Inspection on 22/03/07 for 62-66 Windermere Road

This inspection was carried out on 22nd March 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

62-66 Windermere Road 04/02/08

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

CARE HOME ADULTS 18-65 62/66 Windermere Road Up Hatherley Cheltenham Glos GL51 5PL Lead Inspector Kath Houson Key Unannounced Inspection 22nd March 2007 12:00 62/66 Windermere Road DS0000066770.V333029.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 62/66 Windermere Road DS0000066770.V333029.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. 62/66 Windermere Road DS0000066770.V333029.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 62/66 Windermere Road Address Up Hatherley Cheltenham Glos GL51 5PL 01242 242684 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.brandontrust.org The Brandon Trust Mrs Sarah Katherine Mary Frank Care Home 12 Category(ies) of Learning disability over 65 years of age (12), registration, with number Physical disability over 65 years of age (12) of places 62/66 Windermere Road DS0000066770.V333029.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th March 2006 Brief Description of the Service: Windermere Road is a twelve–bedded home that provides residential accommodation for adults with learning and physical disabilities who may have complex needs. It is a nursing home that provides nursing care for people with learning and physical disabilities and a qualified nurse is always on duty per shift. The home is situated within easy access to Cheltenham town centre. The home benefits from being on the main route into Cheltenham with easy access to public transport. The accommodation consists of three bungalows each with four single bedrooms, a fully adapted bathroom and a lounge diner. The home has a wellequipped sensory room. There is pleasant garden with an accessible patio and raised flowerbeds. The front of the property has ample space for car parking. The home is run by Brandon Trust and Advanced Housing manage the property which include all the repairs. Accurate information about fees were provided and range from £1200 per week. The assessemnt of fees are calculated according to needs assessment. All personal items are not included by the fees. 62/66 Windermere Road DS0000066770.V333029.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 term “residents” will be used throughout this report. The unannounced inspection took place on one day in March 2007. The registered manager was unavailable during the inspection. However another senior member of staff was able to assist and provide all relevant documentation on request. The members of staff were able to assist in a positive manner creating a working partnership with the Commission for Social Care Inspection (CSCI). Twenty-one core key standards were examined. This included an examination of documentation; two service users were case tracked (this is a method used to carefully examine and link various aspects of the residents’ care within the home). A tour of the environment is to explore the physical side and obtain a visual account of the home. A short discussion with a staff member formed part of the inspection and a short succinct feedback was given to conclude the inspection visit. I would like to extend my thanks to the residents, staff and management for their assistance with the inspection. What the service does well: What has improved since the last inspection? What they could do better: Regular, recording of the fridge and freezer temperatures. Reviewing the disposal policy of unused medications. To write the date of opening on all medicine containers once they are in use. Please contact the provider for advice of actions taken in response to this 62/66 Windermere Road DS0000066770.V333029.R01.S.doc Version 5.2 Page 6 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. 62/66 Windermere Road DS0000066770.V333029.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 62/66 Windermere Road DS0000066770.V333029.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential service users’ receive a fully comprehensive assessment before admission into the service. EVIDENCE: This service has an understanding of the importance of meeting needs and aims to obtain sufficient information when choosing a care home. The staff team are qualified to assess potential users of the service and this was evident during the inspection as the staff member was able to explain that some residents require clinical input and specialist care, the service is able to meet those needs. Potential service users are provided with the relevant information depending on the care package from Social Services, extra staff would be provided. For example if residents require alternative feeding methods, the outcome would be that extra staff would also be essential, due to the increased number of feeds and the number of staff members it would take to complete those feeds. Assessments additionally include reports from other health professionals in order to provide a fully comprehensive assessment of needs prior to admission in to the home. Any potential residents have to be compatible with the existing residents within the home. Admissions into the home are undertaken where 62/66 Windermere Road DS0000066770.V333029.R01.S.doc Version 5.2 Page 9 the staff are confident that they have the skills, ability and qualifications to meet the assessed needs of potential residents. The staff and management team may consider any new referrals together with the rest of the staff team. This would demonstrate the inclusiveness of the staff team. This was also evident during a team handover that was being observed at the time of the inspection. 