Inspection on 17/10/07 for 67-71 Lansdowne Road

This inspection was carried out on 17th October 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

67-71 Lansdowne Road 11/12/06

67-71 Lansdowne Road 25/10/05

67-71 Lansdowne Road 05/05/05

67-71 Lansdowne Road 04/11/04

67-71 Lansdowne Road 18/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 67-71 Lansdowne Road Aylestone Leicester Leicestershire LE2 8AS Lead Inspector Joanna Carrington Unannounced Inspection 17th October 2007 09:30 67-71 Lansdowne Road DS0000006412.V351304.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 67-71 Lansdowne Road DS0000006412.V351304.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. 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 67-71 Lansdowne Road Address Aylestone Leicester Leicestershire LE2 8AS 0116 283 4025 F/P 0116 283 4025 42.lansdowne@craegmoor.co.uk 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) Lansdowne Road Limited Ms Lesley Wakefield Care Home 28 Category(ies) of Learning disability (28) registration, with number of places 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply Date of last inspection 11th December 2006 Brief Description of the Service: 67-71 Lansdowne Road is registered to provide care and accommodation for up to twenty-eight adults with a learning disability. The home is divided into four self-contained units for service users with differing levels of need and ability. There is a large outdoor area to the rear of the property. The home is situated close to Aylestone Road and is approximately one mile from the city centre. A regular bus service to and from the centre can be accessed close to the home. A number of shops, parks and a leisure centre are located nearby. The fees for care and accommodation depend on assessed need and at the time of the inspection ranged from £333 to £337 per week. A copy of the most recent inspection report is available on the notice board in each unit. 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit, as part of the home’s key inspection took place on 17th October 2007. Inspections focus on outcomes for people that use the service. In order to do this the main method of inspection used at the site visit was ‘case tracking’ which meant three service users were selected and their support was tracked through discussion with them and with staff, checking their care records and observing practice. An ‘expert by experience’ was used at this inspection. The role of the ‘expert by experience’ was to talk with service users and to then write a report on their findings. The ‘expert’ was arranged through the advocacy organisation My Life My Choice. The expert used to live in a care home for adults with a learning disability and now lives independently. The expert came to the inspection with a ‘supporter’. Altogether seven service users were spoken with; the expert spoke with five. Three staff members were also spoken with during the course of the inspection and the manager was available throughout for discussion and feedback. A tour of the premises was also undertaken in order to assess whether the requirement concerning the environment had been met. Information about a home that is collected before the site visit is also used as evidence to make judgements. This information could include notifications, information from other professionals and users of the service or their relatives, and also from any surveys that are sent out. At the time of writing the inspection report 1 relative and 3 service user surveys had been returned. Services are now required to fill in a document called an AQAA (Annual Quality Assurance Assessment) in which the registered manager identifies from their own quality monitoring what the service does well at and what they need to improve on. The AQAA was returned before the site visit. The AQAA document was used to plan the site visit and also used as evidence to support judgements in this report. There is an easy read summary for this report which is available on request. What the service does well: Before people move to the home they have their needs assessed. This is to ensure the home is suitable and that they will get on with people that already live there. There are good risk assessments in place that are to make sure people are safe but also so they can live their lives as independently as possible. People that live at the home are supported to be in control of their own lives and make their own decisions. There are house meetings, where people can share their views about the home including meal planning and what activities 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 6 they would like to do. There is a complaints procedure at the home. This is so that people living there and their representatives such as parents can pass on their concerns and know that these will be taken seriously and followed up. People that live there can go to college if they want or access other community facilities. Some people have structured day care by staff that work at the home while others choose not to. People get to go out with their key workers to do activities they enjoy doing and there are occasional organised outings. Staff help people to keep in contact with their families and friends. People can have their own birthday party at the home if they want to. People that live at the home are treated with dignity and respect. Staff that have been trained administer medication to people that need this help. This is done safely following proper procedures. People can have personal support the way they want it. They choose whether they want a bath or a shower and can go to bed when they want to. There are other professionals such as learning disability nurses and psychiatrists that help the staff team meet the health care needs. The staff team are well trained, which is very important for ensuring that the needs of people are met. All recruitment checks are carried out before a new staff member starts working at the home. This ensures people that are unsuitable to work with vulnerable people are not employed. 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. 67-71 Lansdowne Road DS0000006412.V351304.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 67-71 Lansdowne Road DS0000006412.V351304.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 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good admission arrangements, which help ensure the home is suitable in meeting prospective service users’ needs. Not keeping the Service User Guide up to date, however does not assure prospective service users that they can make an informed decision about moving there. EVIDENCE: The registered manager confirmed there have been no new admissions to the home. All three case tracked service users had comprehensive needs assessments on their files; the assessment of the placing authority and the assessment generated at the home. From discussion with staff and service users it was clear that these assessments reflected residents needs accurately. There was a copy of the signed tenancy agreement and the service user guide on each file also. The Service User Guide has not been reviewed since July 2006 so there may be information contained in the guide, which is no longer relevant. 