Inspection on 10/01/07 for 59 Hatherley Road

This inspection was carried out on 10th January 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

59 Hatherley Road 06/08/08

59 Hatherley Road 30/08/07

Similar services:

Honeybourne House

32 Beaumont Way

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

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

CARE HOME ADULTS 18-65 59 Hatherley Road 59 Hatherley Road Gloucester Glos GL1 5LB Lead Inspector Mr Paul Chapman Key Unannounced Inspection 10th January 2007 09:00 59 Hatherley Road DS0000067434.V303575.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 59 Hatherley Road DS0000067434.V303575.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. 59 Hatherley Road DS0000067434.V303575.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 59 Hatherley Road Address 59 Hatherley Road Gloucester Glos GL1 5LB 01452 537633 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.holmleigh-care.co.uk Holmleigh Care Homes Ltd To be appointed Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (1) of places 59 Hatherley Road DS0000067434.V303575.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. For one named service user over the age of 65 to reside at the home. Date of last inspection 11th November 2005 Brief Description of the Service: The home is registered to provide accommodation for up to 3 people with learning disabilities. It is a terraced property that has been adapted to provide registered accommodation. Communal accommodation is provided on the ground floor with a lounge, dining room and kitchen. Upstairs are 3 single bedrooms and a bathroom. To the rear of the home is a flat, secure garden with some well maintained flowerbeds and a pond. To enable people to access facilities the service users have access to a car. 59 Hatherley Road DS0000067434.V303575.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that was completed over a period of 6 hours on January 10th 2007. The registered manager was present throughout the inspection. A tour of the home was completed with the manager and two service users allowed the inspector to see their bedrooms. There have been no new admissions to the home since the previous inspection. The inspector spent time with the manager that has recently been registered with the CSCI. Since the manager started at the home they have led the development of comprehensive care files for each of the 3 service users. In addition to spending time with the manager the inspector spoke to a member of staff on duty and both of the service users that were at home at the time. An important part of the inspection process in observing the interactions between staff and service users and this showed that interactions were positive, respectful and professional. The principle method used to gather evidence was case tracking. This involves examining the care notes and other related documents for a select number of people living at the home. This is followed up by talking to them or their relatives/representatives, or observing them. This provides a useful, in depth insight as to how people’s needs are being met from more than one source of evidence. The surveys returned to the CSCI from other professionals, relatives, staff were positive about the service. On this occasion one service user was case tracked in detail, whilst another was examined in less depth. Prospective service users would have access to information provided in the home’s Service User’s Guide. The fees for living at the home range from £804.13 to £831.15 per week. What the service does well: The needs of the service users are identified and plans are in place to meet the identified needs. Evidence was available to show that staff are meeting the service users needs. 59 Hatherley Road DS0000067434.V303575.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. 59 Hatherley Road DS0000067434.V303575.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 59 Hatherley Road DS0000067434.V303575.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): 2, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admissions policy does not accurately reflect the steps that would be taken by the home. Service users have contracts of residency with the home that identify the responsibilities of each party. EVIDENCE: There have been no new admissions to the home since the previous inspection. The home’s admission policy was examined to judge what steps would be taken by the home in the case of a new admission. This policy had been reviewed in June 2005. Discussing the policy with the new manager the inspector explained that there were two shortfalls: • No mention of a prospective service user being able to stay overnight on a trial basis. 59 Hatherley Road DS0000067434.V303575.R01.S.doc Version 5.2 Page 9 • The policy did not confirm that prospective service users would be written to confirming their needs could be met by the home if they decided to move in. The manager confirmed that any prospective service users would be able to stay overnight, as part of their trial of the service and that the manager would write to a service user confirming their needs could be met after the assessment had been completed. The policy should be updated to reflect these shortfalls. The service users files seen by the inspector contained contracts of residency with the home. The only shortfall identified was that they made reference to the NCSC, not the CSCI. It is a recommendation of this report that this is addressed. 59 Hatherley Road DS0000067434.V303575.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, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans identify how service users want their needs to be met by the staff team. Service users are supported and empowered to make decisions about their lives. Potential risks to the service users are identified and minimised through the thorough assessment completed by the manager. EVIDENCE: All of the service users have key workers. The manager and staff have developed new personal files with each of the service users. One of the three service users files were examined in detail 59 Hatherley Road DS0000067434.V303575.R01.S.doc Version 5.2 Page 11 whilst another file was assessed against it to ensure that that it contained the same documents. Each personal file was divided into 22 sections that covered areas including personal details, brief history, medical history, a pen picture, risk assessments, care plans and various other sections. Both of the files examined contained assessments completed by the service user’s funding authority within the past twelve months. In the files examined care plans were present for communication, maintenance of a safe environment, mobility, eating and drinking, emotional needs, daily living skills, social skills, cultural needs and health. The majority of the care plans examined enabled staff to provide a consistent approach to service users when working with them. Some care plans need to be developed further as they were a little general e.g. A care plan for maintaining a person’s safety in the community just said “****** to be supported by staff”. The inspector feels that this could be more detailed – how should staff support the service user to maintain their safety in the community? This was brought to the attention of the manager