Inspection on 10/01/06 for 63 Hoveringham Drive

This inspection was carried out on 10th January 2006.

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

63 Hoveringham Drive 14/07/09

63 Hoveringham Drive 07/08/07

63 Hoveringham Drive 12/12/06

63 Hoveringham Drive 03/05/05

63 Hoveringham Drive 06/12/04

63 Hoveringham Drive 16/08/04

Similar services:

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Polesworth Group Friary Road

Polesworth Group Pooley Heights

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

CARE HOME ADULTS 18-65 63 Hoveringham Drive Eaton Park Stoke-on-Trent Staffordshire ST2 9PS Lead Inspector Mr Berwyn Babb Unannounced Inspection 10th January 2006 10:00 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 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 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 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. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 63 Hoveringham Drive Address Eaton Park Stoke-on-Trent Staffordshire ST2 9PS 01782 201766 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) Choices Housing Association Limited Mrs Terri Byczkowski Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6), Physical disability (6), of places Physical disability over 65 years of age (6) 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents with either Learning Disability (LD or LD(E) category may also have a Physical Disability (PD or PD(E) 3rd May 2005 Date of last inspection Brief Description of the Service: Hoveringham Drive is located on a large private housing estate in the Bucknall area of Stoke-on-Trent. It has access to a small but adequate shopping centre and, via a local bus route, has relatively easy access to the main shopping centres of Hanley and Longton. The bungalow is a purpose built unit that is run by The Choices organisation, who have a number of similar homes throughout the Potteries area. This home is registered to provide care for six females with varying degrees of Learning Disability. Two current residents have physical incapacity. The design of the home is based on the domestic model, with six bedrooms, a domestic kitchen/diner, laundry, and a communal lounge. Bathrooms and toilets have been specially adapted to assist those residents with a physical disability. Doorways and corridors are wide to facilitate wheelchair use and have been fitted with grab rails. The open plan layout established by creating an archway between the kitchen and the lounge has achieved its objective of encouraging residents to make more use of the lounge facilities. The property has a small but well kept garden at the rear with adequate seating for use in fine weather. There is a sloping Tarmac covered area at the front for car parking The exterior and interior are in a good structural state of repair. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The date of this inspection had been arranged with the Care Manager, but was carried out to the unannounced arrangements to complete for the year 2005/2006, all those standards identified as being “Key” by the Commission. Some standards already covered in the previous inspection of 3rd May 2005 may have been repeated, if indicated by observation, discussion, or events, arising during this inspection. Work was being carried out on this day, to replace the bath with a unit that was more appropriate to the developing needs of some of the older residents. This appeared to be causing a minimum of disruption to the running of the home. This purpose build home was well-maintained, clean, warm, and tidy. Personal choices and likes of residents were reflected in both the environment of their rooms, and the program of their daily living. Positive assistance and generous hospitality was given to the inspector by everyone present. What the service does well: What has improved since the last inspection? Following reviewed risk assessments on some of the residents, the existing bath was being replaced, with one more suited to the reduced mobility experienced as a consequence of ageing. However, it was of a type that was fully accessible to the other residents as well. One bedroom had been completely re-fitted, and two others had benefited from new carpets prior to being redecorated 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 Page 6 The staff/managers office had metamorphosed into a more spacious working environment, with new flooring, new furniture, a computer [linked to the Choices main offices] and re-arranged storage facilities. Following risk assessments, and discussion with the resident, one lady had a pressure triggered alarm fitted to her bed, to alert night staff to her attempting to get out of bed to go to the toilet. The aim of this device was to reduce the number of falls she had sustained in a sleepy state, whilst attempting to walk unaided. 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. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 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 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,5 Key standard 2 was assessed as satisfactory during the previous inspection of 3rd May 2005. From this inspection it was deemed that the home took adequate steps to provide would be residents and their supporters with sufficient information to allow them to make an informed choice, about the suitability of this home to their assessed needs and individual choices. The contract review clearly stated all the terms, benefits, and responsibilities, required by this standard. EVIDENCE: The inspector reviewed the amended Statement of Purpose, and can confirm that it now includes information about the recent variation granted to the home, for the accommodation of residents over the age of 65, but with the same conditions of learning disability, or physical disability that had previously been provided and recognised in the registration, for younger adults between the ages of 18 and 65. These changes were initiated mainly to accommodate the aging of existing residents, and less with a view to tapping other markets, for any future vacancy. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 Page 9 The inspector made an in depth review of the tenancy/licence agreement in one of the personal care plans that he was case tracking, and found this to correspond with all requirements of this standard. The resident or supporters, had a written statement of all the terms and conditions associated with being cared for at 63 Hoveringham Drive. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10 Key standards 6 and 9 were satisfactorily reported upon in the previous inspection of 3rd May 2005. On this inspection, it was deemed that staff were assisting residents to make whatever decisions they were able to, and were including them in all aspects of the life of the home, as their capacity to understand and their ability enabled them. The importance given to confidentiality was made manifest through the training schedule. EVIDENCE: It must not be presumed that all the residents are fully cognisant with what the inspector found when he reviewed a random sample of their care plans. That was, multi-agency assessments, reviews, risk assessments, programmes to maximise their independence, and the extent to which various peoples significant to them had been involved. What he did observe however, was staff using their skills and experience, to make the most of even the smallest opportunity for a resident to be involved in both what was recorded in their care plan, and in the wider decisions that impacted upon all aspects of their life within the home. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 Page 11 Thus in care plans examined, he found reference to the values of inclusion, and to the status, respect, and importance of choice, for those residents. Whilst reviewing the nature of induction training for new staff, he observed that during their first week of employment, before they actually commenced work on the floor of the home, they undertook instruction and training at Headquarters, included reading and signing of the policy on confidentiality, and the rights of residents to have their records kept accurate and secure, and information contained within them only shared with partner agencies in their care, unless the residents were specifically able to request otherwise. The training, and Choices’ policy sets out the need for such partner agencies to give a similar undertaking not to share confidential information, except with the permission of, or to prevent detrimental deterioration in, the given resident. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,15 Key standards 12, 13, 16 and 17 were satisfactorily reported on following the previous inspection of 3rd May 2005, and from this inspection it was seen that even the minutest opportunity to develop the abilities of a resident were actively pursued by the staff. This included ensuring that any existing or blossoming family/friendship ties were encouraged with appropriate advice and support. EVIDENCE: It was recorded in care plans and noted from discussion, that for some of the older ladies appropriate links had been made with a nearby care village, where they were able to engage in various occupational activities and leisure pursuits, with people who shared their chronological age, but not necessarily their disability. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 Page 13 For some who had experienced years in isolated health run specialist hospitals, this was the first time that anyone had attempted to maximise their personal development by offering them opportunities to have a presence in the world outside learning disability. Care was also seen to have been exercised in the choice of venues to which residents of differing age groups were taken when out shopping in Hanley. In one of the personal care plans being reviewed as a case tracking exercise, and in discussion about, and observation of, the resident, copious references were found to visits by relatives, visits to relatives, and visits with relatives. Similarly there was a record of long term friends ships that had been established in the previous learning disability hospitals, some of which were being maintained through a network of social events and individual visits, with and to, other small homes in the management of the same providers. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,20 As far as it is possible to ascertain, residents were content with the intimate care that they were receiving. None of the current residents of this home were managing the administration of their own medicines, and staff received initial and refresher training to undertake these tasks on their behalf. EVIDENCE: From the personal care plans being reviewed, and in discussion with the staff at the home, it was established that residents are not always receptive to intervention, and that when this happens. a re-evaluation of the situation has to take place, in order to find a method of ensuring that their care needs are met, in a manner that is acceptable to themselves. Anecdotes suggested this may be either a permanent rearrangement of care procedures, or one subject to transient personal feeling. An anecdotal example of such transience, was somebody choosing to have a bath one week, and preferring to have a shower at another time. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 Page 15 The inspector reviewed the recording of the administration of medications, and found these to be satisfactory, as were arrangements for storage, ordering, and returns of unwanted or unused medicines. None of the current residents showed the ability to manage medication for themselves, and staff received training to do this on their behalf, as evidenced in one PCP, where a record had been made of all contra indications for the medications being prescribed for that person, and instructions on which would precipitate immediate contact with a hospital, and which could wait until advice was given from a medical practitioner or first responder. In the current absence of an external advisor (the previously engaged chemist is no longer offering this service) medication training and company policy are cascaded internally. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Standards 22 and 23 were both satisfactorily commented upon following the previous inspection of the 3rd May 2005, and from this inspection as previously, residents appeared to be receiving the best possible support to safeguard them from abuse or neglect, and to respond to their concerns. EVIDENCE: It was established from a personal care plan that one resident had made her choice clear that she did not wish to attend a group, one that had been specifically set up for people such as herself, to enable them to use audio technology, for purposes including recording any complaints or concerns they may have had. The inspector undertook a formal interview with a member of staff, during which they discussed at length the subject of abuse. This person correctly identified that anybody in any position whatever, who had access to the vulnerable adults living in this home, would have an opportunity to abuse them. She demonstrated a wide-ranging understanding of events and omissions that would be abusive to one of the residents for whom she cared. She went onto correctly identify the channels through which she should report any suspicions that she had, regarding the likelihood of one of the vulnerable adults in her care having been abused. She gave the inspector to understand that there was a core feeling among her fellow workers of revulsion towards anything that could constitute an abuse of the residents of this or any other home. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Premises presented as clean and hygienic, and, being built for purpose, were homely and suitable for the needs of the residents, with a good standard of decoration and internal and external maintenance. EVIDENCE: As mentioned earlier in this report, this is a comparatively modern, purpose built home, which though situated in a locality of older properties, is not stigmatised as being a care home. The providers run their own maintenance scheme, that not only afford sheltered employment opportunities to some of the (currently) men in their care, but ensures speedy and efficient attention to all minor repairs and renewals. More substantial jobs are put out to tender for local contractors. This home presents visually as being a very good state of repair indeed, with comfortable furnishings and appropriate and beneficial fixtures throughout, with good sized private and communal spaces, and services that were appropriate to the original needs of the residents. Comments in this report will show that these have been upgraded to respond to any incidents of increasing need. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 Page 18 There was evidence in care plans of residents accessing the local community, and on both this and previous inspections, various residents were out in the community seeking such things as medical consultations, shopping, or social entertainment. The latter included meals at local pubs and restaurants. All doorways and passages were wide enough to accommodate wheelchair users, and there were handrails to assist residents with failing mobility, both in corridors, and in bathrooms and toilets. There was a dedicated laundry, with equipment that had been sufficient for the needs of the residents in the past, but discussion with staff showed an awareness that the increasing continence needs of some residents, suggested that it was now time to replace the existing machine with one that included a sluice programme in its available services. Continuing discussion suggested that machines raised further from the floor would be of benefit to the health, safety and welfare of those members of staff loading and unloading such machines. It will be the one recommendation of this report that the providers reassess their laundry provision in line with residents changing needs. During a tour of the premises, the inspector was able to view one room where a total refurbishment had taken place, to the obvious delight of the resident, and others where new carpeting had been made ready for the decorators. A total transformation had taken place in the office, including the provision of basic computer equipment. The home was clean, warm and hygienic throughout and no offensive odours were encountered at any time during this inspection. In defence of the previous comments about needing to reassess the equipment in the laundry, it has to be said that in all other ways the facilities meet the requirements of the standard, with strict measures in force to reduce any chances of infection, with impervious floor, and easy wipe walls. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,35 Staff working in the home on the day demonstrated all the qualities of appropriately qualified and experienced personnel, to undertake their work with residents who have a learning disability. EVIDENCE: The inspector reviewed the arrangements in place for the training of staff. Since the previous inspection of 3rd May 2005, the care manager Mrs Terri Byczkowski has become a M.A.P.A. (Management of Actual and Potential Aggression) trainer and with this qualification, the providers have now been able to register as an accredited training centre with the British Institute for Learning Disability. All new employees are taken on a six month probationary period, and during their first week of working for the provider undertake an intensive induction programme at the organisation’s King’s Street, Newcastle headquarters. At this time all mandatory training is booked for them before they even commence working in the home, and is arranged to be completed within the first six months. Subjects covered include personal safety, moving and handling, lone working, origins of behaviours, protection and abuse, sexuality and interpersonal relationships, fire safety, food hygiene, “What is a Learning Disability”?, values and attitudes, and personal care planning. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 Page 20 At this time they sign the policy on confidentiality and commence their learning log which has to be completed before they are progressed from being probationary employees to being permanent employees. The organisation is now registered as a centre for the Learning Disability Award Framework, on which all polices and training of the company are based. During the first week of working within the home, no-one is allowed to work without supervision, and there is an internal assessment by senior staff of their competency to work on their own. During a formal interview with a member of staff the inspector was correctly appraised on the management structure of the providers, and informed that she was provided with a summary of her roles and responsibilities at the point of her induction training. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 Key standard 42 was satisfactorily reported upon in the previous report of the inspection of 3rd May 2005, and from this inspection it was deemed that every effort was being made, to determine the views of the residents of the home, so that these could be regarded in the ongoing process of planning. EVIDENCE: The inspector was able to observe recent satisfaction questionnaires that had been sent out to various people involved in the support of the residents living in the home, and to talk to the care manager about the quality network that has been set up by the providers to take forward the voices of residents, and to receive those in whatever way is easiest for the resident to demonstrate their feelings. He was also able to read through the minutes of recent residents meetings, and to comment favourably on the positive steps being taken to maximise the voice of this group of individuals. This included finding in a care plan where a resident had been linked with an organisation to assist in advocating for her, and to noting in the policies of the company their commitment to promoting the values of inclusion with all their workers, and on behalf of all their residents. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 Page 22 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 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 3 32 3 33 X 34 4 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 3 X 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X X X 3 X X X X 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 YA30 Good Practice Recommendations The registered person is recommended to consider revising the laundry arrangements to provide integral sluicing facilities to meet the changed needs of residents. 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 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 63 Hoveringham Drive DS0000008319.V275204.R01.S.doc Version 5.1 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!