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported to take managed risks and to be in control of their lives but care planning arrangements are not effective enough in ensuring service users’ needs are met. EVIDENCE: Service users spoken with confirmed they are happy with the level of support they get and are proud to be able to go out independently and have responsibilities in managing their own home, with the help of staff. The expert pointed out that it was a staff member that came to the gate to let them in and wondered why service users are not involved in inviting people in their home. There are regular house meetings and the minutes for these meetings show that service users are consulted about different aspects of the running of the home, including meals, activities and refurbishment of the 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 10 home. The registered manager reported that the minutes are held in a file and are not instantly available in an accessible format for service users. There are risk assessments on the case tracked service users’ files for different activities of daily living, which identify measures in place to minimise risks and promote service users’ safety. Since the last inspection there has been a new care planning system introduced, which is an improved format that enables information to be more person-centred. Overall, however the information in the care plans was lacking in detail and there was very little cross-referencing to other relevant records, which contain more detailed information. A case tracked service user that has some complex communication needs had a basic care plan but there was no cross reference to a more detailed document called ‘All About Me’, which informs the reader how the service user expresses themselves and what certain gestures mean. This document is held on another file, which without a reference to may get lost or simply unread. Staff members spoken with were asked how they manage and respond to one service user’s challenging behaviour. Neither care plan nor risk assessment contained information that was reflective of what a staff member said. The care plan did refer to another document called a Behaviour Escalation Chart, but this was not on file and the document could not be located in the home. There was no evidence on another case tracked service user’s file that the care plan and risk assessment for epilepsy have been reviewed since a serious incident in which the service user was admitted to hospital due to repeated seizure. 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 11 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 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are good arrangements for ensuring service users rights are upheld and that they have fulfilling lives that meet with their personal expectations and goals. EVIDENCE: The expert enjoyed the evening meal he had with service users and thought it was nice that everyone sat together to eat and enjoy their meal. It was felt that service users could have been encouraged more to be involved in preparing for tea by laying the table and then afterwards loading the dishwasher. Service users spoken with said they don’t usually do the food shopping; staff do it. Some service users go to college, others have organised activities provided by day care staff employed at the home. A service user spoken with reported that they are due to start a job as a laundry assistant, which they are looking 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 12 forward to while another service user was observed returning to the home excited because they had just been offered a job. Staff members spoken with commented that service users regularly use the local library and a service user said that she had recently gone swimming with her key worker, which she enjoyed and she hopes to go shopping with her key worker next. One service user is supported to go to church every Sunday and other service users are invited to go along also. Staff members were observed communicating and engaging with service users in a respectful and meaningful way. Service users spoken with said that they are happy in the home, are able to make their own choices and that staff treat them with dignity and respect. A relative that was spoken with said that he is always made to feel welcome by the staff whenever he visits. A service user was observed being supported to phone his mum. There are regular birthday parties at the home, which service users organise and invite other people they want to come. 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 13 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ health and personal care needs are well met and medicine management promotes the safety of service users. EVIDENCE: There are care plans in place that identify how service users’ personal care needs are met, which includes personal preferences. “I prefer to have a shower and to have one in the morning.” Service users’ spoken with confirmed they can go to bed when they wish. Appointment records on the care files seen indicate that the relevant health care professionals such as community nurses and psychiatrists are involved when appropriate. Service users have regular reviews of their medication regime with their GP. Weight is monitored monthly, for the promotion of good health. The medication administration records were looked at and appeared to be in order. There are clear instructions for how medicines are given and codes have been used that provide explanation when medicines have not been given as prescribed for example, if the service user has refused or they have been in hospital. Two drugs were audited and the quantities recorded tallied with what 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 14 drugs remained. A staff member spoken with demonstrated they understand the importance of following safe procedures when administered medication. 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 15 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ are assured that their complaints, concerns and allegations are listened to, taken seriously and acted on. EVIDENCE: All service users spoken with know how to make a complaint and feel assured that their concerns are taken seriously and acted on. The Complaints Procedure is displayed in a format using symbols which makes it more accessible to service users. There has been one complaint since last inspection, made by another stakeholder of the service. Records seen indicate that this complaint was taken seriously and investigated in accordance with their complaints procedure. Staff members spoken with confirmed they have had training in the protection of vulnerable adults and demonstrated an awareness of their responsibilities to report any suspicion or allegation of abuse. There have been a series of incidents involving service users when out in the community, which have been notified to the Commission. Records seen indicate these incidents are monitored in accordance with Safeguarding Adults procedures, with the ongoing involvement of the local authority. 