Inspection on 30/09/05 for 18 Leafdown Close

This inspection was carried out on 30th September 2005.

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

The inspector found 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

18 Leafdown Close 28/11/07

18 Leafdown Close 05/01/07

18 Leafdown Close 07/02/06

18 Leafdown Close 01/02/05

18 Leafdown Close 06/09/04

18 Leafdown Close 17/02/04

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 18 Leafdown Close Hednesford Cannock Staffordshire WS12 2NJ Lead Inspector Dawn Dillion Announced Inspection 30 September 2005 2:00 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 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 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 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. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 18 Leafdown Close Address Hednesford Cannock Staffordshire WS12 2NJ 01543 425637 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 Valerie Bullman Mrs Valerie Bullman Care Home 1 Category(ies) of Learning disability (1) registration, with number of places 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 01 February 2005 Brief Description of the Service: Leafdown is a residential home located in Hednesford, Staffordshire; the home is registered to provide a service for one adult, category of registration learning disability. The two-storey semi detached property comprises of a lounge, leading to a dining area and a fitted kitchen. On the first floor level there are three single occupancy bedrooms and a bathroom that was equipped with a toilet, washbasin and a shower. There was a well-maintained garden at the rear of the property, adequate car parking facility was provided at the front of the premises. Leafdown provides a warm and welcoming atmosphere with a positive emphasis focused on normalisation, providing the necessary support and assistance to ensure that the service user has access to leisure facilities and to have a valued role within her local community. All healthcare services are accessible to the service user to ensure and maintain all healthcare needs. The service user attends day care services four times a week and was able to access the local colleges via this route. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection of Leafdown was undertaken in 3.5 hours; the Registered Manager was present during the course of the inspection. The Inspection entailed the examination of records and systems to establish the effective management of the home and the standard of care provided. During the process of the inspection the service user was informal interviewed to obtain her views and opinions with regards to the service and provisions provided at Leafdown. Leafdown provides a service for one service user, it was evident that a high standard of care was provided with the service user being empowered to have an informed choice and to make decisions in all areas relating to her welfare and lifestyle. What the service does well: Leafdown provides an environment that is warm and welcoming, promoting normal daily living and to ensure that the rights of the service user is protected. There was a positive emphasis focused on social inclusion, discussions with the service user confirmed that she had a varied and active social life and was also involved in a drama and dance group. The care plan and risk assessment identified goals that had been achieved and future goals and aspirations. The service user appeared comfortable within her environment and was very positive with regards to the support and assistance provided by the Registered Manager. There was a commitment in achieving a quality service and to ensure that the service user had valued life experiences and was actively involved in issues relating to her life experiences. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: The examination of records and discussions with the Registered Manager identified that there was a lack of consistency in undertaking periodical training in relation to her roles and responsibilities. It has been identified as a requirement within the contents of this report, that training relating to first aid and fire awareness should be completed. The Registered Manager should ensure that she undertakes periodical training pertaining to her roles and responsibilities to keep abreast of new care issues and regulations with regards to learning disability services. With reference to quality assurance surveys these were last distributed in year 2002, to monitor the quality of the service and facilities provided within the home in compliance to regulation 24, of the Care Homes Regulations, the Registered Manager is reminded that these questionnaires should be re-issued to the service user and other relevant agencies who have contact with the home. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 7 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. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 The homes Statement of Purpose provided sufficient information relating to the service and provisions provided, to enable prospective service users to have an informed choice to whether the home would be suitable to meet their needs. A contract of residency ensured that the individual was aware of the terms and conditions of the home. EVIDENCE: The examination of the homes Statement of Purpose and discussions with the Registered Manager, identified that this document was in the process of being up dated to provide more accurate information relating to staffing and the placement offered at Leafdown. Leafdown provided a service for one service user who had been in residences for a number of years. The Registered Manager informed the Inspector that any prospective service user would be subject to a pre admission assessment, to establish the homes capacity to meet their identified needs prior to admission to the home. The homes admission procedure would also incorporate a trial visit, giving the prospective service user the opportunity to establish whether the service and facilities were suitable to meet their needs. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 10 Discussions with the service user confirmed that she had access to relevant healthcare services if and when required and that the Registered Manager provided the necessary support and assistance to access these services. The Registered Manager provided all the necessary support and assistance to enable the service user to have a full and active life. Discussions with the Registered Manager and information derived from the pre inspection questionnaire, identified that one staff who was a friend of the family was recruited on a casual basis to provide additional support when required. The service user informed the Inspector that she had a self-advocate at the day centre and also felt comfortable in sharing information with her key worker at the day care service if necessary. A written contract relating to the terms and conditions of residency was in place in conjunction with a contract supplied by the Local Authority of which were signed by the relevant parties. It is recommended that the contract of residency should be reviewed in light of the imminent changes to the home Statement of Purpose. