Inspection on 09/06/08 for 51 Greedon Rise (Homefield College)

This inspection was carried out on 9th June 2008.

CSCI found this care home to be providing an Poor service.

The inspector found no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

51 Greedon Rise (Homefield... 03/12/08

51 Greedon Rise (Homefield... 06/09/07

51 Greedon Rise (Homefield... 05/07/06

51 Greedon Rise (Homefield... 05/01/06

51 Greedon Rise (Homefield... 31/08/05

51 Greedon Rise (Homefield... 17/01/05

51 Greedon Rise (Homefield... 26/10/04

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Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 51 Greedon Rise (Homefield College) 51 Greedon Rise Sileby Loughborough LE12 7TE Lead Inspector Keith Williamson Unannounced Inspection 11th June 2008 12:30 51 Greedon Rise (Homefield College) DS0000001799.V366261.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 51 Greedon Rise (Homefield College) DS0000001799.V366261.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. 51 Greedon Rise (Homefield College) DS0000001799.V366261.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 51 Greedon Rise (Homefield College) Address 51 Greedon Rise Sileby Loughborough LE12 7TE 01509 816091 01509 815696 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) www.homefieldcollege.ac.uk Homefield College Limited Ms Wendy Cooke Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 51 Greedon Rise (Homefield College) DS0000001799.V366261.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 6th September 2007 Brief Description of the Service: 51 Greedon Rise is a converted 4 bed roomed, semi-detached property, situated on a residential estate in Sileby. Shared accommodation consists of a large lounge (with office accommodation at one end), kitchen (including a dining room), and an enclosed garden. There are four bedrooms, one of which is used by staff. The home is one of seven, which are managed by Homefield College. The college is a specialist provision whose underlying philosophy is that of inclusive learning. The college and the houses provide programmes of care aimed at personal, social and educational development, which are focussed on the acquisition of independent living skills as well as educational and vocational skills. Students are initially accommodated at the college site, moving to one of the houses when assessment determines the requirement for greater independence. Students at the college are placed and funded by the Learning Skills Council. These placements are generally term time only and limited to 3 years. However, some students continue to be funded by Social Services Departments and their placements become long term. The range of fees are based on individual needs and at the time of this site visit, ranged from £2219.73 and £2753.60 per month. A copy of the last Commission For Social Care Inspection (CSCI) inspection report is available in the home, and copies of this report are available from the registered manager. 51 Greedon Rise (Homefield College) DS0000001799.V366261.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections is on outcomes for Service Users and their views of the service provided. The main method of Inspection used was ‘case tracking’ which involves selecting a sample number of clients and tracking the care they received through talking with them where possible, and looking at their records and accommodation, in this case one resident was chosen. This visit took place over one day, commencing at 12.30 pm and took four hours to complete. An opportunity was taken to talk with Service Users and staff, look around the home, view records, policies and care plans. Information was not obtained from the Annual Quality Assurance Assessment (AQAA), which gives information on the home, as it was received following the visit. All the Service Users were seen and one staff member and the manager were also spoken with. The quality rating for this service is 0 star. This means the people who use this service experience poor quality outcomes. What the service does well: What has improved since the last inspection? 51 Greedon Rise (Homefield College) DS0000001799.V366261.R01.S.doc Version 5.2 Page 6 More photographs have been included on Service User’s Person Centred Plans (PCPs), which makes them easier for Service Users to understand. The policies and procedures on safeguarding have been amended since the last visit, this helps to ensure that those people living in the home are protected from abuse. 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. 51 Greedon Rise (Homefield College) DS0000001799.V366261.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 51 Greedon Rise (Homefield College) DS0000001799.V366261.