Inspection on 07/01/08 for Cedar Court Care Home

This inspection was carried out on 7th January 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Cedar Court Care Home Elmbridge Road Cranleigh Surrey GU6 8TR Lead Inspector Sally Hall Key Unannounced Inspection 10:00 7th January 2008 X10015.doc Version 1.40 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 Cedar Court Care Home DS0000070690.V353870.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 Older People. 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. Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cedar Court Care Home Address Elmbridge Road Cranleigh Surrey GU6 8TR 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) 01483 275 191 01483 276 594 Carebase (Cranleigh) Ltd Mrs Rajessree Martin Care Home 57 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0) of places Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 2. Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 57. Date of last inspection NA Brief Description of the Service: This new home is a purpose-built nursing home, which can accommodate up to 57 service users with residential and nursing needs over two floors. The home currently is half full and all service users are cared for on the ground floor. This situation will change as the home continues to fill and service users with dementia will then begin to occupy the first floor. Being new, the home is well equipped and, for example, it has its own hairdressing salon. All rooms at the home are single occupancy with en-suite facilities. The home is close to Elmbridge Village and is set in a semi rural location with views of countryside from most windows. The grounds have been well thought out to give sitting areas and have been landscaped. However, the grounds will take time to mature. There is plenty of off road parking available. Fees range form £540 to £920 and are dependent on the care needs of each individual service user. Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good, quality outcomes. This first unannounced key inspection at Cedar Court Care Home took place on the 7th January 2008, starting at 10am. The lead inspector was Sally Hall On the day of the inspection the inspector agreed and explained the inspection process with the Registered Manager and the Care Services manager. Time was spent reading a sample of care plans, written policies and procedures and records kept within the home. Staff and service users were spoken with and a tour of premises was undertaken. The focus of the inspection was to assess Cedar Court Care Home in accordance with the National Minimum Standards for Older People. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. The home was ask to complete an AQAA (Annual Quality Assurance Assessment) and evidence from this document is also included in this report. Unfortunately there was not time to send out surveys to service users, their families and other health professionals before this inspection. However a number of relatives were spoken during the site visit. What the service does well: This is the first inspection of the home which admitted its first service users in September 2007. During this time the home has gradually filled on the ground floor. At the time of the site visit there was a mix of people with dementia and those with purely nursing needs. The home has been proactive in explaining the situation to all new service users and their families and the situation is set to change in the near future as the as the first floor is opened. Service users spoken to confirmed that they are kept well informed as are their families. Service users also confirmed that they were well cared for and were happy they have made the choice to move into the home. One said, “Nothing is too much trouble with the girls who look after me, I feel really at home here”. Service users also commented upon the meals provided by the home. Service users stated that they had plenty of choice and enjoyed what was provided. One said, “I had had to ask them not to dish out such large portions as I only eat a small amount”. Another said, “The meals always look so appetising, I eat much better here than I did it home” The home itself is well-maintained and to a high standard with pictures and ornaments adding to the homely feel. The Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 6 home is well equipped and specialist equipment such as nursing beds is supplied. 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. Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good, Service users can be confident that they will receive the information they need to make an informed choice about coming into the home. Service users can be confident that the pre-assessment process undertaken prior to a place being offered will ensure that the home is more likely to meet their care needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All prospective service users and their families are given a copy of the Service User Guide and a Statement of Purpose to enable them to have an informed choice about the home. Two service users spoken to confirmed they had received these documents. In the service user files sampled evidence was seen that pre-assessments had been completed prior to service users being offered a place at the home. Evidence was also seen that care plans and assessments are provided by the local authority social services if they are sponsoring service user. The assessment documents covered therelevant regulatory requirements. The preCedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 9 assessments are used to inform staff of the needs of new service users and forms the basis for the initial care plans. Staff at the home receive appropriate training and currently staff have been trained in all the required subjects and nursing staff have been on hand for the specialist care. Training will be provided for in nurses to ensure that their registrations remain current. Service users are offered a 28 day trial stay at the home. A the end of this term the service users and the home meet to decide whether the stay is to become permanent. If the service user has come via the social services then they are also involved in this meeting. Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good, Whilst service users can be fairly confident that their care needs will be met, they are not currently part of the care plan planning process. Service users can be confident that the healthcare needs will be met and medication will be dispensed as prescribed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A number of service users files were sampled at random and included service users with differing needs. Each file contained personal information about each client and any significant condition or allergy was immediately evident. The home uses a number of assessment tools following on from the original pre-assessment to ensure that not only service users’ needs are met but also that any risks to the service users or others are identified. Evidence from the assessments had in most cases been used to support the care plan. However, it was evidenced that service users and/or their families were not involved in this process. Care plans had been reviewed on a regular basis. However, it was noted that outcomes did not really inform the process or were not always appropriate. The daily records are only written by nursing staff and did not Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 11 cross reference well with the care plans. An example of this was where the care plan had asked for a service user to be encouraged to walk. The daily record did not indicate whether the service user did walk or not and if he did, how far. Therefore, it was not possible to see whether an improvement had been made. The shortfalls within the care planning process have been identified and the new Care Services Manager, who started just two weeks prior to the site visit, is already involved in changing the processes and documentation used in the home. All new service users will automatically be involved in their care planning and the new documents will be used. Current service users’ documentation will be changed as reviews become due. Evidence was seen within the care planning documentation that service users’ health needs are addressed within the home by nurses or by calling in outside professionals. Evidence was seen that GPs, a chiropodist, psychiatric community nurses visit the home and that there is access to opticians and dentists should the need arise. Risk assessments, along with the action required to reduce the risk, were seen on files for service users. The home has adequate and suitable medication storage. Medication is taken to service users via a trolley which is kept secure. Only nurses administer medication to service users in this home. The MAR sheets were seen and had been completed correctly. Staff signed when medication had been received into the home and all the service users’ details were properly completed. The member of staff observed administering medication followed the correct procedures. However, it was noted that a number of medicines pots which were empty had been left in service users’ rooms during the previous medication round. Concern was raised as to whether medication had been left for service users to take themselves. The manager agreed to investigate this practice. Service users had lockable facilities in their rooms should they wish to self medicate. Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good, Service users can be confident that they will be offered a range of activities both in and outside the home that they can choose to suit themselves. Service users can also be confident that they will be offered a nutritious choice of meals and snacks throughout the day. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs an activities co-ordinator. However, this person has changed recently and documentary evidence was only available for activities occurring prior to December. The care staff had taken on this role until a new co-ordinator took up her post. The new activities co-ordinator was due to start work in the home only a few days after the date of the site visit. On the afternoon of the site visit a film was to be shown on a big screen fitted in the dining area. During the film popcorn was due to be served. Relatives and friends seen during the inspection process all said they felt very welcome when visiting the home. The new co-ordinator is booked to go on training in the near future and it is intended that meetings between activities coordinators throughout the organisations homes will increase the range of activities and opportunities for Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 13 service users. Service users spoken to said that some activities are provided in the home if they wish to join in. Several spoken to were concerned that they could not get all the channels on their TV. This appears to have been an ongoing problem which was fortunately resolved on the day of inspection. Televisions are available in all service users’ rooms as are phone points. Any service user wishing to have their own phone can do so at their own expense. Service users spoken to during the day were able to explain the choices they make during the day. The more able service users confirmed that they get up when they are ready, have a choice of what they want to eat and were able to do what they wanted to do during the day. The meals provided at the home are mostly home-cooked from fresh ingredients. The menu provides a choice at all meal times and snacks are also available throughout the day. At lunchtime service users were asked by the inspector what they thought about the meals. All said that they were satisfactory and that they enjoyed meal times. Service users also commented that they had plenty of choice and enjoyed what was available. One said, “I had had to ask them not to dish out such large portions as I only eat a small amount”. Another said, “They always look so appetising, I eat much better here than I did it home”. The main meal of the day was sampled; it was both tasty and well presented. The dining room was pleasant if a little cramped. A large window looked out onto the countryside. Although during the tour of the building the kitchen was not fully inspected it was extremely clean and well organised. Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good, Service users can be confident that there are complaints will be taken seriously and that they will be protected by a robust adult protection policy and procedure. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaint file at the home was seen. It documented several complaints that had been made. Each one had been dealt with satisfactorily and when necessary, changes had been made to improve the service. All complaints had been dealt with in writing even if the original complaint had been verbal. Complaints had been answered within the timescale of their policy and procedure. The complaints policy and procedure is given to all new service users as part of the service users guide. There is an easy to read and understand sheet, which also explains the procedure in large type and plain English. The manager ensures that all staff have the appropriate adult protection training and its own policy and procedure is in place. The home’s policy follows the policy and procedure of the local authority, which in this case is Surrey. A copy of this is also available within the home. The registered manager was clear about the reporting procedure should any abuse be reported. Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area good, The service users can be confident that they will be living in any homely environment that is both safe and well maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home that was completed last year is purpose-built as a nursing home. The accommodation is over two floors, with single occupancy rooms which all have en-suite facilities. Each floor has its own communal rooms, a dining room, and two lounge areas. As this is a new home, everything within the home is new including all equipment and furniture. A tour of the building was undertaken. It was noticed that the seat in the shower room, which was attached to the wall, was coming away. For safety reasons the seat was removed. The home was very clean and there were no offensive odours. Two fire doors had broken glass and action had been taken to get this replaced. The whole home and was found to be tastefully decorated throughout. Staff explained that when a new service user comes into the home they are encouraged to personalise their individual room with pictures, photographs and Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 16 other personal items. The corridors, lounges, dining areas had pictures and ornaments which gave it a more homely feel. The dining room did seem a little small for the number of service users using it. It is recognised, however, some service users elected to eat in their own rooms. The home has a maintenance man who takes care of the day to day problems that may arise such as the replacement of light bulbs, etc. The kitchen was seen, but only from the doorway, as lunch was about to be served. The kitchen looked extremely clean and very well organised. The laundry was seen and is well equipped for the number of service users and size of the home. All laundry is done in-house. However, it was noted the laundry has become a storage area for items not relating to laundry. It was recommended that these items be removed. Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good, The service users can be confident that their needs will be met by a sufficient number of trained and qualified staff. They will also be protected by the home’s robust recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A number of staff files were sampled. Each contained an application form, suitable identification, evidence of a CRB check, two written references, work permits if required, confirmation of professional qualifications if required, training certificates etc. Also on file was a copy of the staff contract and notes taken at the time of interview. Although the home has not been open very long, evidence was seen of staff supervision and all staff had undertaken relevant and required induction training. Because the home is part of a larger organisation it is able to ensure that all new staff get the required training within a very short time of them starting. Of the care staff working in the home currently, many already have an NVQ and the registered manager confirmed training would be arranged for those who had not. The staff rota was seen and showed the number of staff on duty each day. The care rota showed that many staff work a 12-hour day. The registered manager confirmed that as the home took on more staff it would be changing Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 18 the rota and staff would be working shorter shifts. However, each rota indicated there was sufficient staff on duty each day. Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good, Service users benefit from the warm and inclusive atmosphere within the home where there views will be listened to. Service users can also feel confident that their health, safety and welfare will be promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered (general) manager is a qualified nurse and has experience of running nursing homes. More recently, she was an inspector with the CSCI herself and therefore has a good understanding of the National Minimum Standards. The home has a warm and friendly atmosphere. Good interaction was observed between the service users, staff, and the Care Services Manager. The service users spoken to said that they felt comfortable asking staff for help and Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 20 expressing concern if they were not happy. The staff spoken to said that they feel supported and enjoyed being part of the new home. The home holds staff meeting on a regular basis. The care service manager explained that they had approached service users recently to set up a residents’ forum. The fire test record book confirmed that tests were carried out on a regular basis. It also contained the fire risk assessment for the building. Staff have undertaken fire training and have taken part in fire drills within the home. The maintenance man was asked about checking the emergency lighting on a monthly basis and seemed unclear of this responsibility. It was, however,confirmed that outside contractors serviced the emergency lighting at six monthly intervals. The compliance certificates for LOLER for the lift and bath hoist were not seen but will not be required until the items have been in use for six months. They will then require a service and the certificates to be issued. Other maintenance certificates for the electrical installation, electrical appliances, fire alarm system, boilers, emergency lighting, call alarm system were not seen but would have been in place at the time of the home opening in August. The AQAA (Annual Quality Assurance Assessment) stated that they have a quality team which includes internal and external input. They also have consultants who work with the company regarding quality assurance. The regional business managers undertake Regulation 26 visits and the company directors also visit regularly. The staff at the home also produce a review every twelve hours in writing, highlighting any issues that have occurred during that time. These may include health and safety issues or issues relating to service users. The staff at the home do not hold residents monies. Service users are encouraged to retain control on their finances or relatives are encouraged to help there relative with this. The registered (General) Manager has produced a risk assessment of the building with consideration for the activities that take place on a regular basis. There are also regular recorded checks in place for the hot water temperature, fridge/ freezers, etc… in all relevant areas of the home. Staff at the home have had health and safety awareness training, moving and handling etc. An environmental health officer had visited and made very positive comments about the home. Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 21 Cedar Court Care Home DS0000070690.V353870.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 15, schedule 3(1)(b) Requirement A service user plan of care generated from a comprehensive assessment (see Standard 3) is drawn up with each service user and provides the basis for the care to be delivered with reviews recording the outcome of action undertaken by staff and with individual daily records crossreferencing and documenting the outcomes of the agreed care plan. Timescale for action 31/03/08 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 OP12 Good Practice Recommendations Ensure there is an advertised programme of activities throughout the week which suits the wishes of the service users, and to make sure that all activities undertaken or offered to service users are recorded. Make sure the areas under the stairs and the laundry do not become inappropriate storage areas. DS0000070690.V353870.R01.S.doc Version 5.2 Page 24 2 OP19 Cedar Court Care Home Cedar Court Care Home DS0000070690.V353870.R01.S.doc Version 5.2 Page 25 Commission for Social Care and Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Cedar Court Care Home DS0000070690.V353870.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!