62/66 Windermere Road DS0000066770.V333029.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. Working partnerships with other health professionals ensures that residents changing needs are monitored. The residents have personalised risk assessments that ensure that their safety is maintained. Risk taking is supported and assessed according to individual needs. EVIDENCE: The use of total communication ensures that the staff team can communicate with the residents. The use of body language; picture boards, reading expressions, hand gestures for instance assist with communication difficulties for residents with complex needs. Selected care files demonstrate individualised and personalised planning of care. During the inspection, a visit by the local District Nurse (DN) occurred. The DN made the following comments; 62/66 Windermere Road DS0000066770.V333029.R01.S.doc Version 5.2 Page 11 “ this home is very good with the provision of its care for these residents, and they call us regularly for advice.” The care plans are person centred and provide clear guidelines for the staff team to follow. The manual handling is based and planned around the medical and clinical needs of the residents. The use of total communication assists in the decision making process in which the residents are offered choice and given support. The selected care plans each includes a comprehensive risk assessment that is also reviewed regularly. Input from other health professionals is also visible and ensures that the resident’s safety is maintained during activities, which is part of their daily life. DN also commented that “the staff team care very well and the service users are looked after well fab!” All the care plans are currently being changed to the Planning for life (PFL) format. This is a new concept that is being put forward by Brandon Trust. The staff team are pleased with this form of paperwork and its format, as it encourages the resident’s information, to become increasingly more person centred. For example, justification for an escort, human rights, protocol for consent these issues would be of significance to the residents on a daily basis and would therefore be included in their care files. There additionally exist a hospital assessment in which residents are assessed at the point where a admission into hospital is likely to occur. The hospital assessment is based on the traffic light system, a concept that was developed in the National Health Service. 62/66 Windermere Road DS0000066770.V333029.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. Residents participate in regular activities. The staff team support the residents’ to take part in community type events. Healthy meals are on offer as part of a balanced diet. EVIDENCE: On entrance to the office the home has a large activities timetable on the office door. This is good practice as this informs all staff members and residents whereabouts. Activities include visits to a well equipped sensory room which has touch boards, lights, and music. This sensory room stimulates the senses; a number of day centres are used such as Saint Vincent. Visits to the local butterfly farm form a part of the activities this service has to offer. 62/66 Windermere Road DS0000066770.V333029.R01.S.doc Version 5.2 Page 13 The home is located close to local amenities in Cheltenham. The residents are supported with their external activities and are part of the local communities where the residents live. The residents have access to the local pub, public transport; attend concerts, local college, and leisure facilities, holidays away, and theatre visits. The service fosters positive relationships within the community where they live. There are family links in a number of cases and the home encourages and maintains positive links. The home fosters good relationships with the families. This was evident from a relatives comment on the feedback sheets. The daily routine of the household involves choice and personal support with personal care. The menu is varied with a number of choices that include healthy options. The meals are balanced. 62/66 Windermere Road DS0000066770.V333029.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. The residents receive care that is of a good standard. The residents can rely upon good clinical practice delivered by a competent staff team. The home has a good medication procedure, this could be improved if the service was to revisit its policy on the disposal of medicines. EVIDENCE: The manner to which healthcare and personal support is provided is a key issue. In this instance this service provides nursing care on a twenty-four hour basis. This would suggest that there is always a qualified registered nurse on duty to monitor the care provided to all residents. Taking into account equalities and diversity issues. This additionally entails that the care provided is in line with what has been agreed in the care plans and is a working document and is regularly updated to keep abreast of changes that may occur. The principles of dignity and respect are put into practice via the means of an effective and personalised healthcare support plan using the person centred 62/66 Windermere Road DS0000066770.V333029.R01.S.doc Version 5.2 Page 15 and or planning for life approach or model. The personal needs, which include specialist health, nursing and dietary requirements, have been recorded. At the time of inspection, the DN made a visit to the home. In addition the senior nurse was waiting