Inspection on 04/08/07 for 26 Shakespeare Road

This inspection was carried out on 4th August 2007.

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

The inspector 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

26 Shakespeare Road 12/01/10

26 Shakespeare Road 23/02/09

26 Shakespeare Road 20/02/07

26 Shakespeare Road 08/02/06

26 Shakespeare Road 16/09/05

26 Shakespeare Road 03/02/05

26 Shakespeare Road 20/10/04

26 Shakespeare Road 24/02/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 26 Shakespeare Road Worthing West Sussex BN11 4AS Lead Inspector Beth Tye Unannounced Inspection 4th September 2007 09:30 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 26 Shakespeare Road Address Worthing West Sussex BN11 4AS 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) 01903 230029 shakespeare@sussexoakleaf.org.uk Sussex Oakleaf Housing Association Limited Mrs Vanessa Brenda Saunders Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th February 2007 Brief Description of the Service: 26 Shakespeare Road is a care home registered to provide accommodation and personal care for up to eight persons with mental disorders who are between eighteen and sixty five years of age. The registration allows for one of the eight service users to be over the age of sixty-five. The service is provided by The Sussex Oakleaf Housing Association Ltd for whom the Responsible Individual is Mrs Tracey Faraday-Drake. The registered manager in charge of the day-to-day running of the home is Mrs Vanessa Brenda Saunders. The property consists of a large semi-detached house in a residential area of Worthing with local shops and other amenities such as the seafront and beach within easy walking distance. The current fee being charged at the home is £770.60 per week. 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home was carried out by Beth Tye on the 4th September 2007. This was the first key inspection to be carried out at the home since 2007 when it was considered that the outcomes for service users were of an adequate standard due to low staffing levels. During this visit the intended outcomes for 33 standards were assessed; these included the key standards for care homes providing a service to Young Adults aged 18-65. Prior to the visit the inspector reviewed the previous two inspection reports detailing the outcomes for service users at the visits carried out in January 2006 and February 2007. The manager of the home returned a detailed preinspection questionnaire. This highlighted any changes to the home since the last inspection. The inspector arrived at 9.30am and met with the deputy manager and staff on duty, they were later joined by the registered manager. A tour of the building was undertaken with all communal areas being viewed. Two service users offered to show the inspectors their private accommodation and a third bedroom, which was unoccupied whilst a service user was in hospital was also viewed. During the course of the inspection, considerable time with the manager. The inspector toured the home and spoke with some residents and staff in order to gain a sense of how the home is being run and how they experienced living and working at the home. Three care plans and staff personnel files were examined alongside the homes records including, staff training, complaints, fire, incident and accident reports and all records relating to health and safety. Staff members were spoken with informally. One staff member confirmed that they are offered a wide range of training opportunities and did undergo induction training. Those who were asked gave a good account of action they would take should they suspect abuse of a resident. The interaction between staff and residents was relaxed and positive. This is the first inspection of 2007/2008. This is called a key inspection and will determine the frequency of visits/inspections hereafter 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Since the staffing levels have been increased and there is now no longer a risk to the residents, the home offers a high standard of care to the residents and practice within the home is very much service user led. The manager identified she would like to build on staff knowledge in infection control by use of NHS Essential Steps to safe clean care and develop Food Hygiene skills by use of Safer Food Better Business The manager also proposes to increase service user involvement by use of the Recovery Model within the home. 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 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 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Prospective residents are provided with all the information needed to make an informed decision, prior to admission of the home. Detailed pre-admission assessments enable the service to make informed decisions about whether the home is able to meet the prospective residents needs appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a Statement of Purpose and Service Users Guide, which are currently being updated to include the recent changes in staffing. There have been no new admissions to the home since the last inspection. The home has eight residents in situ although one individual is currently in hospital for a temporary period. Records for three residents were case tracked during the visit. Each contained a full assessment of needs and comprehensive background information. Prior to admission the manager or deputy will meet with the prospective resident and collate relevant documentation, including a Care Management Assessment and relevant health reports. Prospective residents have the opportunity to visit the home prior to admission and are given all relevant information including a Welcome Pack, so they are clear about what will be offered. Each resident is admitted for a 3-month trial period to ‘test out’ whether the home can appropriately meet his or her needs in the longer term. 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 10 All service users have a licence agreement and these were observed in the care records viewed by the inspector. 