Inspection on 02/05/07 for 60 Olive Lane

This inspection was carried out on 2nd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

60 Olive Lane 22/06/09

60 Olive Lane 14/11/05

60 Olive Lane 23/05/05

60 Olive Lane 11/03/05

60 Olive Lane 29/11/04

60 Olive Lane 24/03/04

Similar services:

Tanglewood

88 Church Lane

Harmony Care Home

Olivet Christadelphian Care Homes

Sayer House

Beacon Centre For The Blind

Bryndale Avenue, 41 Flats 13, 14 & 18

Primrose Place

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

CARE HOME ADULTS 18-65 60 Olive Lane Blackheath Halesowen West Midlands B62 8LZ Lead Inspector Deirdre Nash Key Unannounced Inspection 2nd May 2007 01:00 60 Olive Lane DS0000025025.V335113.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 60 Olive Lane DS0000025025.V335113.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. 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 60 Olive Lane Address Blackheath Halesowen West Midlands B62 8LZ 0121 559 0031 0121 561 1288 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) The Royal Institute for Deaf People Rosemarie Foster Care Home 8 Category(ies) of Sensory impairment (8) registration, with number of places 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 service users in the category SI(E) may be accommodated at the home at any one time. 14/11/05 Date of last inspection Brief Description of the Service: Olive Lane is managed by the Royal Institute for the Deaf (RNID) and is registered to provide care to 8 residents, predominantly younger adults (aged between 18 and 65 years) who have a hearing impairment. A number of residents have other needs in addition to their hearing impairment, for example learning or physical disability. A condition has been approved to enable 3 existing residents who are over the age of sixty-five to remain accommodated. It is situated in a residential area close to Blackheath town centre and is accessible to a main public transport route and a ‘corner shop’. The home has a good sized rear garden and dedicated parking to the side. Olive Lane was purpose built, opened and registered as a care home in the mid 1990s. The building itself is owned by Black Country Housing Association. The home is detached and of a generous size. It consists of two floors and offers 8 single occupancy bedrooms, a number of these are of a generous size and all meet the required size specifications. Communal areas, the lounge, kitchen and dining area are on the ground floor, together with a number of bedrooms, toilets, bathroom and the laundry. The first floor has further bedrooms, toilets, a bathroom and office facilities. Fees for 2007/8 are between £637 and £1204 per week. 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We looked at all of the information that we have received about this home since it was last inspected. We sent out comment cards to the home for residents to complete. The home then provided a British sign language interpreter to help residents who wanted to give us their views to complete them. Eight were sent back to us and the views expressed in them are shown in this report. We sent the manager of the home a questionnaire to fill out in order to bring us up to date with facts and figures about the home. This was returned to us in good time and the quality of the information sent to us greatly assisted the inspection. The Inspector called at the home without notice mid morning, spoke with the manager, the deputy and two members of staff and met five of the residents. We had a lengthy conversation through an interpreter with two residents. We looked around the home and looked at records. The care of a sample of two residents was followed in this way to see if the home is providing a service that meets the national minimum standards. Residents appear generally well. They look healthy and well looked after and can communicate comfortably with staff. One resident said to us ‘ yes this place is good. Staff help me. I help some of the other people here.’ What the service does well: The manager is qualified, experienced and registered with us and the home is run in the best interests of its residents. The home provides good personal care and makes sure that residents get routine as well as specialist health care including mental health care. Managers and staff have got to know the residents well, welcome their families and friends and are clearly committed to their welfare. There is good and regular contact with individuals social workers. The home produces good, clear individual plans for residents care for staff to follow. These plans weigh up the benefits and risks involved in ordinary daily events and leisure activities so that residents can live an active life in relative safety. Residents have some choice about their meals and staff do encourage healthy eating. Staff are properly recruited, supervised and trained and the home regularly checks the quality of the service that it offers by surveying everyone who has an interest in it. 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 6 Residents are helped to keep busy, pursue hobbies and interests, develop skills and get out and about regularly. They each have their own bedroom and residents throughout the day use these as they please. 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. 60 Olive Lane DS0000025025.V335113.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 60 Olive Lane DS0000025025.V335113.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, 3, 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has good information about its services and does not admit people that it cannot properly look after. Residents live in a home that can meet their needs. EVIDENCE: We saw a Statement of Purpose and Service User Guide that were updated in 2006 in pictorial and picture ‘sign’ form. The manager reports that no new admissions have been made to the home for two years. Notification to us since November 2006 show that a change in one residents condition led to a multi disciplinary review and resulted in a re admission to psychiatric clinic. The manager tells us that this residents place at the home is still open for when she is well enough to return. This shows that the home does not continue to struggle to take care of people when it cannot safely meet their needs. 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 9 We saw social services contracts and the homes own statement of terms and conditions in the care files of two residents that we chose as a ‘tracking sample’. The provider and the resident signed the homes terms and conditions and ‘extras’ that need to be paid for over and above the weekly fee are set out clearly. 60 Olive Lane DS0000025025.V335113.