CARE HOME ADULTS 18-65
Grosvenor Crescent (5) Dorchester Dorset DT1 2BA Lead Inspector
Marion Hurley Key Announced Inspection 13th July 2006 09:30 DS0000026751.V296509.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 DS0000026751.V296509.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. DS0000026751.V296509.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Grosvenor Crescent (5) Address Dorchester Dorset DT1 2BA 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) 01305 262046 01305 250138 www.leonard-cheshire.org.uk Leonard Cheshire Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places DS0000026751.V296509.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 7th December 2005 Brief Description of the Service: 5 Grosvenor Crescent is a registered care home that can accommodate up to three adults who have a learning disability and additional physical disability. The home is one of seven similar services in Dorchester that are owned by the Leonard Cheshire Foundation, a not for profit organisation providing services to people with disabilities. The house is a dormer bungalow, located on a residential estate, within walking distance of Dorchester town centre and the local facilities. It is a family style home with domestic furniture and fittings. There is a large back garden, with a summerhouse. The downstairs bedroom has been adapted and fully equipped for a wheelchair user. Staff on a 24-hour basis supports residents living at Grosvenor Crescent. The service provided includes the provision of accommodation, day services, personal care, meals and laundry services. Residents are expected to pay for personal items, such as clothing and toiletries, and also make contributions to certain activities that are provided outside of the day service programme. Fees are individually negotiated according to the residents needs. Copies of inspection reports are available upon request from the Leonard Cheshire Home administration Office in Dorchester. DS0000026751.V296509.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was a key announced inspection that took place at the home over a period of three hours. Additionally, time was spent in preparation for the visit, looking at previous inspection reports and Regulation 37 and 26 reports and other relevant documents. The team leader and three support workers were available and all three residents were seen at various times during the inspection. Records and documentation were inspected and there was a tour of the premises. One service user’s records were examined in detail. Four comment cards were returned indicating general satisfaction with all aspects of the service. A pre inspection questionnaire was sent on May 23rd but not completed or returned prior to the inspection. What the service does well:
The residents on-going health and well being were being handled professionally and sensitively and the residents were being protected from abuse and harm. Residents were living in a comfortable, and increasingly homely environment and their health, safety and welfare were being protected. Residents’ benefit from an experienced, knowledgeable and dedicated staff team. The service is focused on understanding the needs and wishes of the residents and encouraging them to lead active and fulfilling lives. The staff demonstrated a good understanding of the residents’ behaviour The level of activities with residents is widespread, age appropriate and aimed at integrating residents into the wider community. The residents’ days are mostly structured and included vocational and social activities. Within the home, the residents are encouraged to be involved in maintaining and improving their life skills. The staff rotas were designed around the needs of the residents. DS0000026751.V296509.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better:
The care plans contain a wide range of useful information, however the home needs to continue to ensure that they are practical working documents. Care plans require further details, which illustrate how staff consult and seek the views of residents especially recording all non-verbal communication skills the residents may use. Staff described their work with the residents in great detail and it would be beneficial if this valuable information and understanding could be summarised in the care/support plans. Risk assessments are an important and integral part of the care plans and it is recommended that the support /care staff who are living and working side by side with the residents should review risk assessments. Care Plans must be reviewed regularly and in conjunction with the risk assessments. Resident’s should be encouraged to develop skills and experiences with specific goals in mind and these, with any achievements, should be recorded in their care plans. All staff must complete fire training. At the time of this inspection several members of staff had not received training during the previous six months. When the kitchen was being refurbished an opportunity was missed to expand this space. The kitchen / dining room is small and barely accessible for wheel chair users and thus makes it extremely difficult for the staff to work safely with any of the residents in this area of the house. The residents have complex needs and have the capacity to strike the walls, doors or windows with their hands/fists. The inspector
