Inspection on 30/08/07 for 59 Hatherley Road

This inspection was carried out on 30th August 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 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 10/01/07

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 30 August and 5 September 2007 09:00 th th 59 Hatherley Road DS0000067434.V336796.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.V336796.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.V336796.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 Lindsey Marie Riley 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.V336796.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 10th January 2007 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. The fees for living in the home range from £800.00 to £1200.00 per week. 59 Hatherley Road DS0000067434.V336796.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The site visit for this inspection took place over two days. The registered manager was in attendance throughout the visits. A completed Annual Quality Assurance Assessment (AQAA) was supplied prior to the site visit. Completed surveys were received from two people living at the home, one parent and a doctor. Time was spent observing the care of people and their interactions with staff. All people living at the home were spoken to. The care of two people was looked at in depth and included looking at their financial, medication and personal records. Staff were spoken to about the care they provide. Other records examined included staff files, health and safety information and quality assurance records. What the service does well: What has improved since the last inspection? Food hygiene is well managed and minimises potential risks to people. Since the previous inspection the home’s environment has been improved with a new kitchen and bathroom being fitted. Communal areas have been decorated, new carpets fitted and a new 3 piece suite purchased. Peoples health needs have been assessed and identified needs addressed. 59 Hatherley Road DS0000067434.V336796.R01.S.doc Version 5.2 Page 6 A system of regular auditing has been implemented that examines areas including health and safety and quality assurance. 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.V336796.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.V336796.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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home’s admission procedure minimises the risk of a person being admitted to the home whose needs cannot be met by the staff. EVIDENCE: There have been no new admissions to the home since the previous inspection was completed. The home’s policy meets the criteria of the standard but it is impossible to judge how an actual process is managed. 59 Hatherley Road DS0000067434.V336796.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 who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s needs are identified in their care plans and this allows staff to meet people’s needs consistently. People are empowered to make decisions about their lives and staff support them where it is needed. Daily notes are not accurate and this de-values their worth when reviewing outcomes for people. Risk assessments completed for people allow them to complete activities whilst not putting themselves at risk. EVIDENCE: The care files for two people living in the home were examined in detail, the third person did not wish the inspector to see their file. Both of the files examined provide the reader with comprehensive information about each person. 59 Hatherley Road DS0000067434.V336796.R01.S.doc Version 5.2 Page 10 Both of the files examined provided care plans covering the following areas of their lives: • Communication • Maintaining a safe environment • Mobility • Eating and drinking • Emotional needs • Daily living skills • Social skills • Cultural needs • Health • Medication • Personal hygiene • Accommodation requirements • Financial management • Managing behaviour • Activities All of the care plans examined had been reviewed regularly and the person to whom they belonged signed a number of the plans. In addition to the care plans both of the files examined contained completed Person Centred Plans (PCPs) and these showed that people were involved in their development. One section is titled hopes and dreams where people say what they would like to achieve. To support this the manager has implemented target books which identify chosen goals and the progress towards meeting them. Examining these books it showed that people had identified specific goals, e.g. one person wished to go to Weston-Super-Mare with their key worker for the weekend. Records showed that this had been achieved and the person’s role in achieving it, e.g. booking the hotel themselves. In addition to this goal there was evidence of similar goals being achieved by both of the people in the home. This is a good practice as it provides a good level of evidence of people being empowered to become more independent and learn new skills. A shortfall discussed with the manager was that the goals highlighted in the PCPs were not being addressed in the target book and should be. This becomes a recommendation of this inspection report. A number of the documents examined in people’s files were not dated and the manager must address this. This becomes a recommendation of this inspection report. Daily notes provided evidence that staff had supported both people with their care plans since the previous inspection was completed. The manager must be mindful of the recording in the daily notes as some were seen not to be accurate. This becomes a good practice recommendation of this inspection report. 59 Hatherley Road DS0000067434.V336796.R01.S.doc Version 5.2 Page 11 Two people spent time talking to the inspector giving their opinions about living in the home. Comments included “I am asked what I’d like to do each day”, and both agreed that they were happy living in the home. People having a choice was evidenced in daily notes and other records and a completed service user survey made a similar comment. Whilst completing the site visit observations of the interactions between staff and people in the home confirmed that people were given choices. Both of the files examined showed risk assessments were completed for people that enabled them to take part in activities while potential risks are minimised. 59 Hatherley Road DS0000067434.V336796.