who agreed. It is a recommendation of this report that the manager reviews the care plans to ensure that this detail is reflected in them all. If a service user does not keep this file in their bedroom then they sign a document that confirms they are happy for it to be stored in the filing cabinet downstairs. One such document was seen, unfortunately it was not signed and this was brought to the attention of the manager. Staff are asked to sign a document confirming that they have read the service users care plans. Care plans provided examples of people being able to make decisions about their lifestyles and being empowered to make choices about how they should be supported. When speaking with one service user they were able to give examples of making decisions for themselves. At the time of the inspection the manager and staff were in the process of completing Person Centred Plans (PCP) with the service users. When speaking with one of the service users they confirmed that they were involved in completing their PCP with staff. The manager explained that once the PCPs have been written she will implement target sheets that will identify the specific targets to be achieved. Some service users have inventory list in their file and when discussing this with the manager it was agreed that smaller items do not need to be recorded, items like TVs and similar objects should be. The risk assessments seen in the files examined were comprehensive and identified potential risks and measures to minimise those risks. 59 Hatherley Road DS0000067434.V303575.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, 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 choose what activities they take part in and staff offer the appropriate support where it is required. Service users are supported to maintain relationships with their families by the staff. Service users are able to choose what they would like to eat are given the opportunity to be involved in its preparation. EVIDENCE: Speaking with the service users, staff and looking at records showed that a good variety of activities took place. The amount of activities have increased over recent months. Examples of the activities now completed include: 59 Hatherley Road DS0000067434.V303575.R01.S.doc Version 5.2 Page 13 attending day services twice a week, going to the local pub, going shopping in town (sometimes catching the bus), playing bingo, eating out and going bowling. In house activities being completed included bingo, baking, watching films, arts and crafts, and music sessions. One service user spoke about really enjoying cooking, colouring and listening to their tapes. Each person has an activity sheet that staff complete to denote whether an activity has been completed or not. The inspector was told that holidays for 2007 are being planned at present with one of the service users going to a holiday camp with a service user from another home. The other service users have decided to go to Disneyland in Paris. The manager and service users have started a photo album where they will collect pictures from trips and holidays. Staff complete a contact sheet for each service user that details family contact. This is good practice and showed that the service users have regular contact with their family. Menus are chosen for a three-week period by the service users meeting together and discussing what they would like to eat. The manager stated that all of the service users have a choice and that if they do not like something on the menu that they can have something else. One service user commented on the food saying that it was nice. Each service user is asked to be involved in preparing the evening meal one day a week. All of the service users are involved in the shopping trips to buy home’s food. 59 Hatherley Road DS0000067434.V303575.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 good. This judgement has been made using available evidence including a visit to this service. Service users that require support with their personal care have guidelines for staff to follow to ensure a consistent approach is adopted. Service users health care needs must be assessed to ensure that service users are not put at unnecessary risks. Medication administration minimises the potential risks to the service users. EVIDENCE: Service users personal care needs are assessed and where required guidelines are written to promote a consistent approach by the staff. Each service user is in the process of completing an OK health check document with staff. Once this document is completed it will highlight the service users needs and wishes. Service users files provided evidence of people being supported by staff to attend appointments with Doctors, dentists, etc. Staff had completed the appointment sheet for each of these appointments detailing 59 Hatherley Road DS0000067434.V303575.R01.S.doc Version 5.2 Page 15 what was said. Service users files also provided evidence other professionals being involved in people’s care, an example of this being the input of an Occupational Therapist. Medication administration was examined and one gap was identified in the recording. This was brought to the attention of the manager. Staff receive medication training from a pharmacist and some also complete a safe handling of medication course. The home uses the MARS system. Staff confirmed that they do not administer medication until they have received medication training. 59 Hatherley Road DS0000067434.V303575.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 understand the complaints procedure and this allows them to raise any concerns that they may have. EVIDENCE: The home has a complaints procedure. One service user that spoke with the inspector said that they had a copy of the procedure in their bedroom and that if they had a complaint they would speak with the manager or the owner of the organisation. They stated that they were happy at the home. All of the service users financial records were examined and seen to be correct. It is recommended that two staff sign all transactions. A staff member was asked about the protection of vulnerable adults and gave a good explanation of what steps they would take if they suspected a person was at risk. It was impossible to identify what training staff had completed due to the training records being poorly organised. 59 Hatherley Road DS0000067434.V303575.