. It is situated in the middle of a vibrant local community, with easy access to such things as the shops, library, and Working Men’s club, and bus routes into Hanley and other near by “Potteries” towns. Having half the accommodation on ground floor level, including service and communal rooms, the home would be able to accommodate wheel chair users if needed, and all areas of the grounds are accessible on the level. On the day of this inspection the home was warm, tidy, clean, and airy, without any hint of malodour, and the standards of cleaning sustained by the residents and staff deserving of commendation. The washing machine was equipped with a sluice facility, and the laundry floor was impervious to fluid, and capable of being easily cleaned, as were the walls. Separate hand washing facilities were available, and there was a locked cupboard for the storage of substances hazardous to health, with product information sheets on display on the adjacent wall. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35 The numbers of staff employed together with their levels of qualification and experience, resulted in the needs of the residents being met by sufficient and trained staff, who were aware of what was expected of them and of others. EVIDENCE: The inspector undertook a formal in depth interview with a member of staff, who confirmed that Choices Limited provided appropriate training and induction for all their staff, as detailed in the record of courses both planned, and recently undertaken. He went on to reflect that on a day such as the one of this inspection, extra staff were deployed when circumstances such as providing an escort for someone to return from hospital, decreed it to be a time of extraordinary need. A review of staffing rotas confirmed the flexibility of arrangements not only to cover such unusual circumstances, but also for more regular occurrences such as residents wanting to go to an entertainment venue in the evenings, or to visit a friend or member of their family. Evidence taken from the P. C. P. also confirmed that when appropriate, partner health agencies worked alongside the staff of the home to meet an assessed need identified in one of the residents. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 The evidence from this inspection will show that the management of the home, in particular the qualification and ability of the Registered Care Manager, and attention to the wishes of residents, with steps taken to ensure their health, safety and welfare, all combine for the benefit and support of those people who live at 150 Community Drive. EVIDENCE: Mrs. Hussey, the Registered Manager, not only has many years experience nursing adults with a learning disability, but also has both the N. V. Q. 4 in care, and The Managers Award. She is an internal verifier for the Learning Disability Award Framework accredited-training, and has a diploma and the Induction Qualification for The Welfare Officers Certificate. She holds a Certificate of Management Studies for Health and Social Workers, a 7307 Teaching Certificate, and is both an N. V. Q. assessor [D32 and D33], and an N. V. Q. verifier [D 34]. She has worked for Choices for thirteen years, five as a support worker, five as a deputy manager, and the last three as Registered Care Manager. She is the holder of a Community Mental Health Certificate. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 20 As well as hearing from the residents themselves on how their views were sought about various aspects of the running of the home, the inspector reviewed the audit tool folder, and learned how the home documents the results of their surveys, together with the information gather during each monthly regulation 26 visit made by a senior officer. Confirmation of the importance given to ensuring the health, safety, and welfare of those living and working at 150 Community Drive was obtained from the raft of risk assessments seen in the care plans, from confirming that fire precautions were observed at the recommended intervals, from the records of the Health and Safety audits carried out every month, from observation of compliance with C. O. S. H. H. regulations, and practical steps in place to limit the possibilities of cross infection. [Like good waste disposal procedures, and having separately coloured mops, buckets, and cloths, for kitchen areas and bathroom, Blue for Loo, Pink for Sink]. He observed safe use of adaptations, and certificates to confirm that regular inspection and servicing had taken place for the gas central heating, the water temperature control systems, the emergency call system, and the security systems. He toured the environment without finding anything that struck him as being a danger. He observed that proper training was given to staff to ensure their safety when moving and handling a resident, or from the danger of challenging behaviour. This included close incident monitoring and recording, to enable patterns of behaviour to be established, and to formulate appropriate responses to predictable situations. 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 21 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 X 3 3 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 X 13 4 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 4 3 x 4 X 3 X X 3 X 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 150 Community Drive, DS0000008212.V275041.R01.S.doc Version 5.1 Page 24 - 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!