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 16 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): 26 and 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Significant improvements being made to the environment mean service users now live in more comfortable and homely surroundings, however general cleanliness is not at a satisfactory standard, which potentially places service users at risk. EVIDENCE: There were a lot of concerns identified at the last inspection in respect of poor décor and furnishings throughout the home. Since then, a lot of work has already been achieved. The dining room in one part of the home has been fully re-furbished with new flooring, painted walls and dining room furniture. Service users reported that they were involved in choosing colour scheme and furniture. There are pictures on the walls, which have been done by service users that live in that part of the home. 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 17 Hallways and other communal areas have also been painted. Service users that live in another part of the home explained they are waiting for new flooring to arrive because they have decided to swap the dining room and lounge areas. Where the badly stained carport is this is being replaced with a laminate floor, while the old hard floor is being replaced with carpet. Service users seemed excited by the pending new layout of their home. It is apparent that there is still some outstanding work to décor and furnishings but records were seen to show that quotes have been obtained and some work of this work is already scheduled. While touring the premises some parts of the home were not very clean. Carpets in some places needed vacuuming and there was thick dust settled on some furniture. In the house where service users have more independence there were parts of their house, which needed a good clean. Sinks, particularly around taps had not been properly cleaned and some bathrooms did not have hand towels or appropriate hand washing products. Staff members spoken with reported that there are no longer cleaning schedules in the home but all care staff are expected to do their share. The expert also raised cleanliness and bad odour as an issue. 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good staffing arrangements, which mean service users are assured they are in safe hands at all time. EVIDENCE: The training records seen indicate that all staff receive the necessary mandatory training and updates, such as fire safety, infection control and first aid. Other courses relevant to meeting the needs of service users are also provided. Staff members spoken with reported they are due to go on refresher training on de-escalation and breakaway techniques, for managing challenging behaviour. A new staff member talked about her induction and valued the support she’s had since starting work at the home. Records seen show that new staff members have an induction in line with Learning Disability Award Framework (LDAF) and Skills for Care Common Induction Standards. The Annual Quality Assurance Assessment confirms that the majority of the staff team are qualified to National Vocational Qualification (NVQ) level 2 with a few still in the process of completing the qualification. 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 19 The staff files of two staff members that commenced employment since the last inspection were examined. Both files contained evidence of two written references and a satisfactory criminal record bureau check, obtained before either staff member commenced their employment. There was also evidence on the files that staff members have regular supervision, which is an important part of their support. Staff members confirmed that they feel supported in their role. 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 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 well run and in the best interest of service users. EVIDENCE: Since the last inspection there is now a new system for quality assurance, lead by a clinical governance team. There was a full service audit in August 2007, which resulted in a comprehensive action plan on ways to improve the service. The action plan shows that this is being taken seriously and both the manager and staff are working hard to address these areas. There are different ways that the quality of the service is monitored in the home. The views of service users are obtained from their house meetings where service users can say what they think and share ideas and any problems. Questionnaires are also given out to service users and relatives, which ask about particular aspects regarding the running of the home. Filled in questionnaires or summary of findings was not seen at this inspection. 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 21 Residents are consulted in their monthly house meetings but as mentioned earlier in this report, copies of minutes are only held by the home. It was checked that all substances hazardous to health are stored securely in accordance with COSHH regulations. Fire records show that the required fire safety tests and maintenance are undertaken as required. The Annual Quality Assurance Assessment confirms that the maintenance and servicing of gas and electrical systems are also up to date. 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 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 3 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 3 25 X 26 X 27 X 28 X 29 X 30 2 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 2 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 3 X 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 23 YES 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 YA6 Regulation 15(2) Requirement Care plans and risk assessments must be kept under regular review. This is to ensure care plans are up to date and contain all necessary information. Care plans must contain enough information on how to meet service users’ needs and be available on the premises. This is to ensure consistent and appropriate support. The home must be kept clean and hygienic for service users. Timescale for action 01/12/07 2 YA6 15(1) 01/12/07 3 YA30 23(2)(d) 30/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA8 Good Practice Recommendations Provide copies of house meeting minutes to service users in a format appropriate to them. 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 24 2 3 YA8 YA11 Encourage service users to be more involved in inviting people into their home. Enable service user to be more independent and involved in kitchen duties and meal preparation. 67-71 Lansdowne Road DS0000006412.V351304.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 67-71 Lansdowne Road DS0000006412.V351304.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. 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!