Inspection on 10/05/07 for 46 Lincoln Road

This inspection was carried out on 10th 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 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

46 Lincoln Road 03/01/06

46 Lincoln Road 29/07/05

46 Lincoln Road 14/10/04

46 Lincoln Road 11/05/04

46 Lincoln Road 19/03/04

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 46 Lincoln Road 46 Lincoln Road Blackpool Lancashire FY1 4HB Lead Inspector Christopher Bond Unannounced Inspection 10th May 2007 10:00 10/05/07 09:00 46 Lincoln Road DS0000009883.V334547.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 46 Lincoln Road DS0000009883.V334547.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. 46 Lincoln Road DS0000009883.V334547.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 46 Lincoln Road Address 46 Lincoln Road Blackpool Lancashire FY1 4HB 01253 292081 01253 292081 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 Carl Thomas Mullen Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 46 Lincoln Road DS0000009883.V334547.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) 3rd January 2006 Date of last inspection Brief Description of the Service: This home is one of four small homes that are owned by Northern Life Care Limited T/A UBU in the Blackpool area. It is registered with the CSCI (Commission for Social Care Inspection) to accommodate four adults who have a learning disability. Lincoln Rd is a large detached property situated on a corner plot in a residential area of Blackpool. It is situated over two floors with one bedroom located on the ground floor with en-suite, and three bedrooms on the first floor. There is a large lounge, separate dining room and a large kitchen. Residents have the use of a bathroom on the first floor. There are numerous shops and amenities within walking distance of the home and the town centre is not far away. There are bus routes that stop close by. Stanley Park and Blackpool Sports Centre are also within walking distance of the home. 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, (10/05/07) the information given to the Commission showed that the fees for care at the home are £1,158.18 per week, with added expenses for holidays and chiropody. 46 Lincoln Road DS0000009883.V334547.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 3.0 hours. The residents support plans, staff files and safety certificates were all looked at during the inspection. The manger and three support workers were spoken to during the inspection. One service user was spoken to during the inspection. A tour of the home was undertaken. What the service does well: This was a good service with good staffing ratios. People we’re supported well and had help at important times of the day to help them to do things that they enjoyed. 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. 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. One of the service users who lived at Lincoln Road had been diagnosed with a serious illness and every effort was being made to ensure that this person remained in their own home, rather than be taken into hospital or go to another home. Support services were being utilised well to maximise the person’s time at home. The service users have community- based activities during the day. They are valued members of the local community. 46 Lincoln Road DS0000009883.V334547.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. 46 Lincoln Road DS0000009883.V334547.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 46 Lincoln Road DS0000009883.V334547.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): Standards 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users’ needs are thoroughly assessed and the information readily available to support workers to ensure that everyone receives the service that they require. EVIDENCE: There had not been an admittance to this home for some years. The manager was aware of the procedure to follow regarding ensuring that the right person was selected to fill a vacancy, should this be required. It was clear that care would be taken to ensure that any new resident at the house would be compatible with the other people who live there. Introductory visits would be essential and overnight stays would then be introduced. The manager was able to explain the process that would be used. A booklet entitled ‘Welcome to UBU’ had been given to all of the current residents. This explained what service would be available if someone chose to live there. All of the people who lived at Lincoln Road 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’ and was held on the caring organisations computer system. Further information was held within files at the home. This is important because it enables all of the 46 Lincoln Road DS0000009883.V334547.R01.S.doc Version 5.2 Page 9 support workers to be aware of the residents’ specific requirements, and how to support people properly and professionally. 46 Lincoln Road DS0000009883.V334547.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): Standards 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good ‘person centred’ planning and regular reviews ensure that people are developing positive outcomes and active lifestyles. EVIDENCE: Everyone who lived at Lincoln Road had a plan of care that held important information about their lives, health needs and their skills and abilities. Each plan held photographs and illustrations of what peoples likes and dislikes were, and what their activities were during the day. Two of the plans held good information about preferred communication methods. Support workers reviewed the plans monthly and everyone had a yearly meeting where their goals and aspirations were reviewed and assessed. It was good to see that the support workers asked the permission of the service users before they looked at the plans. Each plan was in a different format that was suited to the service users interests and abilities. 46 Lincoln Road DS0000009883.V334547.R01.S.doc Version 5.2 Page 11 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. 46 Lincoln Road DS0000009883.V334547.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): Standards 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Regular and appropriate activities gave the service users varied and focussed lives. Contact with family and friends were openly encouraged to maintain valued and positive relationships. EVIDENCE: All of the service users had very individual needs. There were enough support workers around on the day of the inspection to ensure that people had enough individual support. One of the service users had a job and attended a drama group. Other activities included going to the sports centre, swimming, going to the cinema, trips to the theatre, cookery, walking and rambling etc. One person attended a day service specifically for those who had autism. The 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 46 Lincoln Road DS0000009883.V334547.R01.S.doc Version 5.2 Page 13 evidence to show that the service users who lived at the home-enjoyed lots of appropriate community based activities and were part of the local community. There were also home-based activities, and one service user was being supported to make greetings cards during the inspection. The manager and support staff confirmed that the service users helped with the food shopping for the home on a weekly basis. One of the service users showed the inspector a food chart that had been designed for him to point to his favourite foods. This also helped him to choose foods that were healthier. The service users also helped to plan and prepare meals. The support workers asked everybody if the inspector could see their rooms. Mail was not opened without the service users permission. There was a strong emphasis on maintaining the service users individual rights. The manager confirmed that family and friends visited the service users regularly. Families, wherever possible, were involved in helping to make decisions about peoples lives within the home. Friends and family were actively encouraged to visit the home and to be involved. One person was assisted to visit their mother, who lived close by. There were no visitors to the home during the inspection. 46 Lincoln Road DS0000009883.V334547.