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Inspection on 23/08/05 for 5 Beacon Gardens

Also see our care home review for 5 Beacon Gardens for more information

This inspection was carried out on 23rd August 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

It was quite evident that the service provided at the home meets the needs of the service user and comprehensively provides for his health, safety and welfare. The service user spoke in some detail about is experiences in the home. It was clear that he enjoys the lifestyle afforded him at the home. The premises themselves are clean and in good decorative order and the bedrooms are personalised. There is no shortage of social and leisure activities for the service user. The activities are both varied and interesting according the feedback received from the service user himself. Records showed that activities range from eating out, visiting places of interest, walking, shopping, bowling, attending college and visiting friends. There is much involvement and inclusion in the local economy as well. The service user has a job at the Co-op and at the Ladies` Club. He is currently trying to secure another one with Morrison`s. He also goes on holiday more than once a year.

What has improved since the last inspection?

It was noted that no requirements were made during the last inspection. The home continues to maintain a high standard of care and must be commended on this. Since the last inspection, the Mencap support worker no longer does sessions with the service user. It is felt by all parties concerned that he has achieved a great deal of independent and living skills over time that he no longer requires her input. This has also meant that the service user is now aiming to further develop by getting another part time job at Morrison`s. The Commission will be notified of progress of this during the next inspection.

What the care home could do better:

The home is still without a written complaints procedure. It is vital to have this in place in order to comply with the regulations. The registered manager confirmed that any concerns arising are dealt with promptly and any issues that cannot be resolved are passed onto the social worker. This has never been the case but it is an understanding that the manager and the service user have with the social worker. I light of this, a requirement has therefore been made for a written complaints policy and procedure to be put in place. The home also does not have a policy on Protecting Vulnerable adults. Although the registered manager does demonstrate knowledge on protecting the service user and has his best interests at heart, it has been strongly recommended that she obtain the Local Authority`s Adult Protection policies and protection.

