Inspection on 26/03/07 for 26 Tennyson Road

This inspection was carried out on 26th March 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 Tennyson Road 10/11/08

26 Tennyson Road 09/02/06

26 Tennyson Road 10/05/05

26 Tennyson Road 09/12/04

26 Tennyson Road 13/07/04

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Thorndene

Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

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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 26 Tennyson Road Bognor Regis West Sussex PO21 2SB Lead Inspector Mrs Marie McCourt Unannounced Inspection 26 March 2007 10:30 th 26 Tennyson Road DS0000014298.V327551.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 Tennyson Road DS0000014298.V327551.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 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 26 Tennyson Road Address Bognor Regis West Sussex PO21 2SB 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) 01243 869882 None United Response Mr Thomas John Lyons Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th February 2006 Brief Description of the Service: 26 Tennyson Road is a care home registered to accommodate up to five service users with learning disabilities between the ages of 18 and 65 years. The registered providers are United Response, for which Mr Tim Jones is the Responsible Individual. Mr Thomas Lyons is the registered manager. The property is a detached house, with accommodation provided over two floors. Communal areas include a lounge, a dining room, newly fitted kitchen and garden area at the rear of the house. The home is located in the town of Bognor Regis close to the seafront and local shops and amenities, with easy access to local rail and bus stations. 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection was undertaken by one Inspector on Monday 26th March 2007 and lasted a total of five and a half hours. Pre-inspection planning took approximately three days, consisting of the review of previous inspection reports, information received from other relevant professional bodies and regulatory information received by the Commission for Social Care Inspection (CSCI). A full tour of the building took place and included the observation of health and safety matters, hygiene issues, decorative order and a general overview of the atmosphere created within the home. Three staff members and the deputy area manager were spoken to at the time of inspection. Case tracking was carried out by examination of relevant records and information held on the staff and residents. The Inspector also spoke with all five Service Users accommodated at the home. Policies and procedures were examined during the site visit. The Commission has received no complaints in respect of the service. What the service does well: The home can demonstrate that it carries out a full assessment of need, covering a wide range of subjects. A written care plan is then drawn up from the assessment process. Service users are encouraged and supported to take part in meaningful activities. All except one service user are completing a Gateway Award, which involves reaching a level of achievement in five different categories. This has lead to some of the service users developing a specific interest or hobby, such as photography, music, Tai Chi and so on. Service users can work through the award at their own pace, and feel a great level of achievement once completed. The home actively supports service users to take responsible and controlled risks, with individuals identifying goals that they then work to accomplish, such as travelling independently to the local area without a support worker. The management and staff team work hard to ensure service users are given opportunities to communicate effectively. The inspector noted that the home 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 6 has a good example of an activity board that uses picture symbols to assists service users map out their day. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 5. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a comprehensive assessment procedure in place. Individual, signed contracts, detailing services to be offered, must be drawn up between the home and the Service User. EVIDENCE: The home does have thorough policies and procedures to ensure service users are appropriately assessed prior to admission. The inspector looked at a sample of two assessments. One service user has been accommodated at United Response for about 23 years and therefore there was no initial assessment available. However, care assessments have been carried out since that time and from those, care plans have been put into place, covering; road safety, health, medication, contact with friends, cooking, money/finances and so on. 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 9 The assessment of need covers a wide range of subjects, including; G.P. details, health, levels of support required with daily living skills and so on. A written care plan is then drawn up from the assessment process. Contracts are called ‘Service user Charter’. Out of two sampled, only one was in place, but this had not been signed or dated by the manager or area manager as directed, although the service user had signed and dated it. Fees were not recorded, but otherwise it was a comprehensive document. 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users know that their assessed and changing needs are reflected in their individual plan. Service users are supported to take risks as part of an independent lifestyle and are encouraged by staff to make their own decisions. EVIDENCE: The home has clear assessment process for all new admissions. From this the Service User Charter and care plan is implemented. The plan is clear and detailed and covers all support needs. A silent key-worker system is in place, to ensure that service users do not become too dependent on individual staff members. The plan is reviewed using a 1 to 1 system where the key-worker sits down with the service user to look at any changes that may need to be made or to identify further issues and any progress. 