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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. All of the people lead active lifestyles and are supported by staff appropriately where it is required. Daily notes do not accurately reflect what happens from day to day in the home. EVIDENCE: Each Sunday staff complete activity sheets with each person that plans activities for the coming week. Examination of a sample of these documents showed both people completed a range of activities. Speaking to one person they confirmed that a range of activities take place. As mentioned earlier in this report the manager must ensure that the daily notes accurately reflect what activities have taken place. Sampling daily notes it was clear that on a number of occasions activities have not been completed. This was discussed with the manager. In between the 2 visits completed for this site visit a 59 Hatherley Road DS0000067434.V336796.R01.S.doc Version 5.2 Page 13 staffing meeting was held. The minutes showed that the manager had addressed this point with the staff team. When speaking to a person they explained some of the activities they regularly complete included attending day services, baking cakes, in house activities (bingo, DVD nights), completing domestic chores (cooking, washing and cleaning) and maintaining hobbies including puzzle books and tapestry. In addition to this day trips are organised from time to time with people recently attending Barry Island. One person spoke about enjoying trips into the countryside. The home has its own vehicle. All 3 people have regular contact with their relatives. The home uses the safer food, better business package to minimise potential risks. One of the people that spoke to the inspector said that they enjoy helping prepare meals with the staff. The manager stated that all 3 people living in the home are involved in shopping for the ingredients for their meals. The people living in the home choose the meals and there is a 3-week rolling rota. When speaking with people they confirmed, “the food is nice and there is plenty of it” and “we can have something else if we don’t want what is on the menu”. The people living in the home review the menu every 2 months. As well as cooking meals people also have take-aways regularly. A good practice recommendation is to review the use of the 3-week rolling rota and move to a system that allows people to make choices more frequently. 59 Hatherley Road DS0000067434.V336796.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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s personal care needs are addressed through their care plans and this enables staff to meet people’s needs consistently. Peoples health needs are addressed by other professionals and assessments completed by the staff. People living in the home are not put at unnecessary risk by the home’s medication administration. EVIDENCE: People’s personal care and support requirements are identified in their care plans. Records seen in peoples personal files showed that the home use other professionals to meet people’s needs. A good record was available of appointments with other professionals. Staff have completed the OK Health check booklets (a method for assessing and planning healthcare needs for people with learning disabilities) with each person, and have just started to complete Health Action plans. When the 59 Hatherley Road DS0000067434.V336796.R01.S.doc Version 5.2 Page 15 inspector arrived at the home for the second day of the site visit a staff member was observed working with a person completing their health action plan. Medication administration was examined. A senior carer is responsible for completing monthly audits of the home’s medication. Examination of the medication stored in the home showed that a bottle of cough medicine had not been labelled with the date it was opened. This should have been found as part of the audit completed by the senior. It was brought to the attention of the manager and becomes a requirement of this inspection report. 59 Hatherley Road DS0000067434.V336796.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 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Potential risks to people are minimised through a robust complaints procedure and being supported by staff that have completed training in safeguarding adults. EVIDENCE: The home has a complaints procedure and a copy was on the notice board. The manager stated they she has not received any complaints since the previous inspection was completed. The CSCI have not received any complaints. Comments received in a completed service user surveys confirm that people living in the home feel able to speak with staff if they are unhappy about something. Staff complete training in safeguarding vulnerable adults. The training programme for this year showed that all members of staff would complete this training. 59 Hatherley Road DS0000067434.V336796.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, 27, 28, 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is clean, homely and comfortable and meets the current needs of the people that live there. EVIDENCE: At the time of the site visit a new kitchen and bathroom had been installed, the lounge/diner had been painted, new carpets fitted and a new 3 piece suite purchased. Speaking to people living in the home they explained that they had chosen the new colours in the lounge/diner. At the time of the site visit pictures were still to go back on the walls after decoration. None of the bedrooms were visited on this occasion. The new bathroom is of a good quality. The standard of the accommodation has been greatly improved. The home was clean and tidy and there were no offensive odours. 59 Hatherley Road DS0000067434.V336796.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 People who use the service experience poor quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff receive training to meet the needs of the people living in the home and this minimises potential risks to people. Staff recruitment records do not provide sufficient evidence that people are not being put at unnecessary risks through the recruitment procedures. EVIDENCE: The previous inspection report made a requirement against standard 32. The manager had to ensure that training records were available for inspection. Examination of records showed that the majority of the team had completed training in topics including first aid, food hygiene, equality and diversity, positive behaviour management, safeguarding adults, understanding learning disability and autism. Where staff have not completed these courses the manager has recorded this and they have been booked on courses to take place later this year. A 2nd requirement was made against standard 34. The manager had to ensure that staffing records were available to meet the criteria of the regulations. 