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10 There was a positive emphasis focused on ensuring that the care needs of the service user were met. The care plan provided information relating to achievable goals, to ensure that the individual was provided with the necessary support, assistance and training to live independently. EVIDENCE: There was a care plan in place identifying the support and assistance required to ensure that the service user lived a fulfilled and valued lifestyle. It also incorporated information relating to future goals and aspiration to ensure independence and social inclusion. Discussions with the service user confirmed her satisfaction with the service provided and the support offered by the Registered Manager. The service user also informed the Inspector that she was able to make decisions in areas affecting her lifestyle. As identified within the contents of this report, the service user informed the Inspector that she had access to a self-advocate at 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 12 the day care service and was also comfortable in accessing additional support and assistance from her key worker at the centre. There was a risk assessment in place that identified potential hazards and provided information relating to the appropriate control measures to reduce or eliminate the risk. It was pleasing to see that there was a proactive approach to enable the service user to take an informed risk. The Registered Manager recognised the importance of confidentiality and the Inspector was satisfied that systems and the Registered Manager approach and attitude ensured that all confidential issues were only accessible to authorised persons. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 13 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): 11, 12, 13, 14, 15, 16 and 17 The ethos of the home was to provide a service that ensured that the service users full potential was achieved and that she had the opportunity to develop new skills. Social activities within the community were encouraged to ensure that the service user had valued life experiences. EVIDENCE: There was a positive emphasis focused on promoting independence and social inclusion, the service user informed the Inspector that she attended day care services four days a week and was currently undertaking a college course in social education. The service user also informed the Inspector that she worked at a ‘Drop in Centre’ once a week on a voluntary basis and enjoyed the work. It was pleasing to see that with intensive and continued training, risks identified due to the lack of knowledge regarding road safety, had been eliminated and that she was now able to travel to work independently. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 14 Discussions with the Registered Manager and the examination of documents pertaining to the service user, identified a goal of obtaining paid employment in the future, to improve on literacy skills and to improve her performance in dance and drama. The service user informed the Inspector that she attended church on a regular basis and of her plans to visit Yorkshire that coming weekend. Discussions with both the service user and the Registered Manager confirmed recent holidays to Austria, Switzerland, Spain, Lake District and a mini cruise to Norway. Arrangements were in place to visit Blackpool and Belgium. The Inspector was satisfied that the service user had a choice to whether she wanted to go on holiday and that 50 of the cost of holidays were funded by the home. The service user was able to maintain contact with her family and friends; the service user informed the Inspector that she was going on holiday with her friend from the day care service. The necessary support and assistance was provided by the Registered Manager to facilitate this. Leafdown is a normal domestic dwelling located in a residential area and the routine within the home promoted normal daily living and to ensure that the service user had a positive role within her local community. There were no restriction posed and the service user was observed to have freedom of movement throughout the home. The service user was integrated within the family setting and was involved in all family functions. During the course of the inspection, the Registered Manager’s daughter in-law visited the home; she was observed to interact with the service user in a friendly and respectful manner and included the service user within conversations. Discussions with the service user confirmed that she was involved in domestic tasks within the home and maintained the hygiene and cleanliness within her bedroom. With reference to meals provided, the Registered Manager confirmed that there was a menu in place but was not used, daily discussions with the service user identified her preference in relation to want she had already consumed at the day centre that day. The service user had access to the kitchen and was able to assist with the preparation of meals. On the day of the inspection the service user made the Inspector and the Registered Manager a cup of tea whilst she informed them of the events of her day at the day centre. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 15 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): 18, 19 and 20 Leafdown provided a stimulating environment, ensuring the health and welfare of the service user, the necessary support and assistance was provided to access relevant healthcare services for routine healthcare checks. EVIDENCE: Discussions with the service user confirmed that she was in general good health and that she currently did not require any specialist healthcare intervention. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 16 The service user confirmed that she had access to relevant healthcare services for routine health screening; she also informed the Inspector that she had visited the dentist last week. Where necessary the Registered Manager provided support and assistance to access healthcare services. Discussions with the service user and the examination of records confirmed that she self-administered her own medication and maintained a clear record of when she had taken her medication. The Registered Manager had a positive attitude relating to training to improve and develop new skills of service user, to enable her to live independently within the community. She informed the Inspector that she would provide a home until when ever the service user decides that she wishes to live independently. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 17 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 and 23 The relationship between the service user and the Register Manager were conducive for complaints and concerns to be resolved in a professional manner. There was a complaints procedure in place of which was accessible to the service user. EVIDENCE: There was a complaints procedure in place of which was accessible to the service user, the document provided information relating to the Commission For Social Care Inspection and also contact details for Social Services. Discussions with the Registered Manager confirmed that the home had not received any complaints. The day The and service user informed the Inspector that she had a self-advocate at the centre and would also be able share any concerns with her key worker. service user also informed the Inspector that she was happy at Leafdown that the Registered Manager was nice and that she had no problems. Discussions with the service user confirmed that she managed her own financial affairs with very limited support from the Registered Manager. The examination of records relating to the Registered Manager and the Casual Worker evidenced that a Criminal Record Bureau check had been undertaken. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30 Leafdown provided a stimulating environment to promote the welfare, independence and normal daily living, in a family environment. The property was suitable for its stated purpose and was maintained to a high standard. EVIDENCE: 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 19 Leafdown is located in the town Hednesford, Staffordshire and was accessible to public transport and all local amenities. The semi-detached property was in keeping with the local community and provided three single occupancy bedrooms (registered to provide residential care for one). En suite facility was not provided; the bathroom was located in close proximity. The bathroom was located on the first floor equipped with a bath, toilet, washbasin and shower. On the ground floor there was a lounge area, which provided a comfortable area for relaxation. Leading from this area was a separate dinning room. There was an attractive fitted kitchen in place. The garden at the rear of the property was well maintained. Adequate parking facility was provided at the front of the property. The general cleanliness and hygiene of the home was of a very high standard. Smoke detectors were installed throughout the home and there was evidence of fire fighting equipment being serviced on a regular basis. The service user showed the Inspector around her bedroom, the bedroom was tastefully decorated and was equipped with essential furnishings and items to provide a comfortable area; the service user informed the Inspector that she was happy with her bedroom. Adequate heating, ventilation and natural lighting were provided throughout the home. Leafdown is a normal domestic dwelling and there were no specific systems in place with regards to infection control. As previously identified the cleanliness and hygiene within the home was of a very high standard. The service user did not have any physical or sensory impairment hence, there were no specialist systems or adaptation required, past discussions with the Registered Manager confirmed that if and when necessary, every effort would be made to provide the necessary adaptation to meet the needs of the service user. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 34 The Registered Manager provided the necessary support and assistance to ensure that the lifestyle of the service user is conducive to her needs and future aspirations, promoting normalisation. EVIDENCE: As previously identified within the contents of this report Leafdown was a normal domestic dwelling, with the service user being integrated within the family setting. The Registered Manager was experienced in social care and was very committed in providing a service focused on normal daily living and promoting social inclusion. One staff who was also a friend of the family was recruited on a casual basis to provide additional support if and when required. Discussions with the Registered Manager confirmed that the casual staff was very rarely used due to the service user’s improved skills and independence over the years. There was very little emphasis focused on training and this has been identified as a requirement within the contents of this report. Criminal Record Bureau checks were seen in respect of the Registered Manager and the casual staff. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40 and 42 There was no management structure within the home, but an ethos of equality and a positive approach to protect the rights and choice of the service user. Policies and procedures were in place with reference to safety checks relating to the property. EVIDENCE: The day to day running of the home was that of a normal dwelling with the service user being treated as an equal in a family setting. Discussions with the Registered Manager identified that she was experienced within social care and had obtained the National Vocational Qualification, level 2 in care. During the course of the inspection she demonstrated a sound knowledge with regards to the care needs of the service user and also had a positive commitment to ensuring that her rights and choice were protected. A quality assurance survey was distributed in 2002, in this instance it has been identified as a recommendation that the questionnaire should be distributed 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 22 again to establish individuals views and opinions in relation to the service provided within the home. With reference to the homes policies and procedures, the Registered Manager is reminded that these should be reviewed on a regular basis to ensure consistency and to ensure that up to date information is available for inspection purposes. The service user had access to information relating to her in accordance to the Data Protection Act 1998. The examination of records and systems relating to the health, safety and welfare of the service user identified the following: Environmental Health Report 2003 identified no requirements. A fire policy and a risk assessment were in place and were current. Fire extinguishers were serviced/checked 03/11/04. Electrical Installation serviced 22/09/05. It has been identified as a requirement within the contents of this report that training relating to fire safety awareness and first aid should be undertaken. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 4 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 N/A 4 LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 3 16 4 17 Standard No 31 32 33 34 35 36 Score X 2 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 18 Leafdown Close Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 X 3 X DS0000005089.V255787.R01.S.doc Version 5.0 Page 24 No 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 YA32 Regulation 18 Requirement Training relating to fire awareness and first aid should be undertaken by the Registered Manager Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA5 YA39 Good Practice Recommendations The contract of residency should be reviewed in conjunction to the imminent changes to the homes Statement of Purpose. The Registered Manager should ensure that the quality assurance survey is distributed to the service user and relevant outside agencies to establish individual’s views and opinions in relation to the service delivery. 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 25 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 18 Leafdown Close DS0000005089.V255787.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!