Inspection on 23/04/07 for 32 Beaufort Avenue

This inspection was carried out on 23rd April 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

32 Beaufort Avenue 08/12/05

32 Beaufort Avenue 09/12/04

32 Beaufort Avenue 15/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 32 Beaufort Avenue Bispham Blackpool Lancashire FY2 9HG Lead Inspector Christopher Bond Unannounced Inspection 24th April 2007 09.30 32 Beaufort Avenue DS0000009884.V334540.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 32 Beaufort Avenue DS0000009884.V334540.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. 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 32 Beaufort Avenue Address Bispham Blackpool Lancashire FY2 9HG 01253 595592 01253 595592 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) Northern Life Care Limited T/A U.B.U. Mr Dean Morris Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 4 service users in the category of LD (Learning Disability). 8th December 2005 Date of last inspection Brief Description of the Service: 32 Beaufort Avenue is one of four small care homes in the Blackpool area that is owned by UBU (formerly Northern Life care). It is a large detached dorma bungalow situated in Bispham and is close to all the local shops, banks, public transport systems and other amenities. It is registered with the Commission for Social Care Inspection (CSCI) to provide care to four adults who have a learning disability. Everyone who lives within the home has a single bedroom. There are two bedrooms on the ground floor and two on the first floor. The home has one lounge, a dining room and a kitchen. There is a large rear garden where the residents can sit out in good weather. Information relating to the home’s Service User Guide and Statement of Purpose is included in the welcome pack, which would be given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, (24/04/07) the information given to the Commission showed that the fees for care at the home are £1,063.56 per week, with added expenses for holidays and chiropody. 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and included a site visit to the service which took place over a period of 4.5 hours. The residents support plans, staff files and safety certificates were all looked at during the inspection. The manger and two support workers were spoken to during the inspection. Two service users were spoken to during the inspection. A tour of the home was undertaken. What the service does well: This is a service where people are supported well. There are plenty of support staff at important times and people usually receive one-to- one support during the day. This meant that the service users could be supported to do things that they enjoy. There is a strong emphasis on care planning and everyone’s individual plan is ‘person centred’, meaning that the plan was written with the service users needs in mind and from their perspective. The plans describe each person in a positive way (for example what people like and admire about them, and their skills and abilities). There is also information about how the person wants to stay healthy, safe and well and what support they needed to attain this. All of the people who live at Beaufort Avenue have lots of information written down about them. This information includes a detailed description of their current needs and abilities. This information is called ‘getting to know you’. This is important because it enables all of the support workers to be aware of the residents’ specific requirements, and how to support them properly and professionally. There is a good training programme for the support workers. This means that they have the necessary skills to do their jobs more successfully. The manager is well qualified to run the home and has excellent values that are passed on to the staff team. The service users have community- based activities during the day. They are valued members of the local community. 32 Beaufort Avenue DS0000009884.V334540.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. 32 Beaufort Avenue DS0000009884.V334540.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 32 Beaufort Avenue DS0000009884.V334540.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): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A detailed needs assessment helps the support workers to provide a good service which is tailored to the residents specific needs. EVIDENCE: All of the people who lived at Beaufort Avenue had lots of information written down about them. This information included a detailed description of their current needs and abilities. This information was called ‘getting to know you’. This is important because it enables all of the support workers to be aware of the residents’ specific requirements, and how to support them properly and professionally. This ‘assessment’ of need forms part of the persons’ individual plan and is also held within the caring organisations own computer system. The assessment is updated whenever new skills are learned or when personal goals are achieved. Changes in personal circumstances or health issues are also recorded and added to the assessment. 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 9 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): Standards 6, 7, and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are encouraged to maintain a positive and inclusive lifestyle through good ‘person centred’ planning and a thorough review process. EVIDENCE: Each of the residents had a Person Centred Plan that contained important information on how people wanted to to live. The plans described each person in a positive way (for example what people liked and admired about them, and their skills and abilities). There was also information about how the person wants to stay healthy, safe and well and what support they needed to attain this. Each plan also held long and short-term goals that were set down to help people reach achievable targets that were important to them. For example, one of the service users had decided that they would like to move out of the house to accommodation that was more individual and suited to their needs. Goals had been set (with the persons’ knowledge and agreement) to help them to achieve this goal. These goals were reviewed by the support workers every month and also discussed at length every three months at meetings arranged 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 10 by the service user. Every year the service user had a ‘service evaluation’ meeting that reviewed how the year had gone and what progress had been made. It was good to see that the manager asked the service users permission when a person centred plan was being looked at. Each person was encouraged to ‘own’ his or her own plan. Care was also taken to ensure that the person understood as much as possible about what was being written in the plan. Photographs, illustration and Dictaphone tapes were used. One person also had information on DVD. The plans were used as day-to-day tools by the support workers to ensure that people’s lives were positive, inclusive and fulfilling. It was clear that the service users were being encouraged to take part in all aspects of running the home. The support workers confirmed that the service users were helped to shop for food etc, prepare meals, clear up after meals, clean their rooms and help clean the house. Risk assessments had been completed to help ensure that people were safe whilst undertaking these tasks. A measured amount of risk is good as it helps to ensure that people develop and fulfil an active lifestyle. It is important that the people living in the house take part in such activities because this helps build confidence and maintain important self-help skills. 