3 of 59 Hatherley Road DS0000067434.V336796.R01.S.doc Version 5.2 Page 19 the staff files were examined and showed shortfalls remain. One file did not contain a full employment history, while another had no proof of ID. Both of these shortfalls were brought to the attention of the manager. It becomes a requirement of this inspection report that the manager ensures that this is addressed. 59 Hatherley Road DS0000067434.V336796.R01.S.doc Version 5.2 Page 20 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 who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The manager is appropriately qualified and experienced to run the home. Their leadership and review of the service has improved the quality of the outcomes for people living in the home. The manager monitors the quality of the service provided and her staff which ensures people are not put at unnecessary risks and enables outcomes to be improved. Health and safety is taken seriously by the manager and staff and minimises the potential risks to people. Fire safety should be monitored more effectively so as not to put people living in the home at unnecessary risks. 59 Hatherley Road DS0000067434.V336796.R01.S.doc Version 5.2 Page 21 EVIDENCE: At the time of this site visit being completed the manager had been in post for almost a year. The manager is registered with the CSCI after successfully completing the registration process. The manager has completed the Registered Manager’s Award. The CSCI received a completed Annual Quality Assurance Assessment (AQAA) before the site visit was completed and this was seen to be an accurate reflection of the service being provided. The home’s administration system provides a good level of evidence to support that people’s needs are being met. Some shortfalls have been identified and discussed with the manager and they gave their commitment to address them over the coming months. People living in the home have been asked to complete a questionnaire about the service they receive living in the home. It is planned that they will be asked to complete these questionnaires annually. The manager must ensure that they provide evidence that they have analysed the questionnaires and addressed any shortfalls. They should also highlight any areas of good practice. The findings of one questionnaire was discussed with the manager and it was agreed that they must address the findings. This may include asking them to complete another questionnaire. Each month a member of the staff team has the responsibility for completing a health and safety audit. Records showed that these had been completed regularly and covered areas including: - building and estate, equipment and facilities, kitchen and food hygiene and fire safety. In addition to this monthly audit other audits being completed included medication practice and vehicle safety. The director of the organisation completes regulation 26 visits regularly. The manager explained that they intend to implement an audit to review the skills of the workers in the home using staff supervision session’s feedback to staff. The inspector suggested that in addition to the current audits being completed the manager could look at the quality of areas including food, care plan reviews and activities. This becomes a good practice recommendation of this inspection report. As mentioned previously health and safety audits are completed monthly and examination of the completed audits showed that where shortfalls are identified they are addressed appropriately. The manager has completed a fire risk assessment for the home. Examination of the document showed that it was detailed. Other records relating to fire safety showed that an evacuation had been completed, staff complete training, 59 Hatherley Road DS0000067434.V336796.R01.S.doc Version 5.2 Page 22 smoke sensors are tested, and the extinguishers were serviced by an engineer in November 2006. The inspector suggested that a fire evacuation should be completed after people have gone to bed; this becomes a good practice recommendation. In addition to this the manager must ensure: • Tests of the smoke sensors are completed weekly. • Visual checks of fire extinguishers must be completed regularly. Inspection of the gauges on the extinguishers serviced in November 2006 showed that they were both in the red and not the green. This was brought to the attention of the manager who gave their commitment to address this on the day of the inspection. The manager must send the CSCI a copy of the invoice to show that this work has been completed. Portable appliance testing (PAT) was completed this month. Fridge and freezer temperatures are recorded twice daily and a food probe is used to monitor the temperature of cooked meals. The home uses the “safer food, better business” workbook issued by Food Standards Agency. 59 Hatherley Road DS0000067434.V336796.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 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 3 25 X 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 1 35 3 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 2 X 3 X 2 X X 2 X 59 Hatherley Road DS0000067434.V336796.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA20 YA34 Regulation 13(2) 7, 9, 19 Schedule 2 Requirement All medication must be labelled with the date it is opened. The registered person must ensure that staff records as detailed in the regulations are available for inspection. Requirement from the previous inspection not met. (30/03/07) The registered manager must ensure that answers received from people as part of the quality assurance system are acted upon. Staff in the home must monitor the fire safety equipment. Confirmation that the fire extinguishers have been serviced must be sent to the CSCI. Timescale for action 28/09/07 19/10/07 3. YA39 24 25/10/07 4. YA42 23(4) c 28/09/07 59 Hatherley Road DS0000067434.V336796.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations Goals identified in peoples Person Centred Plans (PCP) should be recorded in their target books. The target books should then provide evidence that peoples goals are being achieved. 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 two staff sign all financial transactions. A fire evacuation of the property should be completed at night time. 2. 3. YA6 YA17 4. 5. 6. YA37 YA39 YA42 59 Hatherley Road DS0000067434.V336796.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.V336796.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. Re-publishing this information is in breach of the terms of use of that website. 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