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent Residents are involved in producing detailed care plans, which reflect their changing needs and personal goals. Residents are supported to make choices about their lives. Detailed risk assessments have been completed for each individual in respect of their needs and agreed limitations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The three care plans case tracked at this visit were comprehensive. All include information which staff need to be able to support service users to retain varying levels of independence. The files are divided into sections and include the care plan, physical and mental health care, trigger factors for staff to alert them to indicators which may show a change in service users mental health, risk assessments, medical appointments and medication. Residents had signed their care plans, which demonstrates their involvement in the care planning process and attendance at regular reviews. Each resident is assigned a link worker (of their choice) who they meet with on a regular basis to gain support. Residents meet on a three weekly basis as a group to discuss issues relating to the home. A resident chairs this meeting. Any action arising is passed on to the 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 12 manager and staff to implement as required. Regular meetings promote the residents ability to be involved in decision making at the home. Detailed risk assessments are held on each care file, dependant on assessed needs. These are reviewed on a regular basis and agreed by the resident concerned. This promotes independence in daily living within agreed guidelines, whilst minimising risk for the individual. 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent The service users living at the home take part in a variety of activities and have opportunities for personal development so that they feel valued and are able to develop skills. Staff support residents to maintain contact with their families and friends so that they can maintain and develop relationships outside the home. Service users are offered a varied diet and can have alternatives if they wish. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each resident has a detailed weekly activities plan, which is held on his or her file. Each weekly timetable demonstrates the home has created links with various community services. These include mental health specialists such as: The MIND Day Centre, The MIND Drop–in Centre, The Rowans Day Centre, The Rose Den which is a therapeutic centre for the service users and two other mental health projects. 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 14 The residents go on regular outings as a group and are supported by the staff to pursue a variety of preferred activities such as exercise, college, leisure activities and community events. Residents are encouraged to pursue their own interests and hobbies within the home. There is a computer available along with art materials, board games, TV, Music and Videos. The home has purchased a cordless phone for residents to enable private phonecalls. Staff support residents to maintain contact with their families and friends so that they can maintain and develop relationships outside the home. Visitors are welcome to the home and there is a policy in place to support this. In the past 12 months the staff supported an anxious resident with her estranged family visiting from Italy, helped to find accommodation for them and ensured they were welcome in the home. This took considerable planning and mediation by the home and had a very positive outcome for the resident concerned. Another resident was supported to purchase of IT equipment, mobile phone, flat screen TV, computer installation of internet and supported to gain access to a computer training course The Deputy Manager is involved in a pilot scheme to promote physical health (at the residents request). Residents have recently completed a questionnaire, which will reflect in the care plans for future activities and promote physical health. Service users are encouraged to make their own breakfasts and snack lunches with the main meal of the day being prepared for all services users in the evening by staff. On the day of this visit the main meal of the day was written on a board in the kitchen. Menus (chosen by the residents) reflected a varied diet with a vegetarian option being offered each day. Residents spoken to during the visit stated the ‘food is always good’ and ‘we get to do whatever we like’. 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Residents receive health care and support in the way they prefer, all aspects of this is detailed in their care plans. Medication is stored and labelled correctly. Medication sheets were up to date and signed by staff. All staff are trained in this area to ensure good practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each of the service users are offered support with their on going health care needs. For each person, this is clearly identified as part of care planning and carried out in accordance to the service users wishes. Daily routines are flexible according to the residents needs and preference. Service users have links with a range of health professionals these include GP, dentist, chiropodist, optical services and the community mental health team . Each service user has an agreed link worker at the home who supports them day to day. Residents have the option to change link workers and this is explored as part of the review process. Where approprite the staff have developed links and extended specialist support from outside agencies such as the WSSS, Continence Advisory Service and TEA Project for client with hearing impairment 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 16 Residents files demonstrate service users have detailed Health Action Plans as part of their on going care pans. Each resident is offered a choice where possible and independent living skills are promoted within the home. Service users health is monitored regularly as part of the care planning process, this includes medication reviews. Medication was seen to be suitably stored in a locked cabinet on each unit. Where appropriate, residents manage their own medication following a suitable risk assessment which were seen on files. All staff who administer medication have had the appropriate training by the Deputy Manager as part of their on going training. All records seen for medication were completed correctly with no gaps or errors. 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good The home ensures that both residents and staff are protected through policies and procedures, induction and relevant staff training. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure, which is include in the Statement of Purpose and Service User Guide and are on view on the notice board in the hallway. The record of complaints was viewed and observed to have detailed records of complaints made and how they were investigated. Since the last inspection there has been one complaint, which was dealt with appropriately within agreed timescales. A copy of the new West Sussex Adult Protection procedures is held in the home and available to staff and service users. Information provided by the manager prior to the visit to the home confirmed that the organisation has an adult protection procedure and policy in place. Staff have all received training in these procedures and are aware of their responsibilities should they suspect an abusive situation. Advocacy agencies from the community have good links with the home and are invited to attend meetings as required. 