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 11 The area manager said that care plan meetings take place annually with relatives, care managers and support staff in attendance. Minutes were seen for 2004 and January 2006 and these were very comprehensive in detail. It was noted that the service user is overdue a review meeting for this year. In addition to annual reviews, key-workers carry out 1 to 1 reviews throughout the year. It is aimed that these take place bi-monthly, but only two per year were visible on file. An index card system is used for assessing all support needs, for example; personal care (cleaning teeth, shaving, etc), room cleaning and so on, covering everything that the service user needs support with, to ensure consistency among the staff team. Currently none of the service users accommodated at the home have any specific needs. The area manager said that if this situation should change, then the home would ensure that appropriate services would be contacted and staff training provided. An advocacy service is currently working with a service user on a specific issue. In addition, a local ‘Buddy’ service has been extended to include a befriending scheme, and the home has applied for this on behalf of some of the service users. The area manager told the inspector that circles of support had been looked into, but it was not possible to implement due to lack of circle members. Risk assessments are in place and are reviewed annually, unless there is a change in circumstances. The risk assessments are identified and fully discussed prior to implementing and are written into a comprehensive format. Discussion with service users demonstrated that meaningful activities do take place and any associated risks identified are documented. 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 12 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): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users do take part in appropriate activities and are visible within the community. Service users’ personal and family relationships are supported by the staff team. Meals are varied, nutritional and balanced, and service users are actively encouraged to prepare their own meals. EVIDENCE: All except one service user are completing a Gateway Award. They have a portfolio folder that tracks their progress. There are five different categories for which they must provide evidence and this is then documented in the 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 13 portfolio. The categories are; hobbies, sport, community service, lifestyle and an adventure challenge. One person has completed the award, and if they so choose, they can go on to do the next level of award (bronze, silver and gold). One service user spoken with showed the inspector their portfolio, which contained pictures of his achievements to date. He talked about the various subjects he is covering and explained how he really enjoys doing the award. Service users can work through the award at their own pace, and feel a great level of achievement once completed. The inspector was of the opinion that the award scheme was an excellent example of a meaningful and educational tool for service users. The home is also looking to involve service users with a social enterprise initiative that will start in April. It involves pig rearing from start to finish, with the service users helping to rear and care for the animals throughout their lifecycle. Record of achievement books were looked at and contained certificates from college placements. Service users enjoy a wide range of meaningful activities such as; horse riding, gardening, music lessons, church visits, Tai Chi and so on. One service user showed the inspector some needle work that they are currently doing (tapestry and knitting), whilst another resident told the inspector that he does photography once a week. This was brought about by life history work undertaken by a social work student. Service users are very involved in the local community, partly due to the amount of activities they access. One service user has risk assessments in place to support him with travelling independently to the local area without a support worker. Service users have unrestricted access to the house and garden area, and hold keys to both the front door and their own rooms. If keys become lost, the home replaces the locks and there is no problem for them in doing this. The inspector noted that although two agency staff members were on duty, they were observed working well with service users. Both agency staff have worked at the home many times and were familiar to the service users. A service user said that they enjoyed the meals provided by the home, and that their favourite meal was potatoes and chicken. The inspector looked at the menu for the forthcoming week. It is drawn up weekly in advance. Service users choose the meals they would like from a card system (colour 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 14 recipe cards). Lunches are chosen on an individual basis with most service users making their own sandwiches and light snacks. 26 Tennyson Road DS0000014298.V327551.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): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users physical and emotional needs are met by the staff team, with the home accessing specialist care as and when required. Some minor discrepancies were found in the medication administration system, and the procedures should therefore be reviewed. EVIDENCE: Specialist care is sought from health professionals if and when required, and evidence of this was available on personal files. The home ensures that staff training supports the needs of service users. As previously highlighted the home uses a silent keyworking approach, and staff are aware of the principles of ‘person centred planning’. 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 16 Appointments for dental treatment, opticians and so on are written in to the house diary, service users’ own personal diaries and their medical file. All of the information is then transferred onto the day planner a week in advance. The inspector queried the use of so many recording systems for appointments, but was told that this is the only way the home ensures that they are not missed. In addition there is a personal diary system in place, with one diary per resident that travels between services to aid with communication. The inspector noted that the home has a good example of an activity board (called orientation board) that uses picture symbols to assists service users map out their day. The board covers a week period and is made up on a Sunday evening or Monday morning by staff. Medication is stored in individual rooms in locked cabinets that are fixed to the wall. Only one service user is prescribed tablets. On checking the MAR sheets the inspector found some gaps in signing that had not been picked up by the daily or weekly checking system. These were pointed out to the area manager at the time of inspection. 26 Tennyson Road DS0000014298.V327551.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): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home should review the way in which complaints and/or concerns are recorded. Thorough policies help ensure that service users are protected from abuse, neglect and self-harm. EVIDENCE: The inspector was told that there is a two-tier system in place, with an issues/concerns form for recording ‘niggle’ type complaints and the formal procedure, following the policy. The first system is not used, with staff saying that they have never used it. There was discussion between the inspector, area manager and staff about how and where to record complaints and concerns. The inspector had pointed out that during the course of the inspection two service users had voiced dissatisfaction with some issues, but no one had really taken any notice of these concerns and they were not recorded in any way. Staff said that at resident meetings the service users are asked whether they have any complaints. However, there was no evidence of this and even if the question is asked, there is no system for following up or detailing outcomes. 