Inspection on 29/05/07 for 29-29a Shrewsbury Road

This inspection was carried out on 29th May 2007.

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

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

Other inspections for this house

29-29a Shrewsbury Road 09/12/05

29-29a Shrewsbury Road 28/04/05

29-29a Shrewsbury Road 18/08/04

29-29a Shrewsbury Road 11/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Shrewsbury Road (29/29a) 29/29a Shrewsbury Road Redhill Surrey RH1 6BH Lead Inspector Pauline Long Unannounced Inspection 29th May 2007 09:00 Shrewsbury Road (29/29a) DS0000013480.V335330.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 Shrewsbury Road (29/29a) DS0000013480.V335330.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. Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shrewsbury Road (29/29a) Address 29/29a Shrewsbury Road Redhill Surrey RH1 6BH 01737 778572 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) Prospect Housing and Support Services Mr Jack Bacciarelli Care Home 16 Category(ies) of Learning disability (16), Learning disability over registration, with number 65 years of age (12) of places Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. All Service Users shall be aged over 40 years A maximum of 12 Service Users may be aged over 65 years Date of last inspection 9th December 2005 Brief Description of the Service: 29/29a Shrewsbury Road is situated in a quiet residential area close to local amenities in Redhill. The service, which is operated by Prospect Housing Association, provides care and accommodation for up to 16 people with a learning disability. The home aims to provide a safe and homely environment that enables service users to develop to their maximum potential, and where they are treated with dignity and respect. Service users are very much an integral part of the home’s operation. The majority of service users are aged over 65 and all are male. Accommodation is arranged in two self-contained units, one at ground floor level and the other at first floor level. A stairlift is provided to assist access to the first floor unit. Each unit has a separate entrance and can accommodate up to eight residents. Each unit also has its own lounge and dining room, as well as kitchen and laundry facilities. The two units share a large garden at the rear, and off-street parking is available at the front and side of the property. The fees at the home are £981.45 per week. Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 09.00 and was in the service for 4.5 hours. It was a thorough look at how well the service is doing and took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the service and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. Communication with some of the service users was limited due to their communication difficulties. However, their apperance and body language evidenced a sense of wellbeing. The inspector looked at how well the service was meeting the standards set by the government and has, in this report, made judgements about the standard of the service. The CSCI would like to thank the residents, the managers and staff for their hospitality, assistance and co-operation during the site visit. What the service does well: The service users and staff benefit from a person-centred management approach to the running of the home and service users are included in all aspects of the running of the home. The staff team has worked with the service users for some time and this was reflected in the level of knowledge and understanding of the needs and preferences of the service users and from the positive interactions and relationships observed. Care plans are person-centred and comprehensive, providing the reader with a good insight into the service users’ needs and goals. The home promotes and encourages contact with family/friends and the local community. Service users commented that this was “their home” and on the day of the inspection the home reflected a family atmosphere. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural backgrounds. Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 6 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. Shrewsbury Road (29/29a) DS0000013480.V335330.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 Shrewsbury Road (29/29a) DS0000013480.V335330.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. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective service users would only be admitted to the home following a comprehensive assessment of their needs. EVIDENCE: All of the service users have been residing at the home for some years and there was no evidence on file of their care needs assessments, as these had been carried out by the previous care provider. No new service users have been admitted to the home since the previous inspection, therefore it was difficult to assess the quality of the care needs’ assessments carried out by the home. Three service users’ files were sampled and evidenced that a community care management care needs assessments had been obtained. All were found to be comprehensive and provided the reader a good overview of the service users’ needs and included assessments in respect of all daily living activities and diversity issues, for example preferences in respect of their names, health and social care needs, spiritual needs and their likes and dislikes around activities. Due to their communication difficulties service users were unable to confirm that they were involved in this process. Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 9 Discussions were held with the senior manager in respect of the home undertaking and documenting their own care needs assessment for any future prospective service users. She stated that any admission to the home would only be carried out following a full assessment of the service user’s needs and with the involvement of significant others. She produced a copy of the care needs assessment that has been developed by the organisation. This was comprehensive and included an assessment of all activities of daily living and, if completed properly, would provide the reader with a holistic view of a service user’s needs. Shrewsbury Road (29/29a) DS0000013480.V335330.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, 9. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Care plans are in place and clearly identify service users’ needs and choices. Service users are encouraged to make decisions and to take responsible risks. EVIDENCE: Care plans were sampled and were found to be comprehensive and well written, although two different formats were being used. This was discussed at the time with the senior staff. The care plans gave clear instructions and guidelines to the reader in respect of a service user’s care needs and choices. All care plans had been regularly reviewed. The staff on duty had a good understanding of the service user’s personal care needs and choices. This was evidenced from the positive interactions and relationships observed. Staff were observed supporting some of the service users in respect of decision making and choices. Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 11 Risk assessments around all daily living activities were clearly documented and guidelines were in place to minimise the identified risks. All had been reviewed, but there were some gaps in staff signatures and this was discussed with the staff at the time. Shrewsbury Road (29/29a) DS0000013480.V335330.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, 17. People who use the service experience excellent quality outcomes in this area. The residents are encouraged and enabled to maintain fulfilling lifestyles in and outside the home and have regular contact with family, friends and the local community. Mealtimes were observed as being a positive and pleasant experience for the service users. EVIDENCE: It was noted that some of the service users attend adult education classes, and one works part time as evidenced in the service users’ care plans. On the day of the site visit no adult education classes were on due to the half-term holiday. The staff stated that service users spend a lot of time outside the home at various activities, for example shopping, going to the cinema, going to the local pubs and restaurants. The home has its own transport in order to take the service users out and about. A holiday to one of the Spanish islands in June has been arranged for two of the service users. The inspector spoke with these service users and they very keen to discuss their holiday and the things they would be doing whilst away. One commented that he hoped he Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 13 would not get “sun burned”. A member of staff reassured him that he has sun screen in his bag to protect him. A further holiday for later in the year has been arranged for other service users. Day trips to the coast have been arranged for those frailer service users who would not benefit from a prolonged journey. The staff commented that the home is committed to ensuring that the service users maintain their relationships with their family and friends and that families visit regularly. Service users also go to their parents’ homes for weekend stays. Those service users who wish to practice their faith are encouraged to do so, as evidenced in their care plans and activities schedules. Service users are encouraged to accompany the staff on the food shopping trips in order that they can choose what they wish to eat. A large part of the discussions at the service users’ meetings are around meals and mealtimes, as was evidenced in the minutes of the last meeting. Discussions were had with the staff in this respect, and staff commented that they knew the residents’ likes and dislikes around food and that the service users are encouraged to help prepare some of the meals. Some of the service users required support and encouragement with eating their meal, and this support was offered in a sensitive and dignified manner. It was noted that the service users were encouraged to help set the tables for lunch and to clear away their dishes when lunch was finished. One service user was observed helping to wash the dishes following the meal. He commented that he helps all the time and enjoys doing the washing up. Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 14 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, 20. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The staff have a good understanding of the residents’ physical, emotional and health support needs. This was evident from the positive interactions and relationships observed. The people who use the service are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: The routines in the home were determined only by the timings of the visits to and from healthcare appointments, the shops or other activities. Service users commented that, “We can get up and go to bed when we like”. Staff were observed providing various aspects of personal care support for the service users. This support was offered in a manner that promoted the service users’ dignity and privacy. Doors were not left open whilst attending to personal care, and issues around personal care were discussed discretely with service users. It was noted that one of the bathrooms had a linen basket filled with continence aids. This did nothing to promote service users’ dignity and was discussed with the staff at the time. Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 15 Care plans included clear guidelines on any support each service user required with personal, emotional and health care needs. Records evidenced visits to the doctor and various health related appointments. Four of the service users had health care appointments on the day of the visit. Medication procedures and storage were sampled. None of the service users are responsible for their own medication. However, the staff commented that service users who are able are encouraged to apply their own creams and ointments. The storage of medication was good and records were well kept, with no gaps in signatures noted. The staff discussed the medication training they had and this was evidenced in the home’s training records. The senior manager stated that staff would only be permitted to administer medication following an in-depth training course and being assessed as competent. A recommendation was made in respect of these areas. Please refer to page 25 of this report. Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The people who use the service are protected by the policies and procedures in place for dealing with concerns, complaints and protection of the of the service users. EVIDENCE: No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. The staff stated that no complaints had been received at the home since the last inspection. The staff commented that if the service users were unhappy with anything at the home, they would communicate this directly to the staff. Service users spoken with commented that they were happy with things at the home. One referral has been made under the local authority multi-agency safeguarding adults procedures. Meetings have been held in this respect and the issue has been resolved. All of the staff at the home have undertaken training in respect of safeguarding adults as evidenced in the home’s training records. Discussions were had with the staff on duty and scenarios put to them in respect of the home’s safeguarding adults procedures. All of the staff demonstrated a good understanding of the procedures. Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is good and meets the needs of the service users EVIDENCE: A full tour of the home was undertaken. Several areas of improvement were noted, some of which provide for the changing needs, ages and abilities of the service users. New furniture has been bought for all of the communal rooms and includes new armchairs and sofas, dining room tables and chairs. The communal carpets have been replaced on the first floor, with new carpets on order for the ground floor, all of which provide the service users with a more pleasant place to live. New assisted bathing facilities have been installed in the bathrooms, and the shower rooms have been updated to include wetroom facilities. Tthis will enable those frailer service users to enjoy a bath or shower in a more comfortable and safe environment. Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 18 Some improvements have been made in the garden area, for example a new stone pathway has been laid, which makes it easier for the service users to walk in the garden. Several areas of the garden now benefit from new plants and shrubs, providing the service users with a pleasant place to spend time. The home is clean and hygienic with good infection control measures in place. Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 19 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, 34, 35, 36. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. EVIDENCE: Staff files sampled and direct observations evidenced that the home employs a diverse staff group. On the day of inspection the staffing levels were adequate for the dependency levels of the service users. There were six care staff on duty including the deputy manager. Staff commented that on occasion the home could be short staffed and that agency staff have to be used. This was reflected in the staffing rotas. Discussions were held with a senior manager from the organisation who stated that ongoing staff recruitment was a challenge to the service, but that they were proactive in their approach to this issue, with ongoing advertisements in the local job centres and newspapers. Service users commented that the staff were “good”. Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 20 Records in respect of staff recruitment are not kept at the home. A senior manager brought them to the home on the day of the site visit. Three staff files were sampled and all had the required documentation in place, with evidence of CRB (Criminal Records Bureau) or POVA (Protection of Vulnerable Adults) checks in place. Work based observations evidenced competent and confident staff carrying out their various tasks. Discussions were had with staff who talked about their job roles and responsibilities. Staff discussed some of the training they had undertaken. Training records demonstrated that various training courses had been undertaken, for example manual handling, food hygiene, fire training, medication, safeguarding adults training and training in equality and diversity. The home is proactive in promoting NVQ (National VocationalQualifications) and have staff who have achieved an NVQ qualification and several who are in the process of obtaining a qualification. An effective programme of formal staff supervision is in place as evidenced in supervision records and in discussions with staff. Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is run by an experienced and competent manager, and service users and staff benefit from his management approach. The health, safety and welfare of the service users is promoted and protected. Improvements could be made in respect of the service user daily records. EVIDENCE: The manager has worked in the service for some time, is experienced, competent and has recently achieved the Registered Manager Award. He was not present during the site visit. Discussions held with the service users and staff indicated that the manager had a “hands on” and open approach to the management of the service. Service users commented that “Jack was good” and that he had stayed with them last night. Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 22 The home’s quality assurance process was discussed. There was evidence to indicate that quality audits were being carried out. The organisation is in the process of implementing a Quality Assessment Framework and some work has recently been undertaken in this respect. The views of service users, staff and other stakeholders have recently been sought via a service user questionnaire. The results have been analysed and recommendations made in respect of the findings. The home holds regular meetings where service users are encouraged and enabled to express their views. The most recent meeting was held in May 2007 as evidenced in the minutes of the meeting. Staff meetings are held every month, the most recent being on 19th April 2007. On the whole record keeping was of good quality. It was noted that daily records were not routinely kept in respect of each service user. This was discussed with the senior manager at the time, who commented that this area would be addressed. Health and safety checks are routinely carried out at the home. Records evidenced that water temperatures, fire drills, fire bells and kitchen records in respect of fridge, freezer and food temperatures were well kept. Accidents and incidents are appropriately recorded and reported. A recommendation has been made in respect of these areas. Please refer to page 25 of this report. Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 4 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 X LIFESTYLES Standard No Score 11 3 12 4 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 4 4 X 3 3 X Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 YA18 Good Practice Recommendations The service should consider how best to further promote a service user’s dignity in respect of the storage of continence aids. The service should consider recording information on a daily basis in respect of each service user in order to provide a holistic view of a service user’s day. 2. YA41 Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Shrewsbury Road (29/29a) DS0000013480.V335330.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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