DS0000026751.V296509.R01.S.doc Version 5.2 Page 7 observed this behaviour during the visit and it was noted the glazed back door did not have reinforced safety glass fitted. This presented an extreme risk not only for the residents but also equally for the staff. This matter had been brought to the attention of the Health & Safety /maintenance staff. However, it was understood no action to resolve this had been implemented to date but the team leader is now urgently addressing this matter. The garage door requires painting. The bathrooms are damp and the one on the first floor has leaked causing damage to the decoration of downstairs rooms. Consideration should be given as to the viability of adapting the garage into more practical living/recreational space and or if a conservatory could be added providing separate living/dining space for the residents. The current communal space is adequate but not easy for staff to work in when the residents have complex and sometimes volatile behaviour and one resident is a wheel chair user. 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. DS0000026751.V296509.R01.S.doc Version 5.2 Page 8 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 DS0000026751.V296509.R01.S.doc Version 5.2 Page 9 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): 2 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There have been no recent admissions to the home. Reviews are completed. However, outcomes from these need to be more explicit reflecting any changes for the resident. Each resident must have a written and signed contract and or terms and conditions that reflect where they live and the services they receive. EVIDENCE: The Team Leader confirmed their knowledge and understanding of the principles and good practice for admission procedures. However, they were not fully aware of the Leonard Cheshire Homes’ policies and formal procedures for admissions. The team leader explained that previously the Cheshire Home’s Service Manager has dealt with all enquiries, referrals and admissions. It is important if the team leader is going to succeed in their application to become the registered manager that they familiarise themselves with the Homes policies and procedures and are aware of the National Minimum Standards required to ensure this standard is met at future inspections. DS0000026751.V296509.R01.S.doc Version 5.2 Page 10 Not all the residents have completed contracts and or terms and conditions and this is in part due to the fact that this group have lived and been supported though the Leonard Cheshire Home Services for over 20 years. However, each resident must have an individual written contract or statement of terms and conditions. DS0000026751.V296509.R01.S.doc Version 5.2 Page 11 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, and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents have their care assessed and planned satisfactorily and in a way that reflects their individual preferences and abilities. However, the monitoring and reviewing of care is not always explicit. The service focuses on understanding the needs and wishes of the residents. Residents are encouraged to participate in all decision making which affects their lives and how they spend their time. EVIDENCE: One resident’s care plan was examined in detail and this was generally satisfactorily organised and accessible. Needs were assessed in relation to daily activities and relevant risk factors were taken into account. Personal profiles and pen pictures have been added to the care plans identifying likes and dislikes. However, the overall plan did not have clear objectives and DS0000026751.V296509.R01.S.doc Version 5.2 Page 12 goals. Information was mostly kept up to date, though there was no clear evidence that the plans were being monitored on a regular basis and there were no formal reviews on file. Decisions about daily routines, social activities and holidays were recorded, and outside advice or advocacy is sought, wherever possible. Daily activities are recorded in the resident’s own diary and staff may wish to consider completing a monthly summary which could be used as a basis for periodic reviews. The interaction between the staff and the residents is very positive and staff respond to the different methods of communication each resident uses. Discussions with staff illustrated their awareness of the needs of the residents and the depth of their knowledge and understanding in supporting them individually and as a “family group”. Most risk assessments have been reviewed and updated, however no comments or information are added by the review dates. A member of staff who is based at the Leonard Cheshire Administration office and who is not employed as a carer is conducting the risk assessment reviews. It is recommended that support workers who are living and working with the residents should review risk assessments and the information should crossreference with information contained in the residents’ support/care plans. The need for satisfactory risk assessments was highlighted at the last inspection and although some progress has been made there is still a need to emphasise the indivual hazards and risks as they present to each resident in their daily lives and to describe the action to minimise the risk for the individual resident. Risk assessments must be personalised according to the residents’ abilities and needs. DS0000026751.V296509.R01.S.doc Version 5.2 Page 13 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, 