Inspection on 06/12/05 for 46 Bath Road

This inspection was carried out on 6th December 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

46 Bath Road 09/11/07

46 Bath Road 26/05/06

46 Bath Road 28/06/05

46 Bath Road 07/01/05

46 Bath Road 18/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 46 Bath Road Longwell Green South Glos BS30 9DG Lead Inspector Grace Agu Announced Inspection 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 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 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 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. 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 46 Bath Road Address Longwell Green South Glos BS30 9DG 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) 0117 9601491 0117 9709301 Aspects and Milestones Trust Mrs Josie Bolt Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6) of places 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 6 persons aged 18 years and over. May include persons aged 65 years and over. 28th June 2005 Date of last inspection Brief Description of the Service: 46 Bath Road is an older style Bungalow that was renovated about 7 years ago prior to becoming a Care Home. Access is via a private lane to the rear of the property. The home is located in a residential area of the most southerly aspect of South Gloucestershire. It is a quarter of a mile to the local shopping area of Longwell Green, other local amenities and post office. It is 4 miles from the City Centre. The home has a large lounge area, a spacious kitchen and a large general communal area. There are 6 bedrooms and sufficient toilet, bathing and sluice facilities are provided The small garden at the front of the property is not used and is currently maintained with a shingle surface. There is a large elevated grass area at the rear of the property and car parking space between this and the house. The home is a part of Aspects and Milestones Trust, a registered Charity providing residential care for people with Learning Disability and Mental Health problems. The Home provides residential care for 6 adults with learning difficulties. The manager at the time of inspection was Josie Bolt. 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place over six hours and was undertaken to review the care practice to ensure that it is in line with the legislation and that best practice is followed at the home. It was also undertaken to review the requirements made at the last inspection to ensure that they have been met. As part of this inspection, three immediate requirements were made. One requirement was in relation to a radiator on the hallway, which was noted to be sticking out with a sharp end. It was disappointing to note that this requirement was made at the last inspection and had not been satisfactorily repaired. The other two requirements were in relation to unsigned handwritten medication records and organising fire drills for staff. A tour of the building was undertaken three residents and two staff members were spoken with. A number of records were reviewed. What the service does well: What has improved since the last inspection? What they could do better: At the last inspection a requirement was made in relation to the repair or replacement of a radiator in the hallway with sticking out edge, which is considered to be potentially dangerous and may cause injury to residents staff or visitors. This requirement was not satisfactorily met. Another requirement was made to ensure that this situation is rectified. The manager must ensure 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 Page 6 that requirements must be met within the time scale given to ensure adequate protection to all residents’ staff and visitors. Residents would receive adequate protection and would be better cared for in an emergency if staff received First aid training and undertake fire drills. To ensure that residents are protected from medication errors, all hand written medication records must be signed and dated. To enable staff members to provide appropriate care for the newly admitted resident, it would be better if care plans are prepared for the resident based on the assessed needs. Residents and staff would be able to summon help if call bells are provided in the two residents’ rooms. 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. 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 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 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 The home provides information to prospective residents and their representatives and ensures that the admission process provides safeguards to meet the assessed needs of the residents. EVIDENCE: The home’s statement of purpose and the service users’ guide reviewed at the last inspection contained required information to include the contact details of the Commission for Social Care Inspection. At the discussion with the manager, it was clear that the newly admitted resident visited the home on two occasions, one to receive information about the home and secondly to spend the day with the existing residents to ensure compatibility. The manager stated that the existing residents were informed before the new admission and that they gave consent. One resident interviewed confirmed that she was informed before the resident arrived. The manager also stated that the home would normally offer an overnight stay to the new resident however, it was not possible on this occasion because it was an emergency admission. The manager visited the resident at the previous home and spoke with the manager on several occasions to obtain information. The resident’s mum had visited twice since admission and has expressed satisfaction with the placement and the care that the resident is receiving. A statement of terms and conditions of stay is yet to be offered to the resident. 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10. Residents are supported to participate in making decisions at the home. Individualised care plans are followed and residents are confident that information about them will be kept confidential. EVIDENCE: The care file of the recently admitted resident contained care plans from the South Gloucestershire Social Services to enable the home to provide appropriate care for this resident based on assessed needs. The manager stated that the home has plans to develop a Person Centred Plan for this resident soon. However, she is confident that the comprehensive care plan provided by the Social Services would be valuable when the Person Centred Plan (PCP) is developed by the home. The Manager is to consult the occupational therapist and obtain information from her/him. The Occupational Therapist visited the resident on the day she moved into the home. It was agreed that the Person Centred Plan (PCP) must be developed to ensure that the resident’s needs are appropriately met. The resident when interviewed stated that she is happy at the home and that the staff are sensitive to her needs. Two staff members interviewed stated that the residents are receiving good care and that all of their needs are being met. 