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): 1, 2 & 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The assessment process is detailed and effective resulting in accurate information for prospective Service Users and staff. EVIDENCE: Service Users have access to a Statement of Purpose, which outlines the services offered, the accommodation and information on policies and procedures. Other information is given to students in the form of the “student handbook”; this is similar to a Service User Guide, which gives people information on their stay, including a copy of the complaints procedure. This information would be further improved by including feedback from a quality assurance exercise; this information would inform prospective Service Users as to the quality to the service and how the organisation is performing to improve the service based on feedback from the people using it. There have been no new people admitted to the home since the last visit. There is an admissions procedure, which should offer any new Service User’s an introduction to those people living there. 51 Greedon Rise (Homefield College) DS0000001799.V366261.R01.S.doc Version 5.2 Page 9 People’s needs are assessed prior to moving into the home; assessments were seen in the sample of files viewed by the inspector. This ensures that the correct information is available, so that the person’s needs are met. Contracts were also seen on file. These give detail of the terms and conditions of the person’s stay and informs the person of their rights and responsibilities. 51 Greedon Rise (Homefield College) DS0000001799.V366261.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): 6, 7, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users are looked after well in respect of their personal care needs, choices and participation in the home. Areas of risk are assessed appropriately. EVIDENCE: Service Users care plans are well written and easy to understand. These give the Service Users and staff clear indications of areas of strength, and where people need support to be as independent as possible. The care plan includes a Person Centred Plan (PCP) that gives further information on the support needs of the individual and their aspirations. There are documents in place that describe any risks to the Service User’s well-being either in or outside of the home, and how these risks are managed to promote the safety and well-being of the person. 51 Greedon Rise (Homefield College) DS0000001799.V366261.R01.S.doc Version 5.2 Page 11 The plans and documents are adapted into a format, which is easily understood by the individual resident. Service Users are encouraged to make decisions, on personal and daily life issues, for example everyone has the choice to participate in the weekly grocery shop. Service Users have a variety of activities based around their individual needs, and practical life skills, which promotes their independence and choice. 51 Greedon Rise (Homefield College) DS0000001799.V366261.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): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users enjoy a positive lifestyle, with individual support from staff. EVIDENCE: Service Users have an individual timetable of pastimes and activities arranged around their education from the college. One Service User was speaking of their attendance at a coffee morning the previous day. Service Users have a full programme of activities set up around their preferences. A number of different leisure activities can take place at one time as one of the Service Users enjoys one to one staff support. 51 Greedon Rise (Homefield College) DS0000001799.V366261.R01.S.doc Version 5.2 Page 13 Service Users are encouraged to continue relationships with people outside the home. One Service User spoke of friends being able to visit the home, another of the regular phone calls from a distant relative. One comment from a Service User was that he had his “friends over now and again”, with the staff assisting in the process of transport. Another that they “visited their girlfriend”, and agreed they had been to the house for visits too. The menu book was seen, and this reflects the Service Users’ individual cultural dietary needs, and is backed up by a likes and dislikes list. The book contains a list of what choices Service Users have opted for at meal times. Service Users enjoy a great deal of flexibility with meals, having a wide choice of self-prepared and “carry out” meals. No specific Service User is on a diet however healthy eating is considered by all. Service Users have the choice to take part in the weekly grocery shopping. One comment from a Service User was “I enjoy my meals here, but not doing the dishes, we are the dishwasher”. 51 Greedon Rise (Homefield College) DS0000001799.V366261.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): 18, 19 & 20 Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. There is support for Service Users to improve or maintain their health. The inadequacy of medication storage leaves people in the home at risk. EVIDENCE: Personal support is offered to Service Users on a flexible basis, is reflected in the care plans, and was confirmed through discussion with staff and entries in the daily records. Service Users’ healthcare is good, with evidence of recent health checks with a local General Practitioner. Service Users indicated they could go to the doctor “anytime we want”. One Service User also stated they preferred a member of staff with them, “ I wouldn’t want to go on my own, I would want somebody for the security and company”. The administration of medication is adequate; there were a few missing signatures on the medication administration records (MAR). These MAR charts 51 Greedon Rise (Homefield College) DS0000001799.V366261.R01.S.doc