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. Residents were provided with opportunities for developing communication skills and personal relationships. EVIDENCE: Discussions took place with two members of staff who showed particular interest in the communication needs of the residents. A positive view is taken by the staff regarding the quality of interaction between themselves and residents and this genuine approach has a positive impact on each resident’s behaviour as well as creating a level of job satisfaction for the staff. The team leader spoke of the challenges faced by staff being able to provide community orientated activities for the residents. However, the staff have been very successful in supporting residents to enjoy a variety of leisure experiences from ten-pin bowling, local walks, shopping, trips to the cinema and enjoying a meal in a pub. From care plans and discussions with staff it
DS0000026751.V296509.R01.S.doc Version 5.2 Page 14 was clear that there was a real wealth of knowledge and understanding of each residents’ competencies, interests and needs. Residents continue to use the home’s minibus regularly and go out for trips locally. The team leader said that staff work beyond their fixed hours in order that residents can attend social events in the evening. Residents did not have any specific social contacts outside the network of Leonard Cheshire Homes. Some residents have regular contact with their families, whilst for others this was of a more intermittent nature if at all. The menu is planned a month in advance and is seasonally adjusted. A record of all meals eaten by the residents is kept in their diaries. Residents are not involved in the preparation of meals; however, staff will do some simple cookery sessions with them on a one to one basis. Other records relating to the cleaning rota, fridge and freezer temperatures were all being maintained. DS0000026751.V296509.R01.S.doc Version 5.2 Page 15 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, and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ ongoing health and well-being were being handled professionally and sensitively. Residents are safeguarded by the medication procedures within the home. EVIDENCE: There was evidence of residents’ health and medication being monitored and appropriate consultation with other health and social care professionals. Residents are registered with a local GP and also receive regular dental, optical and chiropody treatment. Residents’ have complex emotional and social needs and these were fully discussed with the staff and team leader who detailed their working relationships with other agencies and consultants. Details were also evidenced from the care /support plans. A record of appointments, consultations and outcomes were kept with the residents’ health care plan. DS0000026751.V296509.R01.S.doc Version 5.2 Page 16 Staff spoken with confirmed that the routines at the home are flexible and focused as much as possible on the needs and safety of the residents. All members of staff are involved in the administration of medicines and the two staff on duty confirmed that they had received specialist training. Records of drug administration were viewed and were satisfactory as were storage arrangements and stock levels. DS0000026751.V296509.R01.S.doc Version 5.2 Page 17 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to enable staff to complain about the service and to contact outside agencies for support. Procedures are established for the reporting and recording of any potential abuse. EVIDENCE: There is a complaints procedure available at the Leonard Cheshire Homes Dorchester Administration Offices. This document, which has not been reviewed since 2004, needs amending to include the contact details of the local CSCI offices. The team leader explained that the Service Manager or Regional General Manager would deal with any concerns or complaints. It is therefore important that all members of the senior management team are familiar with the procedures especially relating to Vulnerable Adults and how these link into the local multi-agency adult protection procedures. It was noted that body maps were used to record any marks noted on the residents and this information cross referenced with details recorded in the resident’s diaries and care/support plans. All residents have their own bank accounts but are totally reliant on the staff to manage their monies. There are clear records of all financial transactions completed with and on behalf of each resident.
DS0000026751.V296509.R01.S.doc Version 5.2 Page 18 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, 27 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents were relaxed and at ease in the home environment, which was clean and comfortable despite the outstanding work required to the bathrooms and external aspects of the property. EVIDENCE: Efforts have been made to make the Home’s environment look more homely. This has been problematic due to residents’ heavy use of furniture, fixtures, and fittings. However, the sitting room has been redecorated and pictures screwed onto the walls which have helped the general appearance of this room. The garden is a safe space for the residents to use and in the summer months this extra space impacts in a positive way on the daily lives of residents. All staff share the responsibility for keeping the home clean and hygienic and doing the residents’ laundry.