CARE HOME ADULTS 18-65 5 Beacon Gardens Beacon Street Lichfield Staffordshire WS13 7BQ Lead Inspector Lorraine Mavengere Announced 23 August 2005 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 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 Stationary 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. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 5 Beacon Gardens Address Beacon Street Lichfield Staffordshire WS13 7BQ 01543 264720 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Margaret Jean Holton Mrs Margaret Jean Holton CRH 2 Category(ies) of LD - 2 registration, with number of places 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 23 Feruary 2005 Brief Description of the Service: 5 Beacon Gardens is a family home registered to provide care for two people with a learning disability.The home is a semi-detached property situated in a quiet cul-de-sac on the outskirts of Lichfield town centre. The cul-de-sac is found off a main road leading into Lichfield, and there is easy access to a large supermarket at the bottom of the road. Access to public transport is also very close by, with regular buses into Lichfield town and all of its amenities.Although registered for two people only one gentleman now lives at the home, and the proprietor has no plans to change this. The service user has been with the family from the age of two and a half years and is now approaching thirty later this year. In that time he has been treated as a family member with the two proprietors acting ‘in loco parentis’ with the extended family as substitute aunts and uncles. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a Tuesday during the day and was carried out by one inspector. Both the proprietors and the service user were present and contributed significantly to the inspection. Although the home is registered as a care home, a lot of the standards do not fully apply because of the fact that the service user was raised by the proprietors who act as loco parents. The service user is, to all intents and purposes, part of the family. As such, a number of areas of the report are difficult to measure against the national minimum standards for care homes for younger adults. It has been discussed with the proprietor that registration via the Adult Placement Scheme may be more appropriate to the service provided. However, she has made the decision to continue as a registered care home for the foreseeable future. Many of the policies and procedures as required are not in place. This, however, has been quite difficult to impose as the service user is part of the family and has been for nearly twenty eight years. What the service does well: What has improved since the last inspection? It was noted that no requirements were made during the last inspection. The home continues to maintain a high standard of care and must be commended on this. Since the last inspection, the Mencap support worker no longer does sessions with the service user. It is felt by all parties concerned that he has achieved a great deal of independent and living skills over time that he no longer requires her input. This has also meant that the service user is now aiming to further develop by getting another part time job at Morrison’s. The Commission will be notified of progress of this during the next inspection. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 Page 6 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. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3, 4, 5 The service user is provided with all the information necessary to make informed decisions about whether to live at the home. The home does meet all the service users’ needs and the manager has both the skills and experience to provide quality care. Because the service user has lived at the home since he was two and half years old test driving the home has not been necessary recently for him. The service user does not have a statement of terms and conditions as he has been one of the family since the age of two and a half. EVIDENCE: Although the home does not presently have a statement of purpose and a service user guide, it was evident through discussions with both the manager and the service user that all the necessary information was provided. The service user explained that he was able to make an informed decision about whether or not to live at the home. In fact, he stated that he had recently considered moving into independent living but had decided against it for now because he is happy where he is. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 Page 9 Mrs Holton (the registered manager) confirmed that her and her husband have cared for the service user for nearly twenty eight years now and have been able to meet all his needs. Direct observations of interactions between Mr and Mrs Holton and the service user showed that the service user is treated as one of the family. It was evident through discussions that the extended family also include him in family events, and he makes visits both with Mr and Mrs Holton and also on his own sometimes to their daughter who lives further away. It is clear that a very stable environment is provided. It was clear that over the years Mrs Holton has worked with the service user and his Mencap Support Worker to promote his independence and develop his skills, and it is a credit to all involved that much has been achieved. Because of the nature of the placement, it has not been possible to demonstrate that trial visits are offered. No one has been admitted into the home for many years now. The manager did confirm that in the event of an admission, the home would offer a trial visit and a settling in period as stated in the standards. Mrs Holton stated that due to the service user virtually being a member of the family, all parties concerned felt that there was no need to have a contract between the home and the service user. The service user does, however, have a standard social services/ local authority contract in place. The service user has an assigned social worker. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 10 The service user is supported to make decisions about his life and to participate in the running of the home in a positive manner. His independent and living skills are therefore being developed on a daily basis. All confidential information is treated as such and only shared with the service users’ consent or for the service user’s protection. EVIDENCE: Discussions with the service user demonstrated that he does actively participate in the running of the home, contributes to decisions made about the home and exercises choice in all aspects of his care. He spoke at great length about his choice of activities and showed me his bedroom, which is highly personalised. Discussions with the service user indicated that there were no restrictions to the choices he made, and his level of participation in the home. The registered manager stated that every opportunity is afforded the service user to discuss various issues with either her or her husband. It was clear that the service user is very much one of the family, he partakes in his share of domestic chores and even helps various people out with their gardens, a task for which he is paid. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 Page 11 Mrs Holton confirmed that any information that is shared with others such as the Support Worker is firstly discussed with the service user and shared with his full consent. All other information is treated confidentially. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16, 17 The service user has the opportunity for personal development and participation in the community, leisure and is encouraged to form relationships outside of the home. Food served by the home is nutritionally balanced, wholesome and to the service user’s liking. EVIDENCE: Observations during the inspection indicate that the routines of the home promote independence and choices for the service user. The service user assists in domestic chores to a level that he is comfortable with, enjoys a high level of independence, and visits friends in the community as he chooses. He stated that his friends were welcome at his home by Mr and Mrs Holton. The service user can self care with minimal checks. He maintains a busy work and social life. He can read basic words and is attempting to improve on this. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 Page 13 Discussions with both Mrs Holton and the service user confirmed that the service user attends college where he does numeracy, literacy and computers. He attends college on Mondays. During this time he also does horse riding, swimming, snooker or bowls. For the rest of the week, the service user confirmed that he has different jobs that he does at different locations such as the Co-op and the Ladies Club. On Thursdays he used to have independent skills training with a Mencap support worker but this has since stopped. Both the service user and Mrs Holton are now looking into supported employment for him at Morrison’s. Mrs Holton confirmed that Fridays are days that are reserved especially for any appointments that may come up such as the dentist, optician etc. Fridays are also the days that they go shopping for what is needed in the household. It was confirmed by the service user that he often goes on more than one holiday a year. He stated that he had been on a caravan holiday to Wales and another to Peterborough. He stated that he had also been to the Country and Western Music Festival. Weekends are spent mostly visiting friends, listening to music and watching television. Although the home does not have a written menu, it was clear from discussions that the meals served are nutritionally balanced and wholesome. Mrs Holton confirmed that she only uses fresh vegetables for the meals and ensures that the family eat healthily. It was clear from conversations with the service user that he enjoys his food, and was able to state his favourite foods, such as beans, porridge and cake. He also confirmed that he makes his own breakfast, sometimes including a cooked breakfast, and that he can make basis snacks. He assists each week in drawing up the shopping list for the week, and then assists Mr and Mrs Holton to do the family shop. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 The service user has access to all primary healthcare facilities and can receive support for emotional and physical needs as required. The service user is currently not on any medication. EVIDENCE: Mrs Holton stated that the service user is able to take care of his own personal and hygiene needs. Mrs Holton’s role in this is therefore purely a monitoring and advisory role. The service user confirmed that he has regular dental, chiropody and optician appointments. He has no major health problems but visits the doctor as and when necessary for minor ailments. At present the service user is not on any medication. This standard was therefore not assessed on this occasion. Mrs Holton did confirm though, that if the service user were to feel unwell, he would be taken to the G. P and all prescribed medicines would be recorded and administered accordingly. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 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 standard(s) 22, 23 The set up of the home allows for complaints to be addressed promptly and gives the service user room to raise issues of concern. The home is pro active in promoting the safety of the service user and protection against abuse, neglect and self harm EVIDENCE: Mrs Holton does not have a written complaints procedure. This has been a requirement of the last two inspections. She stated that she has always discussed issues with the service user and they have been mutually resolved. He lives as a family member and issues are resolved in that way. On further enquiries, the manager said that the service user’s allocated social worker would be contacted to discuss any issues that could not be resolved between him and herself. The service user himself confirmed that he is able to speak freely to Mr and Mrs Holton about any issues that are troubling him and feels that these would be addressed in all circumstances. The registered manager is required to produce a written complaints procedure that is to be made available to the service user and all parties concerned. Although a written policy and guidance was not produced for the inspection, discussions with Mrs Holton made it clear that she has always taken her responsibilities very seriously to protect the service user from any form of abuse. She has also discussed at length with him how to protect himself from any unscrupulous individuals. The service user demonstrated a good awareness that he needed to protect himself from people who could be potentially harmful. It is recommended that the registered manager be in possession of the local authority’s Vulnerable Adults Procedure. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 28 On the day of inspection, the home was of good domestic cleanliness and carried no offensive odours. The premises are suitable for their stated purpose and provide adequate living accommodation for the service users. The service user’s bedroom has useable floor space sufficient to meet individual needs and lifestyles. Bedroom furniture is of good domestic quality and is highly personalised. All communal areas are satisfactory in size allowing the service users un crowded living space. EVIDENCE: A tour of the home showed it to be safe, comfortable, bright, cheerful, airy and clean. The home provides suitable heating and ventilation. All furnishings and fittings are of good quality and are as domestic, unobtrusive and ordinary as is compatible with fulfilling their purpose. The access to outdoor space is user friendly, the service user does not struggle to enter or exit the garden area. Observations showed that the service user seemed comfortable in his living environment. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 Page 17 Room sizes were not taken during this particular inspection. Measurements of room sizes from previous inspections show that the service user’s bedroom has useable floor space sufficient to meet individual needs and lifestyles. The service user was able to give the inspector a tour of his own bedroom. The bedroom was highly personalised and the service user was able to show all the items he had selected himself. It was also with great pride that he was able to show his music collection and how he had set his room up to accommodate his love for music. The service user has the private use of two bedrooms, using one of them as a separate sitting room as he pleases. He accesses all parts of the remainder of the house as a family member. The gardens and outbuildings were maintained to a high standard. It was evident that all shared communal spaces are big enough to accommodate the three occupants of the house; namely- Mr and Mrs Holton and the service user. The service user confirmed that he feels his privacy is respected and the home never gets too crowded for him. The house is conveniently situated for visiting the local shops, the town via public transport and for access to the service user’s friends and attending leisure activities. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33 The carers at Beacon Gardens have the skills and experience to meet the service user’s needs. All parties concerned are clear of their roles within the home. EVIDENCE: The service user lives with Mr and Mrs Holton as part of the family and this role is clear to all parties concerned. Mrs Holton Confirmed that contact is maintained with the social worker to ensure that all the service user’s needs are indeed met. Mrs Holton has many years of experience in the caring profession, including a high number working with people with learning difficulties, and nearly 28 years experience of caring for the service user. Mrs Holton advised that either she or her husband or both were in the house whenever the service user was at home. Standards 32, 34, 35 and 36 all do not apply to the home given its unique set up. These standards could therefore not be assessed. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 43 The registered manager is qualified, competent and experienced to run the home. The management of the home creates an open, positive and inclusive atmosphere. The service user benefits from a competent and accountable management of service. EVIDENCE: Mrs Holton has many years experience in caring for people with learning disabilities and nearly twenty eight years caring for the service user. In discussion she demonstrated considerable commitment to promoting an independent lifestyle for the service user and great effort in supporting him to develop and achieve a valued role in the community. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 Page 20 It was clear from Mrs Holton’s interaction with the service user that he is included in a family lifestyle where he is cared for in a loving environment, with his needs and wishes being of the utmost importance. Although the home does not have a business and financial plan due to their status as a family home, Mrs Holton was able to confirm that they do have buildings and contents insurance. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 Page 21 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 N/A N/A Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 4 4 x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 3 N/A x Standard No 11 12 13 14 15 16 17 4 3 4 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 N/A 3 N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 5 Beacon Gardens Score 3 3 N/A x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x 3 E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 Page 22 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. Standard YA22 Regulation 22 Requirement The registered manager must produce written guidance for making complaints. Timescale for action 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA23 Good Practice Recommendations It is recommended that the registered manager obtain a copy of the Local Authoritys policy and guidance on The Vulnerable Adult Procedure. 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 5 Beacon Gardens E51-E09 S5074 Beacon Gardens V240501 230805 Stage 4.doc Version 1.40 Page 24 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!