Version 5.2 Page 15 are used to record what medicine has been given, and when. New medication delivered from the chemist was accurately recorded, along with items being returned to the chemist. The current storage arrangement for medication is not safe and secure, and may leave Service Users and staff at risk. This was discussed with the manager. Suitable, secure storage must be provided. A discussion was held with a member of staff who stated that at present Service Users were not able to manage their own medication. This is an area that should be developed. This could be supported, safely through the development of a policy, procedure and risk management framework to assist Service Users to self-administer their medication. This would also be consistent with the ethos of the organisation, which is one of independence and enablement. 51 Greedon Rise (Homefield College) DS0000001799.V366261.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): 22 & 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service Users are kept safe and protected from abuse. EVIDENCE: Service Users wishing to make a complaint can do so, as a procedure is in place. A copy of this is included in the “student handbook” as well as people having their own copy. The complaints paperwork has been amended to include photographic prompts, which should help some people to make a complaint. There have been no complaints received by the Commission for Social Care Inspection since the last visit. Any complaints made to the Manager have been recorded and managed appropriately. Care staff have had training in safeguarding; the staff on duty at the time were knowledgeable of the policy and procedure. The policies and procedures on safeguarding have recently been amended. There have been no safeguarding issues forwarded to the Commission for Social Care Inspection, nor any recorded by the staff. Service Users’ finances are held securely by the office staff, were up to date and had receipts for any purchases made. 51 Greedon Rise (Homefield College) DS0000001799.V366261.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): 24, 26, 27 & 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Improvements must be made to the environment to promote the safety, privacy and dignity of Service Users. EVIDENCE: The home is warm, comfortable and homely. On the ground floor there is a lounge, kitchen, separate dining room and outside toilet. The dining room is also partly used as the office. On first floor there are four bedrooms, a bathroom and toilet. The staff use one of the bedrooms for “on-call” purposes. Service Users can expect a single bedroom, and these are tastefully decorated. One of the three Service Users spoken with confirmed they had a choice of the colour of their bedroom. 51 Greedon Rise (Homefield College) DS0000001799.V366261.R01.S.doc Version 5.2 Page 18 There is no lock fitted to one of the bedrooms, nor to the bathroom door. This seriously undermines the levels of privacy offered to Service Users. Nor does this meet an equitable level of provision for those residing in the home. One Service User remarked, “We are not allowed to lock our bedroom doors”. This issue must be addressed within an appropriate risk management framework. The home has a large well-maintained garden to the front, side and back of the home, all areas having level access from the home. The washing machine is sited in the kitchen of the home. Staff must be supported to guard against cross infection and cross contamination in this food preparation area. 51 Greedon Rise (Homefield College) DS0000001799.V366261.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): 32, 34, 35 & 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of trained staff to meet Service Users care and social needs. EVIDENCE: The staffing rota showed that staff are employed to assist Service Users on a one to one, or one to two basis. The registered manager stated that further funding was being sought to increase the one-to one staffing ratios to provide further individual support. Staff are employed to sleep on the premises overnight. The hours worked by staff are flexible to enable Service Users to engage in education, as well as recreation and leisure activities. Staff are responsible for supporting the Service Users with self-care, cooking of meals, cleaning of the home and the washing and ironing, although some of these tasks are carried out at night when Service Users are in bed. 51 Greedon Rise (Homefield College) DS0000001799.V366261.R01.S.doc Version 5.2 Page 20 The staff employed at the home have the appropriate pre-employment checks before starting employment. Staff training has continued and the courses that staff have undertaken recently consist of those that by law must be run annually. There remain a number of courses that have yet to be arranged and delivered to staff, to ensure the safety of Service Users in the home. Staff supervision, which is one to one meetings between staff and the manager, continue to form a part of staff development. Staff meetings take place on a regular basis; these are minuted and share vital information between staff. 51 Greedon Rise (Homefield College) DS0000001799.V366261.