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 11 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): Standards 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. The service users lead full and active lives due to good support and effective planning and assessment. EVIDENCE: All of the service users who lived at Beaufort Avenue enjoyed an active lifestyle. Two of the service users were out of the house enjoying activities during this inspection. Other activities included gardening, swimming, dog walking, cookery, walking and rambling, college courses and employment. One of the service users had a regular newspaper delivery round; another went to a local education class learning how to make greetings cards. Information regarding activities was clearly written in each person’s plan. It is important that people who may have a learning disability are enabled to use the resources and facilities that are available to all within the community. There was lots of evidence to show that the service users who lived at Beaufort 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 12 Avenue enjoyed lots of appropriate community based activities and were part of the local community. It was recognised by the managers and support workers within this service that some of the service users would not choose to live with each other should they be given the option. It had been decided that, with the agreement and control of the service users, that there should be a rethink and alternative and more appropriate accommodation should be sought. Evidence of this was found within the individual plans and goals had been set to help this to happen. The manager of the home confirmed that family and friends often visited the home and, wherever possible, were involved in helping to make decisions about peoples lives within the home. There were no visitors to the home during the inspection. The people who lived at Beaufort Avenue were enabled to shop for their own food. One of the service users was able to go to the local supermarket and take full advantage of the services offered. Customer services helped the person to shop. Advice was offered by the manager and support workers about the right things to eat to ensure a healthy diet. A nutritionist had been asked to provide appropriate diets. Each person helped to prepare and cook his or her own meals. Another person was able to visit a local café and the barbers on his own. Much work had been done by the manager and support workers to ensure that this was done safely and risks were kept to a minimum. It was clear that all of the service users had been enabled to develop new skills and improve their selfconfidence. This was done through good planning and affective risk assessment. There were photographs of recent holidays in one service users’ room. The manager confirmed that people are involved in choosing the venue for their holidays. 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 13 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): Standards 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. Personal and health care issues were dealt with properly and professionally in a way that the service users preferred. EVIDENCE: There was lots of evidence within the home to show that individual health matters were being dealt with appropriately and properly. There were sections in each person’s individual plan to record health issues and visits to healthcare professionals. One of the service users was visiting the doctor on the day of the inspection. Information was also kept on the house computer and people were always informed about what information was being recorded. Some of the service users needed assistance regarding personal care. One person had a ceiling hoist fitted in their room to help with mobility. There were other aids around the house to help with mobility issues. Staff had received training to make sure that they moved people safely and respectfully. Nobody who lived at the home was able to control his or her own medication. There were systems within place at the home to ensure that medication was dealt with correctly. Medication records were seen and were found to be 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 14 properly maintained. Care staff was unable to handle medication until they were 21 and appropriate training had been provided for those who handled medication. It was clear that throughout the inspection the service users were being spoken to politely and respectfully. Each person had one-to-one support throughout the day. One of the service users was at home during the inspection and the support workers were observed dealing with the persons day -to -day needs properly and professionally. There was also a strong commitment towards ensuring that the person was in agreement with issues of care. Time was taken to ensure that the person agreed with what was happening and was fully aware of what the support workers were doing. There were difficulties in communication but the support workers had a good knowledge of what body language and gestures the service user was using. There was evidence within the information written down at the home that showed that all of the support workers had access to the persons preferred communication methods. One relative returned a care survey sent by the Commission for Social Care Inspection. This person commented, ” I am very happy with the standard of care, the carers are very good.” 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 15 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): Standards 21 and 22 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Good policies and procedures within the service helped to ensure that people were listened to and protected from harm. EVIDENCE: There was a good complaints procedure in the house. The inspector saw this. People were enabled to voice their concerns. One person who had communication difficulties had a chart that they could point to help them express their feelings if they thought that things were not right. During monthly review meetings the service users were encouraged to speak out and express their feelings. The support workers had received training in safeguarding people. Two of the support workers were spoken to and both demonstrated that they had a good knowledge of protection issues and what they should do if they were worried about how people were being treated. There was a strong emphasis on the Mental Capacity Act and what people’s rights were if they were unable to speak up for themselves. The manager was aware of his role if he felt that things weren’t right within the home. This is important because it helps to make sure that vulnerable adults are safeguarded properly from harm. 