for the arrival of the local General Practitioner (GP). During this burst of medical activity the remaining residents were participating in music session and arts and crafts. The home remained calm at all times and extremely active. The DN explained, “All the staff do the care and take note of the condition of the skin which is brilliant.” The DN also commented “Any requests made from the home, the DN would assist and “provide extra clinical advice.” This demonstrates that this service maintains its principle of dignity and respect and privacy according to the clinical code of practice. This is good practice and was also evident during hand over. The residents were discussed with respect and consideration. This service is able to commit to the person centred planning and take into account any changes the residents may experience. Additionally, this service refers to the skills and ability within the whole team to provide a good level of quality care. At the time of inspection it was visible that the residents have access to healthcare and curative services. This was evident during the visit by the DN and the GP. This service is aware of the resident’s individual needs and appropriate appoints and visits are made accordingly. This service appears to have positive and effective support from the local health professionals, which has positive outcomes for the residents’ on the whole. During the inspection a medication drug count was conducted to check that the tablets are correct and numbers coincide with the medicine book. This was completed to standard. A random tablet count was also conducted. This demonstrated that the homes medication procedure is effective. The staff team can account for their prescribed drugs through the process of audit. A discussion around the date of opening of medication would be useful to ensure that the rotation of time sensitive remedies is used in the correct order. The home has a complex medication system in which the qualified staff team manage well. Selected care files additionally show that medications are given as per care plan and no omissions were detected. The cabinets are of good quality and the temperature is suitable for storing the homes tablets and treatments. The home additionally has a designated room that is used for the preparations of medication. The home ensures that the resident’s choice is reflected through direct access to the prescriber with documented consent to treatment and individual care. For instance, residents who are unable to take medication in the form of tablets are given the alternative choice of liquid preparations. The home has an effective medication policy and procedure that was demonstrated during the drug round. The staff member was reminded to remove all old unused medication form the cupboard that would free up more space and to review the returns of medication policy. 62/66 Windermere Road DS0000066770.V333029.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. The home’s complaints procedure has an open culture, and the complaints procedure was available on request. The residents are safeguarded from elements of abuse. EVIDENCE: This service has not had a complaint or concerns since the last inspection. This would demonstrate that the service is operating at a good level and continues to provide a good level of care. The homes complaints procedure was seen during the inspection. The home has an open culture and the complaints procedure was available on request. Relatives comment that “staff are all without exception so friendly” (01/2007) The service appears to have an understanding and procedures for the safeguarding of vulnerable adults. The staff team are aware of when and to whom incidents have to be reported. The staff team have participated in the Brandon Trust vulnerable adults training. The content of the training was discussed and described at the time of the inspection. 62/66 Windermere Road DS0000066770.V333029.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean safe and homely environment that is suitable to their needs. EVIDENCE: Windermere Road is located a few miles on the outskirts of Cheltenham and it provides accommodation for residents with learning and physical disabilities. The accommodation is three bungalows each with four single rooms. The home provides a physical environment that is appropriate to the specific and individual needs of the residents who live there. The property is adequately maintained and Advanced Housing manages the responsibilities of the repairs. During the inspections the washing machines had broken down and the staff team attempted several times to make contact with advance housing who would then send out a contractor to deal with the issue. At 14:15hrs there was still no response for Advanced housing management. It would appear that the situation was dangerous as there was rubber burning from an unknown source. Safety measures were taken, but Advanced housing failed to respond. 62/66 Windermere Road DS0000066770.V333029.R01.S.doc Version 5.2 Page 18 The staff team were extremely concerned as their responsibility is to the residents and their safety. The home additionally had to take precautions in the handling of infection. It would additionally appear that the numerous phones made the Advanced housing in order to attend to jobs and or replacement job repair is time consuming to the home, inconvenient to the residents as it is important that their home is maintained to standard. On the whole the home is clean tidy with no offensive smells at the time of the dilemma and the inspection. 