DS0000026751.V296509.R01.S.doc Version 5.2 Page 19 The bathrooms need refurbishing and the damage caused by the leaks must be made good and decorated. The garage door needs replacing/painting. DS0000026751.V296509.R01.S.doc Version 5.2 Page 20 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): 32, 34, and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from the support of an experienced staff group. Residents are protected by the Leonard Cheshire Home’s recruitment policy and practices. Residents’ safety was being potentially compromised by an inadequate frequency of fire training for staff. EVIDENCE: Staffing levels at the home meet the agreed levels and the rotas showed that staff worked flexibly in order to maximise the residents’ potential to live a fully balanced life. Two staff files were examined and were found to contain all elements required by current regulations, regarding recruitment practices. The files provided evidence of induction training to Learning disability Award Framework (LDAF) standards and all references and required checks for recruitment. DS0000026751.V296509.R01.S.doc Version 5.2 Page 21 Discussions with staff on duty demonstrated their strong commitment to each resident and depth of knowledge and understanding for each person. Two staff have been recruited since the last inspection whilst other members of the team have worked together for many years. Staffing levels remain in line with the needs of the residents and are flexible enough to facilitate resident activities. The majority of staff have started / completed mandatory care courses such as moving and handling, basic food hygiene and first aid. However, staff fire training was not up to date and this potentially has a serious impact on the health and welfare of the residents and the staff. Staff spoken to said they felt well supported in their role and communications with colleagues. DS0000026751.V296509.R01.S.doc Version 5.2 Page 22 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): 37,39, and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a warm, professional and friendly atmosphere at the home, which encourages residents to communicate their needs. Residents health, safety and welfare were generally being protected however, a percentage of staff have not received fire training for over six months. EVIDENCE: The team leader has commenced studying for the National Vocational Qualification level 4. The team leader has significant experience of working with this group of residents and was aware of their professional obligations and responsibilities regarding the promotion of residents’ rights. DS0000026751.V296509.R01.S.doc Version 5.2 Page 23 The team leader displayed a sound knowledge both of the residents’ individual needs and how they are suitably supported and managed in a communal setting. At this stage the team leader has not been given the opportunity and time to familiarise themselves with all the roles and responsibilities of becoming a registered manager for this service and it is important that senior managers within the Leonard Cheshire Homes address this. The team leader explained that monitoring the quality of services at the home remains on an informal basis mainly through direct work with staff and contact with the residents. Staff regularly reflect on the care they provide based on the residents reaction and discuss any issues at the fortnightly staff meetings or in individual supervision. The Leonard Cheshire Foundation must develop a formal Quality assurance system for monitoring the quality of car and services provided to this group of residents. The responsible person representing Cheshire homes undertakes monthly monitoring visits “Regulation 26” and these comprehensive reports are sent regularly to the CSCI offices. There were no obvious hazards noted within the home. Residents’ records were safely and securely stored. From observations of the residents, it would seem that they felt comfortable in the home and were looked after by staff that genuinely cared and understood their needs and responded to them. DS0000026751.V296509.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 X 2 2 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 2 X X 2 x DS0000026751.V296509.R01.S.doc Version 5.2 Page 25 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 YA5 Regulation 5(1) (b)(c) Requirement Timescale for action 30/11/06 2 YA6 3 YA24 The registered provider/manager must ensure that all residents have a written and costed contract/statement of terms and conditions. 15(1)(2)(a) The registered provider/ (b)(c)(d) manager must develop and agree with each resident an individual Plan which may include treatment and rehabilitation, describing the services and facilities to be provided by the home, and how these services will meet current and changing needs and aspirations and achieve goals. The plan must be reviewed at least every six months and updated to reflect changing needs. 13(4) (a) The registered provider/manager must ensure that all parts of the home to which residents have access are, so far as reasonably practicable, free from hazards to their safety. The home’s premises must be accessible, safe and well maintained.
DS0000026751.V296509.R01.S.doc 31/10/06 31/10/06 Version 5.2 Page 26 4 YA37 8(1) 9 (1)(2) 5 YA39 6 YA42 The registered provider must appoint a manager who is qualified, competent and experienced to run the home and meet its stated purpose, aims and objectives 24(1)(2)(3) Effective quality assurance and quality monitoring systems, based on seeking the views of service users, are in place to measure success in achieving the aims, objectives and statement of purpose of the home. 23 The registered / provider manager must ensure all staff receive fire training within the required timescales. 30/11/06 30/11/06 31/08/06 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 DS0000026751.V296509.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 DS0000026751.V296509.R01.S.doc Version 5.2 Page 28 - 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!