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 Page 10 All the care files reviewed contained appropriate information to include personal profile, care plans, daily reports and daily diaries written from the resident’s perspective. The care plans were regularly reviewed. One key worker spoken with described what she referred to as “Communication Passport”. This information, which was seen in the care file, contained the details of how staff can interpret the non-verbal communication of the resident and more importantly when the resident is unhappy or dissatisfied with any aspect of the service or her care. Residents interviewed confirmed that they are supported to exercise their choices in relation to what they eat and places they visit. On the day of inspection, residents were noted being supported to make choices of places to visit. Residents are encouraged to participate in running of the home through residents meetings. The last meeting was 05/08/05 and issues discussed include holidays and bedroom decorations. All the care files reviewed had individual risk assessments and were regularly reviewed. Staff interviewed are aware of the home’s confidentiality policy and what actions to take in the event of a breach. 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Residents are supported to engage in leisure activities and maintain links with the community, family and friends. Healthy diet is provided at their chosen times ensuring that their individual rights are respected. EVIDENCE: Evidence from the care files, staff interview and comments from the residents showed that the home supports and encourages the residents to participate in Leisure activities based on the individual assessments and capabilities. On the day of inspection, one resident visited the zoo with support from a previous staff member. Two residents visited Age Concern facilities for lunch; one resident visited Dovercourt Road Day Centre. Other activities noted at the home included bingo, cinema and shopping. One resident stated that she is looking forward to visiting the Mall for Christmas shopping. One support worker stated that she supported a resident in the summer to visit a Resort in Glamorgan for two nights and the resident enjoyed it very much. Residents are encouraged to maintain contact with families and friends. Evidence from the visitor’s book showed that residents are visited regularly. The manager stated that the recently admitted resident had been visited by her family on two occasions since admission. 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 Page 12 Residents were noted relaxed in their homely environment, some able residents were noted accessing some areas of the home without restrictions. Staff were noted interacting with residents in informal, however, sensitive and respectful manner. This is a demonstration of good practice and shows that the home includes the residents in the daily routines. The manager and staff interpreted some of the non-verbal expressions used by the residents during interviews to ensure that the residents participate in the inspection process. This is commendable. Residents are encouraged to participate in planning the menu. Residents were noted enjoying their lunch on the day of inspection. 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21. Residents receive preferred personal care as required, their emotional and physical needs are met, also respect is given to their wishes in the event of death. However the home’s medication practices do not offer adequate protection. EVIDENCE: As mentioned previously, two care files viewed contained individualised care plans detailing how the residents assessed needs are being met. The care files also provided staff with information on actions to be taken if they were exposed to challenging situations. One resident noted with challenging behaviour was treated with kindness and sensitivity. Staff used their professional skills and experience to attend to two residents with complex needs without undermining the residents’ independence. Staff were noted knocking at the doors and waiting for answer before entering to attend to residents in their individual bedrooms. One resident interviewed stated “staff cover me up well when I am going out and staff shut the door when I am in the toilet”. Medication administration was reviewed and it was noted that some practices remain unsatisfactory. Some hand written medication on Medication Administration Record Sheets (MARS) and the label on two medication boxes were not legible. The above practices put the residents at risk and an 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 Page 14 immediate requirement was made to correct the above practices. The home has a death and dying policy and staff demonstrate awareness of how to care for residents before and after death. 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The residents are enabled to complain with the confidence that their views will be listened to and acted upon. There are systems in place to protect residents from abuse. EVIDENCE: No recorded complaints were noted in the complaints book viewed. There was a complaints procedure in a picture format in the residents’ care files reviewed. One staff member interviewed gave a detailed description on how a particular resident expressed dissatisfaction with any staff member or services. The resident would swear or slap her lap to indicate ‘unhappiness’. The resident would also use her facial expression to indicate whether she is happy or not. There is a copy of the South Gloucestershire Policy and Procedure for the Protection of Vulnerable Adults noted at the home. There is also a Whistle Blowing Policy to enable staff to report any bad practices without the fear of reprisal. Staff have received training on the Protection of Vulnerable Adults and staff interviewed demonstrated awareness of how to report incidents of abuse. All staff working at the home have satisfactory Criminal Record Bureau disclosures to ensure that residents are adequately protected. All serious accidents and notifiable incidents are reported to the Commission using the Regulation 37 notification form. 