Inspection on 05/07/05 for 2 Ling Crescent

This inspection was carried out on 5th July 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

2 Ling Crescent 13/02/09

2 Ling Crescent 07/03/07

2 Ling Crescent 16/12/05

2 Ling Crescent 18/10/04

2 Ling Crescent 10/05/04

2 Ling Crescent 06/01/04

2 Ling Crescent 08/09/03

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

CARE HOME ADULTS 18-65 2 Ling Crescent Headley Down Bordon Hampshire GU35 8AY Lead Inspector Marilyn Lewis Unannounced 10:00 a.m. 5th July 2005 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 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 Stationary 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. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 2 Ling Crescent Address Headley Down Bordon Hampshire GU35 8AY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01428 713014 Robinia Care Ltd Sally Budd CRH 6 Category(ies) of LD Learning Disability registration, with number of places H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Service users must be at least 18 years of age Date of last inspection 18th October 2004 Brief Description of the Service: 2-4 Ling Crescent is a care home for 6 younger adults with learning disabilities. The home is similar in appearance to neighbouring properties and is situated on a small housing estate in Headley Down, Hampshire. All residents are accommodated in single rooms and have the use of two communal lounges and a separate dining room. The home has a large enclosed rear garden that is accessible to the residents. The home is owned and operated by Robinia Care Limited, an organisation that has been a care provider since 1995. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours on the 5th July 2005. The inspector toured the home and met with the five young adults currently resident at the home, three staff members, three visiting health professionals and the registered manager. Care plans were sampled for two residents and records were seen for medicines, fridge and freezer temperatures, staff training, residents’ personal monies, fire equipment checks and staff fire drills. The registered manager said that service users living in the home prefer to be known as residents and this has been respected in this report. What the service does well: It was evident during the inspection visit that the home has a relaxed and friendly atmosphere. No one is admitted to the home without a full care needs assessment and if considered beneficial for the prospective resident, visits to the home to meet staff and residents. Good care plans provide the information required for staff to support and meet the assessed care needs of the residents. Staff support and encourage residents to make decisions about their lives. Staff are aware that all information regarding residents is confidential. Residents are able to attend educational sessions and to participate in a wide range of suitable and interesting leisure activities. Residents are able to choose meals that are varied and offer a well balanced diet. Good liaison with health professionals ensures that residents’ health needs are met. Staff follow clear procedures for dealing with medicines that minimise the risk of error. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 6 All complaints are taken seriously and investigated fully and residents are protected by staff awareness of abuse issues. Residents live in a clean, safe, comfortable environment that suits their needs. Staff receive regular supervision and are aware of their roles and responsibilities. Residents and staff benefit from strong leadership and an open approach to management. What has improved since the last inspection? What they could do better: The service user guide documents the organisations aims for the number of staff who hold or are in the process of obtaining NVQ level 2 or above but does not indicate the actual number of staff with qualifications employed in the home, which could mislead prospective residents and their relatives. There is a lack of staff training in topics relevant to the residents, such as communication and autism. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 7 Residents’ safety could be put at risk by the lack of fire drill practice for some staff members. 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. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 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 standard(s) 1, 2 and 4 All prospective residents are fully assessed prior to admission and are able to visit the home to ensure the right decision is made about taking up residency, however information provided in the service user guide could be misleading. EVIDENCE: The homes’ statement of purpose includes information on Robinia Care Ltd and the services and facilities provided at the home. The document also outlines the staff training programme and lists topics that are included in the compulsory training for all staff within the first six months which includes communication and Autism. The service user guide states the aims of the organisation for the number of staff employed in the home with NVQ level 2 or above but does not give details of the actual number of staff holding the qualifications. The care needs of each prospective resident are fully assessed prior to admission to the home. The assessment is initially undertaken by a senior manager from Robinia Care Ltd and the homes’ manager. The registered manager said that a key worker or shift leader would accompany the homes’ manager if there were subsequent visits to complete the assessment. Information from care managers and health professionals was included in the H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 10 assessment and relatives were encouraged to participate in the assessment process. A full care needs assessment was seen for the most recently admitted resident. The assessment was very detailed and included all aspects of care including personal, social and communication care needs. Prospective residents are able to visit the home during the transition period as often as thought best for the person. The transition for one resident took place over three months with visits ranging from short afternoon periods to overnight and weekend stays. During the transition period feedback is obtained from the permanent residents of the home on whether they feel the prospective resident is the right person to share their home. At present the home has one vacancy. The registered manager said that a prospective resident would only be accepted if the full needs assessment indicated the home could meet their care needs, they wished to move to the home and the permanent residents agreed. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 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 standard(s) 6, 7 and 10 The development of good care plans provides staff with the information required to meet the care needs of residents. Residents are supported to make decisions about their daily lives and information about them is kept confidential. EVIDENCE: Care plans sampled for two residents were good and provided clear information on the care needs of the residents and the staff actions required to meet those needs. The plans included assessments for manual handling, the administration of medicines and nutrition. The registered manager said that the key worker for the resident discussed the plans on a one to one basis with them and relatives or care managers were asked to review the care plans on a regular basis. It was evident during the inspection visit that residents were able to make decisions about their daily lives. One resident went out with staff in the morning for a drive and the other four residents were at home during the inspection. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 12 The residents were able to spend time where they wished either in the communal rooms or in their own room. They were involved in a number of activities including drawing, listening to music and watching a DVD. The residents’ preferences for participating in activities were documented in their care plans with one document recording that the resident did not wish to help with household chores but liked to observe. Residents were also involved in choosing food items from photographs and magazines for the menus and their likes and dislikes were recorded in their care plans. The registered manager said that staff had tried to discuss the recent government elections with the residents but there was no indication they were interested and although registered to vote chose not to participate in the election. The home has policies on confidentiality and the registered manager said that training took place at induction and the topic was discussed at team meetings and supervision sessions. Two staff members spoken to during the inspection visit knew that information regarding the residents was confidential. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 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 standard(s) 12, 13, 14 and 17 Residents are able to participate in a wide range of suitable daily and leisure activities that maximise their independence. Residents are provided with a well balanced and varied diet. EVIDENCE: The five residents attend sessions at the organisations local resource centre for educational sessions. Three residents go to the centre five days a week and two go twice a week. Sessions attended varied to suit the individual needs of the residents. Residents’ cultural beliefs are respected. One resident is supported by staff to visit a place of worship suitable for his cultural beliefs. The registered manager said that the resident and staff used public transport for the journeys and the resident enjoyed these visits. Residents walk to nearby shops and visit a local supermarket for the main grocery shopping. They also visit local pubs and restaurants for meals. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 14 One day a week residents visit a leisure activities centre in Southampton where they can choose from a wide range of activities including rambling, swimming, horse riding and rock climbing. The registered manager said that the use of this facility had been researched and arranged by the shift leader and it had proved very successful with the residents. Risk assessments have been completed for all leisure activities. At the time of the inspection the homes’ minibus was off the road and they were waiting for a replacement vehicle due to be delivered at the end of July. In the meantime the home is able to use suitable temporary transport allowing the residents to continue with their activities programme. Residents are supported by staff to make decisions regarding food items for the menus. Their wishes are taken into account when purchasing the grocery shopping. Menus seen indicated residents received a varied and interesting diet that was well balanced with salad items and fresh vegetables and fruit frequently on offer. At the time of the inspection residents were seen to help themselves to fruit as they wished. Records of the meals taken seen for one resident included macaroni cheese or mushroom omelette or pizza and salad for lunch and chicken salad or tuna pasta bake and roast pork with vegetables for dinner. Advice has been sought from a nutritionist for residents requiring specialist diets. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 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 standard(s) 19 and 20 Good liaison with health professionals ensures the residents’ health needs are met and clear procedures for dealing with medicines minimise the risk of error. EVIDENCE: Records seen indicated that the services of health professionals, including district nurses and physiotherapists, were accessed as required by residents. All residents are cared for by one GP. The registered manager said that the residents’ behaviour when seen by the GP indicated that they were happy to be treated by him. At the time of the inspection a dentist and dental assistant visited the home to carry out routine dental examinations for the residents. All the residents remained calm during the examinations and showed no signs of distress. The dentist said that the relaxed atmosphere in the home and the gentle support of the care staff had made the visit a success. A member of the community behaviour team also commented on the good support the residents received from staff. The home has clear procedures in place for dealing with medicines. Medication records checked had been completed appropriately. Only staff who have received training in the administration of medication are able to administer the medicines. Staff receive training in house and from external trainers. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Residents are protected by staff willingness to investigate any concern raised and their awareness of abuse issues. EVIDENCE: The home has a clear complaints procedure in place that indicates time scales for the process. The home takes all complaints seriously. The registered manager said that in the last year no complaints had been received by the home but one concern had been voiced and a meeting was held for the issue to be discussed. Due to communication issues it was not possible to discuss the complaints procedure with the residents. The home keeps small amounts of money for residents. The monies are kept individually and securely and receipts are kept for all transactions. Records seen for two residents matched the amount of money held. The registered manager said that meals taken by residents when out of the home were paid for with housekeeping money or residents were reimbursed the agreed £1.50 per meal. The home has procedures in place to be followed should abuse be suspected. Staff receive training on abuse awareness and two staff members asked about abuse issues were aware of the procedures to be followed and said they would not hesitate to report any concerns. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29 and 30 The provision of a clean, bright, safe home with comfortable communal rooms, personalised bedrooms, sufficient bathroom facilities and an attractive garden gives a pleasant and cheerful environment for all who live and work there. EVIDENCE: At the time of the inspection visit the home looked clean, bright and in good order. Entry to the home, office, kitchen and laundry room is by keypad ensuring residents are kept safe from areas of potential risk and allowing staff to be aware of all persons entering and leaving the home. All visitors are required to complete the record book. Residents are able to access the kitchen and laundry when accompanied by a member of staff. Communal rooms are situated on the ground floor and individual bedrooms, the office and the sensory room are on the first floor. All residents are able to manage the stairs without assistance. The home is close to local shops and bus stops are nearby. Robinia Care Limited employs a maintenance team for routine repair and redecoration of the home. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 18 All residents are accommodated in single bedrooms that suit their needs. Since the last inspection some of the rooms have been redecorated with colours chosen by the residents. Rooms seen were cheerful and looked very individual with colours ranging from pale lilac to bright yellow. Personal items such as posters, pictures and ornaments were displayed in the rooms and some had television and audio equipment. One resident showed the inspector her room and indicated that she liked the room. Bedroom doors are fitted with locks but the registered manager said that the current residents had been risk assessed as unable to manage the keys and doors were not locked. This was documented in their care plans. One bedroom has en-suite facilities and the others are provided with wash hand basins. The home has three bathrooms and toilets and all looked clean and in good order at the time of the visit. The temperature of the hot water from bath taps was checked and found to be at the correct level. The home has a large lounge with adjoining conservatory, a small lounge and a separate dining room. The large lounge has patio doors to the conservatory. At the time of the inspection the doors had been removed due to a fault and the home were waiting for replacement doors. Since the last inspection new sofas have been purchased for the large lounge and new curtains were on order. The small lounge has a television able to provide Sky programmes while the large lounge has a television and DVD player. The registered manager said that residents used both lounges as they wished. Artwork and collages of photographs produced by the residents were displayed around the home. Since the last inspection work has been completed in the sensory room providing a calming environment for residents. The room has a carpet and curtains that are embedded with small lights and music equipment has been provided. The registered manager said that residents enjoyed using the room and it was particularly beneficial when a resident needed space. The kitchen and laundry are domestic in style and looked in good order. During a tour of the home it was noted that all hazardous substances such as cleaning products were stored securely. The home has an enclosed rear garden that has a lawn and patio area. The garden looked attractive with containers of summer flowers situated around the area. The registered manager said that a large table and ten chairs had been ordered to provide a seating area for the residents and staff. All residents have been risk assessed to use a paddling pool purchased recently. A barbeque has also been purchased but is not being used until risk assessments have been completed for residents. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 19 The home has a no smoking policy. Residents are all mobile and do not require specialist equipment such as hoists. One resident has been provided with a wheelchair to be used when going on trips out. At the time of the visit all areas of the home looked clean. Staff receive training in infection control during induction. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 35 and 36 Staff know their roles and responsibilities and receive regular supervision but their lack of training may result in the residents’ care needs not being met. EVIDENCE: The home employs a registered manager, a shift leader, senior support worker and seven support workers. The registered manager said that the use of agency staff was required less since the last inspection. Staff are provided with a clear job description when commencing employment with the home. Records seen indicated that some staff had not received training in areas very relevant to the needs of the residents. Four staff members had not received training in communication methods. Three members have not been trained in autism awareness while three also required training in managing challenging behaviour. The records also indicated that only one staff member had attended training in learning disability awareness. Although the service user guide stated that the aim of the organisation is for 50 of the staff in the home to hold or be working towards NVQ2 or above only one member of the care staff currently employed holds an NVQ. The registered manager has been required to provide the Commission with an action plan for staff training. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 21 The registered manager has received training in providing supervision for staff and another member of the staff team is due to attend training in the topic shortly. Staff receive supervision on a regular basis with new staff members being supervised initially every two weeks and then six weekly. Supervision meetings are recorded and the records are kept in the staff member’s file. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38 and 42 Residents and staff benefit from good leadership and the open management approach of the home. Residents’ safety could be at risk from the lack of fire drill practice for some staff. EVIDENCE: Since the last inspection the homes’ manager has registered with the Commission. She is also the registered manager of a home for one resident situated close to Ling Crescent. Three staff members spoken to during the inspection said that they received strong support from the registered manager and that staff morale was good. The registered manager operates an open door policy and staff and visiting health professionals said that she was approachable and communication was good. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 23 The registered manager has regular meetings with managers of other Robinia Care Limited homes in the area. Meetings are held for the homes’ staff on a monthly basis with more frequent meetings between the registered manager and the shift leader. All the meetings are minuted and the minutes are made available for staff. At the time of the inspection the kitchen was clean and in good order with food stored appropriately. The temperatures of the fridge and freezer were being monitored and recorded. Records seen for checks on fire equipment were up to date. However records for staff fire drills indicated that not all staff had attended a fire drill in the last year. H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score 3 x x x 1 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 2 x H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 25 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 YA1.2 Regulation 5 Requirement Timescale for action 31/08/05 2. YA35 18(1)( c ) 3. YA42.2 23(4)(e) The registered person must ensure the service user guide informs prospective residents of the actual qualifications held by staff employed at the home. The registered person must 31/08/05 ensure that staff receive training in communication, learning disablity awareness and autism awareness. An action plan for staff training is to be forwarded to the Commission. The registered person must 31/07/05 ensure that all staff receive fire drill practice. 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 Good Practice Recommendations H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 26 Commission for Social Care Inspection 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 H54 S12096 Ling Crescent vv227529 050705.doc Version 1.30 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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