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, 25, 26, 27, 28, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides the service users with a pleasant and comfortable environment that meets their current needs. Communal areas of the home provide service users with ample space and facilities to meet their current needs. The bedrooms seen meet the current needs of the service users. EVIDENCE: A tour of the home was completed with the registered manager. Communal areas include a good-sized lounge/diner that is decorated to a good standard and provides the service users with a range of comfortable seating, a dining table and a TV/DVD and video. It was noted that the carpet in the dining is 59 Hatherley Road DS0000067434.V303575.R01.S.doc Version 5.2 Page 18 stained and has a burn on it, also that the carpet in the office area is ripped. These areas must be rectified. The two bedrooms seen were decorated to a good standard; one person said that they chose the colours for their room. Both rooms reflected the hobbies and interests of the people and contained numerous personal possessions. The bathroom door is warped and makes the lock difficult to use, the manager was told about this at the time. They stated that the service users were still able to use it. It is recommended that the door is fixed to make the lock easier to use. Service users said that although the bathroom was “alright” they would prefer to have a shower unit fitted. Whilst completing the tour of the home it was noted that the kitchen is looking a little tired, as well as some other areas looking a little worn with paintwork being chipped and grubby. The manager should plan to address this over the coming months. To the rear of the property is a secure garden that is maintained well by the staff and service users. One service user said “I like it here”. At the time of the inspection the home was clean and hygienic with no offensive odours. 59 Hatherley Road DS0000067434.V303575.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 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. It was impossible to check staff recruitment records, as they were not at the home. Training records were poorly organised and did not show what training the staff had completed. Staff are available in sufficient numbers to enable the service users to lead active and varied lifestyles that meet their current needs. EVIDENCE: Staff records were not being kept in the home and this must be addressed. All of the staff records as identified in the regulations must be kept in the home. Training records were poor and did not identify what training had been completed. The manager must ensure that all of the training completed by the 59 Hatherley Road DS0000067434.V303575.R01.S.doc Version 5.2 Page 20 staff is recorded and certificates are present as evidence of the training being completed. Both of these shortfalls become requirements of this report. Speaking with a staff member they stated that since the new provider took over the organisation a lot more training has been taking place Examination of the home’s rota showed that there is a minimum of 1 staff member on duty at all times 24 hours a day, 7 days a week. 3 of the 6 staff are able to drive the home’s car, and the home have now got free bus passes for the service users. The manager explained that one of the staff is now going to be an activity coordinator working flexibly to enable service users to complete activities. They will be available during the daytime, evening and weekends. 59 Hatherley Road DS0000067434.V303575.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager has the relevant experience and qualifications and appears to be committed to providing a high quality service that is led by the needs of the service users. A service user led quality assurance system must be developed to ensure that their opinions are identified and acted opinion. EVIDENCE: The manager has only recently completed her registration with the CSCI. They have completed the Registered Manager’s Award and they are currently completing their National Vocational Qualification (NVQ) level 4 in care. In addition to these qualifications the manager has extensive experience of 59 Hatherley Road DS0000067434.V303575.R01.S.doc Version 5.2 Page 22 working with this client group. Comments received from the staff were positive about the manager’s approach. The manager and her staff team have worked hard over recent months to develop comprehensive care packages for each of the service users. Staff commented that this has made the job easier. It was noted that the insurance certificate displayed in the hall was out of date; this was brought to the attention of the manager. At present quality assurance is not being addressed but the manager has plans to address this in the future. The manager plans to start auditing practices, procedures and staff performance. A discussion took place about the use of questionnaires/surveys with the service users, other professionals, relatives and friends. As well as this method to seek feedback the manager could also use an advocate. Whatever the system adopted by the manager they must ensure that service users are central in the process. The provider is not regularly completing regulation 26 visits and this must be addressed. The manager completed a fire safety risk assessment for the home in November 2006. A qualified engineer checked all of the fire safety equipment in November 2006. Records showed that staff complete weekly checks of the equipment, but the manager must ensure that these checks are completed weekly. The last fire drill was completed in November 2006. The accident book had been completed thoroughly. COSHH was managed appropriately and data sheets were present. The manager should complete a risk assessment for the potential risk to service users from the electric hob that does not look hot when it is on. The mops for cleaning the bathroom and kitchen need to be labelled to minimise the chance of them being used in the wrong rooms and cross infection being caused. The central heating is due to be serviced. 59 Hatherley Road DS0000067434.V303575.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 X 2 2 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 2 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 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 59 Hatherley Road DS0000067434.V303575.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard YA32 YA34 Regulation 7, 9, 19 Schedule 2 7, 9, 19 Schedule 2 24 Requirement The registered person must ensure that staff training records are available for inspection. The registered person must ensure that staff records as detailed in the regulations are available for inspection. The registered manager must develop a quality assurance system that enables the service users views to be identified and acted upon. The registered person must ensure that the regulation 26 visits are completed as required by the regulations. Timescale for action 30/03/07 30/03/07 3. YA39 04/05/07 4. YA39 26 30/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA2 YA5 Good Practice Recommendations The registered person should review the home’s admission policy so that it accurately reflects what actually happens. The registered person should review the contracts of DS0000067434.V303575.R01.S.doc Version 5.2 Page 25 59 Hatherley Road 3. 4. 5. 6. 7. YA6 YA18 YA24 YA27 YA23 residency changing the “NCSC” to the “CSCI”. The registered person should review the care plans to ensure that there is sufficient detail in each plan to meet service users needs. The registered person should ensure that all of the service users health needs are assessed. The registered person should plan to replace the kitchen, carpet in the office, and complete redecoration around the home. The registered person should arrange for the bathroom door to be repaired to allowing the lock to work easily. The registered person should ensure that all financial transactions are signed by two staff. 59 Hatherley Road DS0000067434.V303575.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 59 Hatherley Road DS0000067434.V303575.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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