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 18 A copy of the West Sussex County Council AP procedures is available to staff. Staff spoken with confirmed that they had received AP training last year. They are recalled for mandatory courses from a computer database. The home’s own procedures, called Prevention of Harm, includes; POVA, No Secrets, Self Harm and Suicide matters are in place and available for inspection. 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, comfortable and safe environment. The home is clean and hygienic. EVIDENCE: The home is a detached property, located in a residential area of Bognor Regis. There is a small garden to the rear of the house and a side patio area, accessed through the lounge. The area manager told the inspector that the organisation is trying to find funding to turn the garage into a workshop for the service users. The idea being to help maintain their independence as long as possible as they start to age. Tour of the home found it to be clean, bright and homely throughout. The hallway, stairs, lounge and dining room have all been re-painted within the 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 20 last twelve months, with new carpet being laid in all communal areas. The kitchen has also been re-fitted with new cupboards, units, worktops, cooker, extractor fan and dishwasher. This was completed in February 2007 and thought was given to the client group using the kitchen, with lowered surfaces. The inspector looked at one service users bedroom and found it to be spacious and personalised to suit individual taste. Service users spoken with confirmed that they liked their environment. 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home only employs senior staff to support service users. Comprehensive recruitment policies and procedures are in place. EVIDENCE: On the day of inspection the registered manager was absent from the home. The inspection process was facilitated by the deputy area manager, however she did not have access to staff files. It was therefore not possible on this occasion to examine personal staff files. The inspector has requested that a staff training matrix be sent through to the Commission. Four senior support workers are employed full time because staff often work alone, all staff employed are at senior grade. Two staff have NVQ 3 or above and one is currently completing NVQ. 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 22 The rota demonstrates that two staff work on an early shift, one on a late shift (unless there are specific activities taking place, when an additional staff member will work) and there is one sleep-in duty to cover the night. Every weekend alternates between one worker on an early and two workers on an early so that service users can access various activities. The inspector was unable to evidence recruitment procedures. However, the home does have comprehensive policies and procedures in place. Staff spoken with said that they have attended equalities and diversity training recently, and in the last year have attended health and safety and food hygiene. As previously highlighted, the inspector was unable to access training records, although the deputy manager said that the company’s administration department uses a computer data base to ensure staff are on a rolling system for relevant training courses. The area manager said that supervision takes place every other month, but as previously stated, the inspector was unable to check this. Staff meetings are supposed to be held on a weekly basis, although the area manager said that monthly is more realistic. A lone working system is in place, although staff carry an alarm that is linked to senior managers and ultimately the police. 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Quality assurance systems are in place, although the inspector was of the opinion that the views of Service users could be sought more frequently, and the annual report made available to all interested parties. Health and safety matters are regularly reviewed and recorded. EVIDENCE: On the day of inspection Mr Lyons, the registered manager was absent from the home. 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 24 Resident meetings do take place regularly and the area manager believes that this covers service user quality assurance. In addition the inspector was told that quality checks look at risk assessments, health and safety issues, service users’ finances and so on. The information gathered is then written into an annual assessment that gives an overview of the home. Annual reports are published but only sent internally. Questionnaires for service users are handed out annually, but there is currently no system in place to seek the views of family, relatives or any other professionals. The area manager said that she is working on devising a more user friendly and meaningful questionnaire. Regular health and safety checks were seen for water temperatures, fire alarm/equipment and medication, are carried out weekly, and fridge/freezer temperatures which are carried out daily. The home has a contract with Mercury Fire Alarm Co. who last visited on 11/1/07. 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 x 27 x 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 x 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 4 x LIFESTYLES Standard No Score 11 4 12 4 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 2 x 3 3 x 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 26 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. 1. Refer to Standard YA5 Good Practice Recommendations The registered manager should develop and agree with each service user a written contract between the home and the service user. The contract should also be signed by both parties. MAR sheets should be accurate and the home needs to implement an effective monitoring system. A clear and effective complaints procedure should be used to record all concerns and complaints and encourage discussion and action on issues raised by service users. The home should consider a more frequent process for seeking the views of service users. The home should also look at obtaining feedback from relatives and other stakeholders. 2 3 4 YA20 YA22 YA39 26 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 27 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 Tennyson Road DS0000014298.V327551.R01.S.doc Version 5.2 Page 28 - 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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