62/66 Windermere Road DS0000066770.V333029.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 good. This judgement has been made using available evidence including a visit to this service. The staff team are accessible and approachable. The service has a good recruitment and selection procedure that protects the residents in their place of residence. The residents are supported by a team that is appropriately trained. EVIDENCE: This staff team is competent, qualified and skilled and supports the residents. Information taken from the pre-inspection questionnaire states that the manager and deputy’s responsibility is of the running of the home which is based on both members working regular shifts as well as arranging to have supernumary time. The staff rotas demonstrate that there is a regular shift pattern. The rotas also show that any staff numbers that are low then the service would use bank staff and that Criminal Records Bureau (CRB) checks are completed before commencing on a shift. Staff members work in three teams who are each responsible for four residents. A qualified nurse then coordinates each team. All qualified staff conducts supervisions. It was clear during the inspection that this style of working is suitable for this service. It 62/66 Windermere Road DS0000066770.V333029.R01.S.doc Version 5.2 Page 20 was evident during an observed handover session where all the teams were brought together to verbally handover the shifts account of the resident’s progress. The team appear to get on very well with each other; the atmosphere was one of harmony and professional working. The staff members are currently participating in a National Vocational Qualification L4 course (NVQ4). This further builds and improves the skills and knowledge of the staff team. The training file was additionally seen which demonstrate that continual professional development is ongoing. This is good practice. The service has a good recruitment and selection process that is also practiced when using bank staff. The service recognise the importance of an effective recruitment procedure. This was described during the inspection. The staff team are long standing and state that “every day its different.” Staff team report that they get support with training and can make regular requests. The objective is to continue to meet the individual needs of the residents. 62/66 Windermere Road DS0000066770.V333029.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 good. This judgement has been made using available evidence including a visit to this service. The home is managed well by a competent manager. The service is open and transparent and delivered good quality care. EVIDENCE: The registered manager is competent to manage the home and meets its stated aims and objectives. The service has a good line of accountability and the sharing of the workload appears to be equal. The homes policies and procedures were available on request that demonstrate that the home is transparent. The area that could be a little tighter is the communication in which this could be improved. Although the staff team have regular staff meetings and team meetings in which information is shared is written in the communication book that appears 62/66 Windermere Road DS0000066770.V333029.R01.S.doc Version 5.2 Page 22 to be an important document that the staff must read. The homes policies and procedure are sound and is regularly reviewed. The home works to a clear health and safety process however it was noted that the recordings for the fridge and freezer tempts were inconsistent. This could be improved. Additionally the COSH items that are hazardous items should be locked away in a secure cupboard. The service has a quality assurance system in which is regularly reviewed by the provider Brandon Trust. The data is supplied by the staff team and appears to be easy to extract. The results of the data were not available at the time of the inspection. In addition the service received a number of compliments from the relatives. Comments include “thank you to each and every one of you who contribute to my relation’s wellbeing” the parents and relatives are always including in the Essential Life Plans (ELPs). On the whole this services provide a good standard of care to residents with complex needs. He input from the staff team and the health professionals is frequent and consistent which further demonstrates that the care provided is personalised. 62/66 Windermere Road DS0000066770.V333029.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 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 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 3 X 3 X 3 X X 2 X 62/66 Windermere Road DS0000066770.V333029.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 13 (2) Requirement Timescale for action 22/03/07 2. YA20 13 (2) 3. YA42 13 (b) The registered person must make arrangements to review its medication returns policy and to dispose of unused medicines that is received into the care home. The registered manager shall 22/03/07 make suitable arrangements for the safe handling of all medicines and include the date of opening of medications that are received into the care home. Unnecessary risks to health or 22/03/07 safety of the residents are identified and so far as possible eliminated. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 62/66 Windermere Road DS0000066770.V333029.R01.S.doc Version 5.2 Page 25 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 62/66 Windermere Road DS0000066770.V333029.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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