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 The residents are provided with a clean, homely and comfortable environment, however the home fails to protect the residents through some practices. EVIDENCE: No changes had occurred in relation to the home’s suitability for its stated purpose. Residents were found sitting in the communal area and appeared relaxed in their homely environment. Two residents were noted accessing the communal area, kitchen and their individual rooms and interacting with staff in an informal way. However, it was disappointing to note that the requirement made at the last inspection in relation to the radiator with the protruding edge had not been satisfactorily repaired. The Manager contacted the maintenance department of Aspects and Millstones to attend urgently to repair the area identified to ensure that the residents are protected. The requirement remains. Furthermore the carpet in the lounge and one of the hallways was noted with stains and needs to be deep cleaned or replaced. The Manager stated that these are included in the refurbishment of the home scheduled for March 2006. This will be viewed at the next inspection. It was also noted that two residents’ bedrooms had no call bells. This was discussed with the manager and a 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 Page 17 requirement was made for call bells to be installed in the identified bedrooms to enable the residents and staff to summon help in an emergency. The Manager stated that she would ensure that call bells are installed in the identified bedrooms. The laundry area was found clean and tidy with good flooring and ventilation. Clinical waste is discreetly and professionally disposed of and staff are aware of infection control measures. Generally the home was found clean, warm tidy and free from unpleasant odours. 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36. Residents are supported by a competent and effective staff team and residents are protected through appropriate staff supervision. EVIDENCE: Evidence from staff records and discussion with the Manager and one staff member showed that staff have attended training on Protection of Vulnerable Adults from abuse and medication training from Boots the Chemist. One staff member has almost completed National Vocational Qualification (NVQ) at level 3 two staff members have completed NVQ level 3. The Manager stated that a senior support worker is undertaking one day a week ‘Empowering Practice Course’. The course is designed to enable staff to learn how to empower people with Learning Disabilities to live within the community. The staff member will commence NVQ 3 after the above course. Another staff member is undertaking a course designed by Aspects and Milestones for staff not keen in undertaking NVQs, however the course contains some relevant NVQ units. The above would enable the home to work towards achieving the required minimum ratio of 50 trained members of care staff (NVQ Level 2) by 2005. On the day of inspection, there were adequate numbers of staff to meet the complex needs of residents met at the home. 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 Page 19 Staff records viewed evidenced that staff are receiving supervision on a 6 weekly basis to ensure that all areas in relation to the roles and responsibilities are appropriately addressed to meet the needs of the residents. 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43. The home benefits from good leadership and management, however its practices do not fully protect the health and safety of the residents. EVIDENCE: Mrs Josie Bolt is a competent Manager and has been at the home for several years. Mrs Bolt has recently completed NVQ Level 4 in Care Management to enable her to support staff members in delivery of care to the residents. Staff spoken with made positive comments about the manager’s ability to manage the home with this service user group. Residents were unable to make comments about the Manager due to their level of understanding and communication difficulties, however it was obvious that there is a good warm relationship between the Manager, residents and staff through the interactions noted on the day of inspection. Quality assurance was reviewed; the manager stated that the home had not been able to develop questionnaires for residents, families and friends due to the death of one of the residents, recent new admission and staff recruitment problems. It was agreed 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 Page 21 that the home consult relatives, friends and other health professionals for a feedback about the services provided at the home. The home had a staff vacancy, which was frozen due to re-development. One prospective staff member was interviewed however was not recruited due to unsuitability. The home regularly reviews the residents Person Centred Plans to ensure that needs are being met, also the manager meets with Day Centre Workers to review the services provided at the Day Centre. Day Centre staff make daily entries in the individual residents book. Staff training is also reviewed to ensure that appropriate training is provided to meet the residents needs. The accident book was reviewed and it was noted that accidents are satisfactorily recorded and followed up and the risk assessments were reviewed after each accident to minimise incidences of falls. The fire logbook was reviewed and was well maintained, however staff have not attended fire drills. A requirement was made for this to happen regularly to enable staff to become familiar with measures to be taken in actual fire emergency. It was also noted that staff have not attended First Aid Training or updates. The Manager stated that the training department of Aspects and Milestones is aware of the importance of this training. A requirement was made for staff to undertake this statutory training to ensure that residents are protected in emergencies. The Manager stated that generic risk assessments of the home will be undertaken and she would ensure that individual risk assessments in relation to residents’ rooms would be undertaken and included in their files. Other measures in relation to resident’s health and safety to include fire alarm systems, smoke detectors, emergency lighting, hoist servicing and maintenance books were in date. The home has policies and procedures to include, staff training, health and safety and Manual Handling. Records in relation to residents’ pocket money was satisfactory. 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 2 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 46 Bath Road Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 3 DS0000003384.V266712.R01.S.doc Version 5.0 Page 23 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. 4. 5. 6. Standard YA6 YA42 YA24 YA42 YA 42 YA20 Regulation 15 23 13 13 13 13 Requirement Provide care plan for newly admitted resident. Ensure that all staff working at the home receives fire training. Ensure that the radiator in the hallway is satisfactorily repaired or replaced Ensure that staff receive training in First Aid Provide call bells in two identified residents’ rooms All hand written medication must be signed and dated and all labels on medication boxes must correspond with the MARS. Timescale for action 07/12/05 06/01/06 13/12/05 13/12/05 13/12/05 07/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 46 Bath Road DS0000003384.V266712.R01.S.doc Version 5.0 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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