Inspection on 15/05/07 for 56 Chart Lane

This inspection was carried out on 15th May 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

56 Chart Lane 13/10/05

56 Chart Lane 02/06/05

56 Chart Lane 17/09/04

56 Chart Lane 09/06/04

56 Chart Lane 12/02/04

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Insight - Eastchurch

Southfields

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

CARE HOME ADULTS 18-65 Chart Lane (56) 56 Chart Lane Reigate Surrey RH2 7DZ Lead Inspector Lisa Johnson Unannounced Inspection 15th May 2007 09:30 Chart Lane (56) DS0000013520.V336910.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 Chart Lane (56) DS0000013520.V336910.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. Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chart Lane (56) Address 56 Chart Lane Reigate Surrey RH2 7DZ 01737 224592 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.mencap.org.uk Royal Mencap Society Ms Alison Jane Porteus Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 25 65 YEARS 13th October 2005 Date of last inspection Brief Description of the Service: The service is administered by Royal Mencap (Housing and Support Services.), and is one of many services managed by the organisation. The home is registered to accommodate a maximum of eight adults all of whom have a learning disability. The home is located in a residential road with a range of facilities and amenities close by. Parking is available at the front of the house. Accommodation is provided over three floors and bedrooms are single and a large garden is provided to the rear of the home The weekly fees range from £325.89- £490.59 Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was part of a key inspection. The visit was unannounced and took place over six hours commencing at nine thirty am and finishing at three thirty pm. The visit was carried out by Mrs. L Johnson Regulation Inspector and Mrs. A Porteus, registered manager, represented the establishment. During this visit the inspector spoke to three people who use the service and three relatives to gain their views on the care provided. Four comment cards were also received from people living in the service. These comments are reflected in this report. A full tour of the premises took place. Information was examined which was provided by the registered manager with the pre- inspection questionnaire. Care plans, staff training records, and policies and procedures were sampled. The inspector spoke to three members of staff. The inspector would like to thank the staff and service users for their time, assistance and hospitality during this visit. What the service does well: The home provided a homely, happy and welcoming feel. Detailed and comprehensive care plans have been completed involving people using the service. During this visit one individual was preparing for her care review meeting and she stated that she had decided whom she wanted to invite. The home has also completed health action plans and detailed risk assessments for all individuals. People using the service are supported in accessing a range of activities, which meets their needs and preferences. One individual said, “I go to the cinema and the pub and another individual showed the inspector his golf clubs and said that he was supported by a member of staff. Another individual told the inspector “I am going to the Costa del Sol on holiday”. Good relationships were observed between people using the service and staff who had a good knowledge and understanding of the needs of individuals. Some people living in the service have communication difficulties and the manager has implemented a number of documents and processes in easy read formats using pictures and symbols. The manager and her staff team were observed to be committed to ensuring that people using the service have a good quality life. Individuals spoken with said that they were happy living in the home. One individual said, “I like living at the home” and two other people commented, “I am happy” and it’s nice”. The inspector had the opportunity to speak to relatives during this visit and one comment received was “The home is like one big family”. Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Chart Lane (56) DS0000013520.V336910.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 Chart Lane (56) DS0000013520.V336910.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. People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The needs of service users are assessed prior to admission to the home. EVIDENCE: There have been no admissions to the home since the previous visit. The home has clear admissions policy and process in place, which covers a range of areas including culture and diversity. Information was examined for three people who live in the service. Three individuals have lived in the home for a number of years, therefore a pre- admission assessment had not been completed. The manager was advised that a written pre- admission assessment should be completed prior to any individual moving in to the service. The home was in possession of a community care assessment. The manager stated that she would visit the person who would also have the opportunity to visit and spend time in the service. Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 People using the service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using the service are provided with an individual care plan, which records their individual needs and goals. Service users are supported to make decisions about their lives with assistance and are supported to take risks as part of an independent lifestyle. EVIDENCE: During this visit three care plans were sampled. Each individual has a completed care plan based on personal care, daily living skills communication, safety, health and social skills. Individual plans were person centred in their approach, detailed and structured with clear objectives and goals and had been developed using symbols to assist accessibility to people. It was evident that plans were regularly reviewed in consultation with people. Two members of staff spoken with confirmed that they were aware of the individual care plans and are involved in completing monthly reviews. The manager stated that development is taking place in respect of further improving the current person centred care plans and showed the inspector some of the work using electronic systems with more pictures. Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 10 People using the service are consulted and supported to make decisions about their lives with assistance where required. During this visit one person was attending their care review and been provided with the opportunity to choose whom she wanted to attend her review meeting and had contacted two of her relatives to invite them. Some people living in the home have communication difficulties and systems have been implemented to assist them to access information, which had been formulated, in pictures and symbols and some individuals use makaton sign language which staff are supported to learn to enable them to meet the needs of people. Staff provide support to individuals with their finances where this is required and this is clearly documented in their care plan. Comprehensive risk assessments were included in each individuals plan, including community access, cooking, ironing, tea making and bathing. Plans were regularly reviewed and updated. Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16 & 17 People using the service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using the service are provided with a range of appropriate activities and engage in a range of leisure activities. People are supported to take part in the local community and their rights and responsibilities are respected. The home is able to demonstrate that service users are provided with a well-balanced and nutritious diet. EVIDENCE: People using the service take part in a wide range of meaningful activities, which meet their preferences. During this visit a number of individuals had left the home to attend college and day services. One individual is employed at a garden centre and another person went out for a meal with a member of staff . People using the service are supported to go on holidays and one person said, “I am going to the Costa del Sol”. Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 12 People living in the service have the opportunity to attend a wide range of social activities and one person showed the inspector his golf clubs, which he kept in his room and said that a member of staff supports him to participate in this. Another individual said, “I go the cinema and the pub. Other activities provided include attendance at sports clubs, visiting restaurants, going bowling and attending a range of clubs. People using the service are supported to increase their independence and involved in household activities and one individual was observed to be assisted with his washing. People have the opportunity to assist with cooking, ironing, shopping and are supported with travel training. A number of people living in the home maintain links with their family and friends. The inspector had the opportunity to speak with some relatives who stated that they are made welcome when they visit and they are invited to social events such as barbecues. A telephone was seen in the corridor for people to access if they wish to make calls. One person living in the service told the inspector that he visits his sister and another individual said that he visits his girlfriend with people using the service having the opportunity to invite their friends for meals. Positive relationships were seen between service users and staff and it was clear that service users were relaxed and confident in the presence of staff. Staff had a good knowledge and understanding of individuals needs and are able to respond to non-verbal forms of communication. All people living in the service are issued with a key for their bedroom and the front door. The home’s menu is planned weekly in consultation with people living in the service. A range of pictures of foods and vegetables are provided to enable people with communication difficulties to make choices about their preferences. The main meal is served in the evening, therefore the inspector was unable to view the meal, however the menu was observed to be well balanced and varied. One person spoken with stated that his favourite meal is “steak and kidney pie” which he said was provided. Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 People using the service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that service users receive personal support in the way they prefer. Service users’ physical and health needs are met and they are protected by the home’s medication administration procedures. EVIDENCE: It was evident that the staff team were aware of the likes and dislikes of individuals and their preferences. During this visit one person chose to have a lie-in, which was respected by staff and their privacy was respected by staff not visiting individuals rooms when they were out and staff were observed to assist and give guidance to individuals at all times where this was required. The health care needs of people were documented in their individual plans. Three care plans were sampled which concluded that service users are supported to access a range of health care professionals including a local general practitioner, dentist, chiropody, access to optical services. One individual has hearing difficulties and is supported by audiology services. Records were maintained of all health consultations and medical checks. The manager stated that people using the service maintain a health action plan, which they keep in their bedrooms. Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 14 The home’s medication administration systems were examined and records were maintained adequately. Only two people living in the home receive medication. A medication procedure was in place and all medication administered was signed for. One individual self-administers a vitamin supplement, which was supported by a risk assessment. Protocols and agreement were in place for the administration of homely remedy medication. Medications are acquired from a local chemist who conducts regular audits Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that the views of service users are listened to and acted upon. Service users are protected from abuse. EVIDENCE: There is a complaints procedure in place, which is accessible to service users in picture and symbol format. There have been no complaints received since the previous visit. Four comment cards received from people living in the service conclude that they feel that they are treated well and they know who to speak to if they were unhappy or needed to make a complaint. Four service users confirmed that staff listen and act on what they say. Comments received included, “I am happy” and “I like it at the home”. One individual spoken with during this visit said, “its very nice here”. The inspector had the opportunity to speak with some relatives who indicated that they were satisfied with the care provided in the home and were kept informed of important matters in respect of their relative and described the home as, “like one big family”. The manager stated that staff receive training in the safeguarding adults from abuse and the manager has attended the local authority multi- agency safeguarding adult training. The home has a copy of the local authority multiagency safeguarding adults procedure, a company and whistle blowing policy. Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 16 The manager has also introduced a flow chart, which advises staff as to the actions to be taken if any abuse ever occurred. Staff spoken with during this visit were clear in their responses as to the appropriate action that they would take if they ever witnessed any abuse taking place and were aware of the procedures. Chart Lane (56) DS0000013520.V336910.