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 excellent This judgement has been made using available evidence including a visit to this service. The home produces comprehensive care and support plans for each individual that are underpinned by risk assessment and show how and where individuals can make their own decisions. Resident’s needs, goals and aspirations are being reflected in their plans of care. EVIDENCE: We looked at the care files of two residents; both contain good clear service user plans underpinned by a number of relevant risk assessments. We interviewed the named key workers for these residents and they were able to talk in detail about these plans. We saw records of 3 monthly ‘core review’ meetings for each resident’s care that included the resident. We spoke to both of these residents. One confirmed that staff help her in the ways described in her plan. She had written some of the plan herself. 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 11 The other resident confirmed that he wants staff to manage his medication for him and this meets with the risk assessment on his file. We saw that limits on where he can smoke in and around the home are written into his care plan and he confirmed to us that he understands the reasons for these restrictions. 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Although higher staffing levels would increase individual community contact, the home has a strong commitment to enabling residents to develop their skills and individuals are supported to identify their goals and work to achieve them. Residents have a life style suited to their age and interests. EVIDENCE: We saw risk assessments and management strategies in both care files of residents tracked relating to activities, social life and family contact. Both residents confirmed these arrangements when we spoke to them. We saw a completed ‘priority goal sheet’ in care files for each resident last updated in April 2007. 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 13 One resident confirmed that she enjoyed going to college cookery classes until they included shopping for the food and that this proved too much exertion for her. She does a little cooking in the home now. We asked about the opportunities for residents to get out and about. The manager told us that at least one resident cannot go out for more than an hour without 2 staff to help her to use the toilet and this challenges the staffing levels in the home. She says she has put a case to this persons social services department for increasing her fees and therefore staffing levels and that the response is now looking positive. Rosters show that two staff are on duty until 8pm then one staff until 11pm each night week days and are then relieved by waking night staff. At weekends there are three staff on duty to 8pm, two until 10pm and one until 11pm. It is difficult to see how residents who need staff support can go out individually in the evenings mid week. One resident wrote in a comment card ‘staff take a group of us out at weekends.’ We saw one of our ‘sample’ residents working in the green house potting up tubs and window boxes of summer bedding plants. Another resident returned from the hairdresser while we were there and another confirmed that the home helps her to get to see her favourite football team play. Residents comment cards returned to us were generally very positive about activities, friends and holidays. One wrote through a sign language interpreter, ‘ staff let me choose-go swimming, cinema, meals out etc. And I can go on holiday in an aeroplane too.’ We saw fresh fruit and fresh salad vegetable in the kitchen. Much of the ‘grocery’ stock that we saw in the larder is supermarket basics budget brand. The deputy manager told us that there is no shortage of funds for food but it is just what staff tend to buy. She has agreed to look into this. 60 Olive Lane DS0000025025.V335113.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 excellent This judgement has been made using available evidence including a visit to this service. The home provides health and personal care and support based on individuals needs including meeting the current needs of older adults. Residents are well looked after and get the help that they need to look after themselves. EVIDENCE: We saw a health care file that contains routine as well as specialist health care records for both of the residents in our sample. Care plans for each detailed how personal care tasks should be carried out or supported by staff. One resident confirmed that she wants her bathing and hair washing to be done the way it says in her plan and using a ‘Parker’ assisted bath. Both key workers that we spoke to are very familiar with the personal care plans for their key resident and also their particular health care issues including mental health. One is also clear about most risks and conditions of old age, for example risk of falls and potential for rapid weight loss but the 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 15 other was not. Increased risk of dehydration leading to confusion was not mentioned by either staff member so the home has more work to do here to prepare for changing needs. We did see weight records for both residents and health after surgery risk assessment, skin viability assessment and falls risk assess in the file of the 74 year old resident however. We saw that medication is securely and properly stored in a walk in cupboard and a list of all medications taken plus risk assessment for each is on both residents’ files that we looked at. The male resident in our sample has a male key worker and the female resident confirmed that male staff do not undertake any person care of female residents. 60 Olive Lane DS0000025025.V335113.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): Quality in this outcome area is excellent 22, 23 This judgement has been made using available evidence including a visit to this service. The home promotes an open culture where residents feel safe and supported to share any concerns in relation to their protection and safety. EVIDENCE: We have received no complaints about the home since we last inspected it. We have received notifications from the home of one complaint about a member of staff made by a resident and one allegation of misconduct made by one member of staff about another. The records sent to us showed that the manager investigated and dealt with both properly. We looked at the personnel file of the latest member of staff recruited earlier this year and saw that she was provided with training in adult protection as part of induction. The home also notified us and social services about an allegation of robbery of a resident by a local person in the street and the police subsequently brought a prosecution. 