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): 37, 39, 40 & 42 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The practices of the Responsible Individual and staff within areas of quality and safe working practices have potential to put people at risk in the home. EVIDENCE: The registered manager is qualified and has many years care experience with the current resident group. The Responsible Individual has not yet commenced visits to the home. This lack of supervision was mentioned at the last visit of the service, and until these visits commence this cannot assist in the overall improvement quality assurance of the home and development of the staff group. 51 Greedon Rise (Homefield College) DS0000001799.V366261.R01.S.doc Version 5.2 Page 22 No questionnaires have yet to be sent to people with a direct interest in the home. Again this is part of the quality monitoring and must commence to ensure Service Users and other interested parties have a say on the development of the home. Head office issue the policies and procedures, some of which are reviewed on a regular basis. A policy and procedure relating to the safe self-administering of medication has yet to be put in place. Some areas within health and safety are well monitored, with staff doing a number of tests on a regular basis. There is a Control of Substances Hazardous to Health (COSHH) file in place, this is up to date and has a good level of printed information to inform staff on chemicals held in the home and the risks they pose. Tests on the fire alarm system and hot water are performed regularly, though some have been at intervals longer than that are required. The five-year testing of the electrical system has not yet been arranged, this test is essential to ensure that the electrical system in the home is safe to use. The financial balances held on behalf of Service Users was correct, which reduces the possibility of financial abuse of Service User’s monies. The system could be further improved by numbering receipts and a countersignature on the weekly check of balances. The public liability insurance certificate was noted to be in date. 51 Greedon Rise (Homefield College) DS0000001799.V366261.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 3 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 3 25 X 26 2 27 2 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 X 3 X 2 2 X 2 X 51 Greedon Rise (Homefield College) DS0000001799.V366261.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 Responsible Individual/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 YA20 Regulation 13 (2) Requirement The Responsible Individual must develop a policy and procedure relating to self-medication. This is to ensure staff are aware of what to check, and how to assist Service Users with this task. The Responsible Individual must provide proper secure storage for medication held in the home. This would protect Service Users medication to ensure proper administration could take place. The Responsible Individual must ensure that privacy is offered to all Service Users in the home. This is to ensure all Service Users could have the ability to lock their bedroom door. The Responsible Individual must ensure that privacy is offered to all Service Users in the home. This is to ensure all Service Users could have the ability to lock the bathroom door. Timescale for action 21/07/08 2 YA20 13 (2) 21/07/08 3 YA26 12 (4) a 21/08/08 4 YA27 12 (4) a 21/08/08 51 Greedon Rise (Homefield College) DS0000001799.V366261.R01.S.doc Version 5.2 Page 25 5 YA30 13 The Responsible Individual must 14/07/08 demonstrate that staff have been made aware of, and protect Service Users from, cross infection and cross contamination in the home. This would ensure Service Users remain safe whilst living in the home. 6 YA39 16, 24 The Responsible Individual must look at ways of obtaining views of Service Users and others involved with the home with regard to the service offered. This would ensure that people’s views were taken into consideration when developing the home through quality assurance. The Responsible Individual shall visit the care home at least once a month; Seek the views of the Service Users and their representatives, staff, inspect the premises and check the record of events and compliance and prepare a written report on the conduct of the care home. A copy of the report must be sent to the Commission for Social Care Inspection. 21/08/08 7 YA42 26 21/07/08 8 YA42 26 This would ensure the Responsible Individual oversaw continued development of the home. Checks relating to the safety of 21/07/08 the electrical system in the home must be brought up to date and the made certificate available. This would ensure a safe environment for Service Users and staff. 51 Greedon Rise (Homefield College) DS0000001799.V366261.R01.S.doc Version 5.2 Page 26 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 YA42 YA42 Good Practice Recommendations Two signatures are obtained when Service Users’ financial balances are being audited. Receipts showing expenditure for Service Users are numbered consecutively 51 Greedon Rise (Homefield College) DS0000001799.V366261.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 51 Greedon Rise (Homefield College) DS0000001799.V366261.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!