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 16 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): Standards 24, 25, 26, 28 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users live in a homely environment, although soiled furniture and carpets compromise this. EVIDENCE: The service users lived in a large dormer bungalow in a residential area of Bispham, in Blackpool. The house was homely and safe. There was a large back garden and one of the service users had a greenhouse where he could grow plants for the garden. As previously mentioned, there were plans for people to move on from the home and acquire more appropriate living accommodation, with people that they have chosen to live with. Because of this some basic decorating and renewal of furniture and carpets had not happened. This meant that, although the house was homely, it was ‘scruffy’ in places. Carpets were soiled and wheelchairs had scarred the walls. 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 17 The kitchen area was quite small, which meant that those who had mobility issues would find it difficult to move about when preparing meals. This was an issue that had been taken into consideration when it was decided that people should move on. The inspector was able to look in one room with the owner’s permission. There were lots of personal possessions such as books, CD’s, videos, and ornaments, which helped the service user to ensure that this was ‘ their space’. There was a large lounge where people could relax and watch television and a dining area at the rear of the house overlooking the garden. 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 18 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): Standards 31, 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well -trained and competent staff team supports Service users. People are protected by good recruitment procedures. EVIDENCE: There were several support workers on duty on the day of the inspection. Everyone had one-to-one support. This helped to ensure that the assessed needs of each of the people who lived at the home were appropriately dealt with and that they were looked after properly. The staffing rota was looked at and the staffing levels were consistently good. Every staff member had a nationally recognised qualification in caring for adults who have a learning disability (the Learning Disability Award Framework). Over half of the care staff had a recognised award in care (National Vocational Qualification level 2 or 3). There was a training programme to ensure that each of the staff had instruction in care and safety issues. This meant that they were able to do their jobs properly and professionally. 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 19 Two of the support team were spoken to at length. Both were able to confirm that they had received training and that they had the ability to do their jobs competently. It was clear that teamwork was a strong factor in the house and the service users benefited from clear roles and responsibilities. Proper checks were carried out prior to people being employed to ensure that the service users were protected from unsuitable staff. The staff files were looked at and were found to be in order, apart from some of them not having a photograph of the support worker and proof of address. This information is required by law to protect the service users. The support workers received plenty of individual support from the manager. Both people who were spoken to said that they received regular support and records were available to confirm this. Good support means that the staff can do their jobs more effectively and that their individual needs are addressed properly. 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 20 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): Standards 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Strong values and management approach means that this is a good home, which is run in the best interests of the service users. EVIDENCE: The manager of the home had been in charge for approximately six months. He had successfully completed a recognised qualification in management and had completed a nationally recognised qualification in care (National Vocational Qualification level 4). This meant that he had had the necessary training to help him do his job properly. It was clear that he had very good values with regards to the care and support of adults who have a learning disability. It was also clear that he had ensured that the staff team had similar values and that the home was being run in the service users’ best interests. 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 21 There were certificates to show that competent people had checked the fire alarm, gas systems, electrical installations and lifting equipment. There were also yearly checks to the fire safety equipment and water supply. Recent work had been completed, on the advice of the fire service, to ensure that all escape routes were wide enough and accessible to service users. This helped to ensure that the service users lived in a safe environment. During the inspection the caring organisation were conducting a themed audit on the home to ensure that quality issues were being addressed. The person centred plans of each person held evidence that peoples’ rights and views underpinned the philosophy of their home. 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 22 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 2 25 3 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 4 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA42 Regulation 14 (1) (a) Requirement Worn and soiled carpets and furniture should be replaced, or cleaned. Timescale for action 30/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 3 Refer to Standard YA24 YA34 YA34 Good Practice Recommendations The kitchen should be refurbished to ensure it is accessible for the service user who uses a wheelchair. Staffing files should contain a photograph of the staff member. Staffing files should contain proof of address of staff members. 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 32 Beaufort Avenue DS0000009884.V334540.R01.S.doc Version 5.2 Page 25 - 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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