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 & 30 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users live in a well-maintained, clean, comfortable, homely and safe environment. One matter was identified that needs attention. EVIDENCE: The service is situated between Redhill and Reigate town centres and to local amenities and provides a homely atmosphere. During this inspection the home was observed to be spacious, well maintained and pleasantly furnished. The manager stated that there is a maintenance and refurbishment programme in place. Although further improvement must be made to one bathroom, the lighting was insufficient, the tiles and showering facilities need improvement and a mould patch was observed on the ceiling, therefore a requirement was made that this matter is attended to ensuring that people using the service have pleasant and comfortable bathrooms to use. The home has a wellmaintained, accessible garden to the rear of the house, which is provided with a patio area and garden furniture. Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 18 The inspector had the opportunity to view one bedroom, which was comfortable and reflected the individual’s preferences and interests with a wide range of personal possessions on display. The home was cleaned to a good standard and was hygienic. Separate laundry facilities were available. Chart Lane (56) DS0000013520.V336910.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 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The recruitment practices protect people using the service. Appropriately trained staff meet the needs of service users and they are aware of their roles and responsibilities. EVIDENCE: Adequate staffing levels are maintained in the service. During this visit there were four members of staff on duty. A sleep- in member of staff is provided at night time and the manager stated that this arrangement meets the current needs of people using the service. An on- call system is also available should assistance be required to provide extra support. Staff turnover has been minimal and people using the service benefit from a stable staff team which is of mixed gender. During this visit the staff training records were sampled for three members of staff which concluded that they have all received up to date mandatory training in food hygiene, health and safety, manual handling, fire awareness and first aid. The home also provides makaton sign language training and staff have been receiving training in person centred planning and health action planning. Fifty percent of staff have obtained National Vocational Qualifications (level 2) Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 20 or above. New staff receive induction and work through a handbook based on Skills For Care Standards. Two members of staff spoken with were clear about their roles and responsibilities and told the inspector about the training and development that they have received. The home’s staff recruitment practices were examined. The company has an equal opportunities policy in place. The inspector was informed that staff interviews are conducted with the involvement of people using the service who are provided with the opportunity to interview prospective candidates. Three members of staff personnel files were sampled and it was evident that all of the required information including two references and Criminal Records Bureau checks had been obtained. The General Social Care code of conduct is bought to the attention of staff and was seen in the office. Chart Lane (56) DS0000013520.V336910.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 & 42 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The service is able to demonstrate that people using the service benefit from a home, which is well run and in the main, in their best interests with one matter needing attention. The health, safety and welfare of service users is mainly protected with one issue needing attention. EVIDENCE: The registered manager has experience in social care and has completed the Registered Managers Award. The manager also holds a degree in education for people with learning disabilities and carries out a range of training within the company. There was an open atmosphere in the home and two members staff spoken to stated that they felt supported by the management structure and the manager. During this visit clear lines of communication were observed between the staff team and regular meetings take place. Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 22 The home conducts quality assurance surveys, which have been updated. Work is in process to provide feedback questionnaires to relatives and other stakeholders. The responsible individual conducts monthly quality visits, however a number of gaps were observed where these had not been completed on a regular basis, therefore a requirement was made that this matter is addressed and that monitoring systems are in place ensuring that the service is run in the best interests of people living in the service. The company provides a range of policies and procedures and records were maintained of meetings, which are held on a regular basis with people using the service. Substances hazardous to health were stored securely and appropriately. Health and safety checks are completed and fire records were appropriately maintained with evidence documented that regular fire alarm checks and fire drills are conducted. Water temperatures are recorded regularly and the recording systems were sampled. Information provided by the manager with the pre- inspection questionnaire identified systems are in place for routine service and maintenance arrangements for the environment. The home’s accident records were sampled which were appropriately recorded. During a tour of the home it was observed that radiator guards were not provided throughout the home, therefore it is required that a risk assessment is conducted ensuring the health, welfare and safety of people using the service. Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 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 4 3 X 3 X LIFESTYLES Standard No Score 11 4 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 2 X X 2 X Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 24 No 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 YA24 Regulation 23(2)(b) Requirement The upstairs bathroom must be refurbished ensuring that people using the service have pleasant and comfortable bathrooms to use. The company must ensure that quality visits to the service are conducted on a monthly basis with a written record maintained in the home. A risk assessment must be conducted in respect of the uncovered radiators throughout the home ensuring the heath and safety of people using the service is protected. Timescale for action 15/09/07 2 YA39 26 15/06/07 3 YA42 13(4)(a) (c) 15/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Chart Lane (56) DS0000013520.V336910.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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