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 17 A quality survey questionnaire distributed by the home returned by a social worker commented that staff need to have more knowledge on benefits regulations. Also that the home should forward information about revised fees more quickly to prevent resident’s payments from their social services authorities being affected. The manager told us that she is addressing these concerns. Staff that we spoke to were able to describe how they have undertaken a risk assessment and developed a management strategy to protect one resident from financial exploitation when she goes visiting. 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Although communal rooms are large, the home provides a physical environment that is appropriate to the specific needs of the residents. EVIDENCE: We looked around the home and saw three bedrooms including one of the residents in our tracking sample. The home was purpose built in the early nineteen nineties by a social landlord and although the bedrooms are large so too are the communal rooms. The home has tried to make the communal rooms cosy but it is difficult to achieve. The house is full of natural light and the back garden gets plenty of sun. There is a small greenhouse that is used by at least one resident. 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 19 The house has been redecorated and re carpeted since our last visit. We saw that one resident’s room has been designed and decorated around her football team colours and motifs. She was clearly thrilled with it and used the ‘light writer’ to ask us to take a look at her new shelving units. We used a doorbell to activate a light in her room so that she knew when we were at her door. The kitchen is kept in good order and the house is kept clean. All of the doors are the same wood finish. The home has some residents over 65 years and this could create a ‘disabling environment’ for someone who develops confusion. It could affect for example, their ability to manage their own continence because toilet and bathroom doors are indistinguishable from other rooms. We recommend that distinguishing doors for their function, i.e. bedrooms, toilets and bathrooms, public rooms, be planned into a next phase of refurbishment. We saw the laundry. It is in good order, the washing machine has a sluice function and we saw a stock of red dissolvable bags for carrying and washing soiled linen hygienically. 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home recruits, trains and supervises its staff well. Residents have confidence in the staff that care for them. EVIDENCE: We looked at the personnel file for latest recruit to the care team. It contained all information necessary about a worker for the protection of vulnerable people. We were shown her induction workbook and this was set out along the Common Induction Standards. Training certificates showed that this new worker had undertaken adult protection training during March this year as part of induction and a number of short courses appropriate to the needs of residents during 2006 with a previous employer including manual handling and deaf equality. 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 21 Both key workers that we spoke to confirm that they have regular one to one supervision sessions with a line manager. The manager tells us that over 50 of the care team hold NVQ in Health and Social Care at Level 2. One key worker in our sample says she has just completed Level 3. Monthly training schedules show an ongoing programme of training and development for staff. Records show that both key staff in our sample have undertaken training in dementia awareness recently. Referred to above one of them was not certain when we asked, what the common conditions and illnesses are of old age and the key risks likely to need to be managed. The home has three residents of 65 years and over- including one who is 74. The health and condition of people this age can change very quickly and the home should be equipped to deal with that. This is an area for future improvement. Residents that we spoke to and who returned a comment card to us all say that staff help and support them well. Relatives that participated in the homes recent survey say that staff are very caring and committed. Staffing levels are adequate but referred to above at least one resident needs two staff to help her to use the toilet when she is out and this limits her opportunities to go out spontaneously for long periods of time. 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42, 43 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect and the manager is qualified, competent and experienced. Residents live in a home that is safe and run in their best interests. EVIDENCE: The manager is registered with us, qualified (Level 4 in Care and in Management) and experienced. Staff that we spoke to say she is an effective leader and residents that we spoke to say that they trust her to listen to them and get things done. The deputy manager reports she also has Level 4 in Health and Social Care. 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 23 The management team have kept us informed of any accidents or incidents that affect residents and have put right all of the things that we pointed out for improvement at our last visit. The Provider Company has good policies and procedures and staff that we spoke say that it is a good company to work for. We looked at a sample of fire safety records and the electrical and gas installation certificates and found them in good order. A certificate on display shows proper insurance cover. The provider regularly surveys stakeholders about the quality of the service and makes improvements. We have taken in to account views from the latest of these surveys in this inspection. All of the records that we saw are properly and securely kept, legible, complete and easy to follow. This enabled the inspection to be done quickly and impose as little as possible into the day and the lives of the residents. 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 x 27 x 28 3 29 4 30 3 STAFFING Standard No Score 31 x 32 3 33 3 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 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x 4 3 3 3 4 3 3 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 YA24 Good Practice Recommendations Older residents should be confident that the interior décor of the home enables them to continue to move around and function as independently as possible should they develop cognitive dysfunction or confusion. Older residents should be confident that the home is ready to manage and meet their specific health and safety needs as they arise. 2. YA35 60 Olive Lane DS0000025025.V335113.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 60 Olive Lane DS0000025025.V335113.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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