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good The environment of 26 Shakespeare Road is of a good standard, offering a safe and clean living space, suitable to the needs of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During this visit to the home the inspectors viewed all communal areas and the private accommodation of a resident who took inspectors to their rooms and one room, which was unoccupied because the service user was in hospital. Bedrooms are personalised and the communal areas throughout the home are homely, clean and tidy. All service users have keys to their doors so that they can choose to lock their room when they are unoccupied. There has been a water feature installed in the garden since the last inspection. The manager stated she aims to encourage the residents to be more involved in developing and maintaining the garden over the coming months. Following a small fire in the main kitchen recently there are plans to redecorate the kitchen and lounge area. A new cooker has been purchased for the home to replace the damaged one. The outside of the home will be re-decorated in the autumn along with the hall stairways and landing. 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 19 Staff have completed health and safety and infection control training. Health and safety notices were observed in the kitchen area. A fire alarm and emergency lighting system is in place. Records showed these are checked and serviced on a regular basis to ensure the safety of staff and residents. The inspector examined detailed environmental risk assessments for the premises. All areas within the home, which pose a risk to the occupants, are identified and ways for these to be eliminated or reduced have been implemented. 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good The staff employed to work at the home receive training opportunities to meet the specific needs of the residents. The inspector concluded the resident’s benefit from a well supported and effective staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a training programme in place, which provides the skills to meet service users needs. This includes specialist training relevant to the needs of the resident group. Each member of staff undertakes a TOPPS induction over a six-week period and spends some time prior to shift work, shadowing other staff. Information seen on staff personnel files confirmed this and showed that the newest staff member had undergone relevant checks prior to employment. The home currently has a 15-hour vacancy for a care staff member but has a bank of long standing sessional workers who cover these hours as needed. Evidence from the last inspection showed there had been a number of staff hours reduced and this was having a considerable impact on the residents. Since that time the service has increased staffing from one worker per shift to a minimum of two workers shifts per shift with management being additional on the rota. The risks identified with lone worker shifts at the last inspection have now been rectified. The inspector noted that the home does still have one waking night worker on shift, however the manager clarified that the home 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 21 operates a daily risk assessment system to monitor changes in resident behaviour. If there is a risk identified, the home provides an additional staff member to assist on the night shift. Added to this there is a 24-hour management on call system in emergencies. Records of meeting minutes and feedback from staff confirmed they attend regular staff meetings. All staff spoken to praised the management for their supportive and inclusive approach. The inspector concluded, following observation and discussion with the staff on duty that they were clear about their roles and responsibilities within the home. Those spoken to were committed to their work and to ensuring good standards for the residents were met. 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Good practice in the home was evident. This is supported by committed staff and management and efficient administrative systems, which promote the health, safety and welfare of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Manager of the home has 23 years of experience in social care and qualifications in following areas: Advanced Managemnt for Care , Registered Managers Award (NVQ Level 4), NVQ Assessor (A1 Award) and is currently attending a Management Development Programme (CPD) The home publishes a comprehensive annual quality assurance audit and the manager completes and submits self assessed monthly quality audits of the home. During the visit all safety records at the home including, fire records, staff records and training, maintenance records, individual and environmental risk assessments, accident book and incident sheets were examined. They are all 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 23 up to date and in good order promoting the welfare and safety of the residents and staff. Policies and procedures were reviewed and updated on a regular basis. Information on new legislation and care practice is passed down to the staff team in staff meetings. Each resdients has a record of their finances and own bank account. The majority of residents in the home manage their finances independently. Discussions and observations confirmed staff are given clear direction in their roles and good working practices are promoted through staff support, meetings and on going training. One staff member stated she felt the management were ‘very supportive and easy to talk to’. Records demonstrated staff received monthly supervision and interviews with staff confirmed this. Overall the care provision at the home is of a very good standard and the conduct and management serves the best interests of the residents and staff. 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 4 12 3 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 3 3 3 3 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 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. 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 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 26 Shakespeare Road DS0000014297.V344297.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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