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): 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. Specialist health support was being utilised to ensure that all of the service users were receiving the service that they needed. Health matters were taken seriously and medication handled safely and correctly. EVIDENCE: There was lots of information within the home regarding the health of the service users. Specific health matters were described in the individual plans. There were records of visits to the GP and other healthcare professionals. When health professionals visited the home this was clearly recorded. This is important because it helps to maintain continuity and ensure that everyone is working in the same way. One of the service users who lived at Lincoln Road had been diagnosed with a serious illness and every effort was being made to ensure that this person remained in their own home, rather than be taken into hospital or go to another home. Specialist nursing support was taking place during the inspection. The nurse spoke to the inspector and she said that the person was receiving good support. The manager described the support that the home had received and what contact had been made with the person’s family. There may 46 Lincoln Road DS0000009883.V334547.R01.S.doc Version 5.2 Page 15 be a time when this person can no longer be cared for in a domestic environment. The manager was aware of this and understood that there may be a time when the support users no longer have the correct skills to ensure that the person was being cared for properly. It is also important to recognise when the needs of the other residents are being compromised through increasing levels of personal care being required to ensure that the person is comfortable. Support workers had received training regarding administering oxygen in a risk controlled way. There were bed- sides that on the person’s bed that also had also been risk assessed to ensure that they were used correctly and safely. There were used to ensure that the person did not fall out of bed during the night. 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 properly maintained. Care staff were unable to handle medication until they were 21 and appropriate training had been provided for those who handled medication. Two of the support workers said that they had received training in administering medication properly and safely. This is important when ensuring that service the users remained safe. One person had been prescribed medication that may have been ‘controlled’ or more stringently administered due to its content or strength. Advice had been sought from the Commission for Social Care Inspection pharmacist. It was found that medication was not, however, controlled. The manager was aware of the policies and procedures to follow should this type of medication be prescribed. Specialist support had been received from the learning disability nurses based within the local learning disability partnership. It was clear that the manager was aware of the specialist support mechanisms that were available for adults who have a learning disability and how they could be utilised to improve the lives of the service users. 46 Lincoln Road DS0000009883.V334547.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): Standards 22 and 23. Quality in this outcome area is good. 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 evidence within the Statement of Purpose that there was a complaints procedure within the home. Support workers were skilled in advocating on behalf of the service users and looking after their interests. The support workers had received training in safeguarding people. This was also part of the Learning Disability Award Framework, a foundation course about supporting people who had a learning disability. One of the support workers who was spoken to and 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. There was lots of information available about this. 46 Lincoln Road DS0000009883.V334547.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): 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. Quality issues regarding the furniture and carpets made its appearance unkempt, which affected the service users standard of living. EVIDENCE: Lincoln Road was a large detached corner house in a residential area of Blackpool. There seemed to be some confusion regarding the future of this home. It was not clear as to whether the service users were moving to a different kind of supported living where they had more rights as tenants. This would mean that Lincoln Road would not be a care home any more and the residents would move to accommodation more suited to their needs. Because of this the operating organisation had not been replacing furniture and carpets around the home. There were areas of the home that were worn; wall paper was in need of replacement and carpets were threadbare and stained. A 46 Lincoln Road DS0000009883.V334547.R01.S.doc Version 5.2 Page 18 clear decision needs to be made by the organisation as to the future of the home. All of the bedrooms were large and there were plenty of personal possessions around. All the people who lived there had single bedrooms. This is important because it helps to ensure that people feel at home and that their room is ‘their space’. Despite some failings in the decoration of the home it remained ‘homely’ and comfortable. The rooms were decorated with the interests of the service users in mind. One of the rooms had en-suite facilities. There was a large kitchen and a separate dining room. The main lounge was spacious and there was a small ‘sun lounge’ where the house computer was held. On the day of the inspection the home was clean and hygienic ensuring a fresh environment. 46 Lincoln Road DS0000009883.V334547.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): 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. 46 Lincoln Road DS0000009883.V334547.R01.S.doc Version 5.2 Page 20 Three 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. 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. 46 Lincoln Road DS0000009883.V334547.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): 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 achieved a recognised qualification in management (National Vocational Qualification Level 4) and his Registered Managers Award. This training helped him to do his job better and manage the home more successfully. It was clear that he had very strong values regarding how adults with a learning disability should be supported. These values were also evident when the inspector spoke to the support workers. There seemed to be a strong team ethic amongst the support team and people were very clear of their roles and responsibilities. 46 Lincoln Road DS0000009883.V334547.R01.S.doc Version 5.2 Page 22 There were regular meetings for the staff team, which helped important information to be passed on to all of the team. A communication book supplemented this where regular daily information could written down and passed on to other support workers on a daily basis. 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. This helped to ensure that the service users lived in a safe environment. There had been training in safety issues, such as first aid, food hygiene and moving and handling. The organisation conducted regular themed audits to ensure that quality issues were being addressed. Each of the service users had a bank account that was safely audited by the manager and the organisation. Daily finances were handled correctly and professionally. Proper checking is essential to ensure that people’s money is safe. 46 Lincoln Road DS0000009883.V334547.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 3 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 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 X 4 X X 3 X 46 Lincoln Road DS0000009883.V334547.R01.S.doc Version 5.2 Page 24 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. Refer to Standard YA34 YA34 Good Practice Recommendations Staffing files should contain a photograph of the staff member. Staffing files should contain proof of address of staff members. 46 Lincoln Road DS0000009883.V334547.R01.S.doc Version 5.2 Page 25 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 46 Lincoln Road DS0000009883.V334547.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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