Inspection on 27/12/07 for 8-10 Richmond Road

This inspection was carried out on 27th December 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

8-10 Richmond Road 19/12/08

8-10 Richmond Road 03/07/07

8-10 Richmond Road 09/01/07

8-10 Richmond Road 01/12/05

8-10 Richmond Road 11/08/05

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

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

CARE HOME ADULTS 18-65 8-10 Richmond Road Lincoln Lincolnshire LN1 1LQ Lead Inspector Kathryn Emmons Unannounced Inspection 27th December 2007 10:45 8-10 Richmond Road DS0000062565.V356857.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 8-10 Richmond Road DS0000062565.V356857.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. 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 8-10 Richmond Road Address Lincoln Lincolnshire LN1 1LQ 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) 01522 887123 Mrs Jill Ross Mrs Hayley Stephens Sheila Mary Conlon Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide care for service users of both sexes whose primary needs fall within the following categories:Mental Disorder, excluding learning disability or dementia (MD) - 12 3rd July 2007 Date of last inspection Brief Description of the Service: 8-10 Richmond Road is a care home providing personal care and accommodation for 12 younger adults with Mental Health needs. The home was opened in 1993 and is owned by Mrs Ross and Mrs Stephens and managed by the registered manager Mrs Mary Conlon. It is located in a residential area of Lincoln city centre and is within easy walking distance to the city centre and all the amenities the city has to offer. The building consists of a pair of two-storey late Victorian terraced houses connected via an internal corridor. An extension has been added to number 10 to afford more communal space on the ground floor. Accommodation is in 10 single bedrooms and one double room; number 8 accommodating five residents and number ten accommodating seven. Each house has its own kitchen and laundry, but facilities are shared freely between the residents. The home has small frontage gardens and small, steep interconnected rear gardens, which are maintained by the residents. There is no designated car parking area but the home has six residents’ parking permits for visitors. The home has a single rate, which is currently £361 per week. 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the service took place on December 27th 2007. This visit was unannounced and took place over 3.5 hours. The registered manager was not working but was contacted by telephone during the inspection. Care received by two residents was looked at in detail. This is a method called case tracking. This included looking at their personal records, a range of general home records and staff detail records. Staff were spoken with and the care they provided was observed. We received a completed self-audit document completed by the registered manager, to provide information before we did a site visit. We also looked at how the provider makes information about their service, including CSCI reports available to prospective service users. During the visit we spoke with two members of staff and 4 residents. What the service does well: What has improved since the last inspection? There was evidence that a new resident had been involved in a through pre assessment before they were admitted to the service. This included trial visits overnight stays and visits from their relative. The manager also attended a meeting at the prospective residents current place to discuss a positive transfer process. 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 6 Work has been carried out in respect of medication systems and a pharmacist has provided training to staff regarding administration and new medication sheets are now used. Training for staff is taking place and staff were able to confirm they had attended training in health and safety and infection control and basic food hygiene. We were also told that mental health awareness training is planned for the near future. Since the last inspection 2 new staff have been employed by the service. One of these staff was on duty at the time of the inspection. They spoke about the recruitment procedure they were involved in including the obtaining of references and havening a Criminal record bureau check in place before they were able to start work in the home. 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. 8-10 Richmond Road DS0000062565.V356857.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 8-10 Richmond Road DS0000062565.V356857.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. Prospective residents can be confident that their assessed needs can be met by the service. Contracts are in placed so residents can be clear on what service they can expect. EVIDENCE: We could see from looking at care files that residents had contracts in place. We asked two residents if they had been given information before they came to live at the home and they both said they thought they had seen some information. The statement of purpose and service users guide are in place and these need minor amendments to provide up to date information on staffing arrangements in the service. These two documents contain information about the service, staff and services offered. Residents and their relatives use this information to help them make decisions about living in the service. We saw a file for a new resident which showed that a through pre admission assessment had taken place and that the resident had been able to visit the home on many occasions and also with their relative before deciding to move into the service. We also saw a letter, which the manager sends confirming that the resident’s needs could be met at the service. 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 9 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Written records provide residents with confidence that their needs are known and are able to be kept safe. Regular reviews of needs provide staff with detailed information to provide the correct level of support EVIDENCE: We saw care files for two residents both of these contained written assessments, care plans and risk assessments. It was clear what the residents needs were and how these were going to be met. Staff told us that they have access to the care plan and wrote at least daily in the care records. This enables staff to be kept up to date on the resident’s welfare. There was evidence that reviews had taken place for one of the resident’s case tracked and there were reports in place from relevant people such as the consultant psychiatrist. We could see that residents had been involved in their care plan and that they were also involved in reviews. 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 11 We saw one resident preparing to go to relatives for a few days break and they were supported to collect together their belongings including medication .Two residents spoken to said they were “Able to do what I want really as long as im safe” and “Mary encourages me to do things with my time”. We also saw residents let themselves into the home with their own front door key. Keys were also available for bedroom doors. Residents have clear ownership of the home and were seen answering the door and checking who they were letting in to the service. 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have a varied and balanced diet and are able to have their choices catered for. Service users are able to participate in community activities. EVIDENCE: We spoke with four residents, of which two told us about how they spend their days. We were told that they were opportunities to attend day services and events took place in the home during the evening. A resident spoke about the entertainment, which took place over Christmas and that, they were going to be discussing the summer holiday in the near future. The pre inspection information we received gave a list of all the activities residents had been able to participate in, these included quiz night, parties, a disco and a trip to the theatre. Discussion with staff evidenced that staff felt that residents were able to be as independent as possible and participate in as much community 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 13 inclusion as was possible as long as the residents were kept safe and it the residents choice. During the visit we saw residents were able to spend their time how they chose and this included going to the shops and for a walk into the town centre. We saw residents preparing their own lunch some with support and one was able to chose what they wanted and prepare this without assistance. Residents told us they enjoyed the food provided and that the care staff prepared the main meal of the day, which was in the evening as many residents attended day centres during the day so took a packed lunch. We saw they was a good supply of fresh fruit and vegetables. 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ personal and health care needs are met and risk assessments are in place, and identify risks and how these will be minimized. Medication arrangements are satisfactory but more detail needs to be given to prescribing details. EVIDENCE: We looked at the medication arrangements for the service users. Staff who give out medication have been trained to do this and understood the importance of giving the right medication at the right time. Staff were able to tell us what the medications they gave were used to treat. There is a medication policy in place. Medication records we saw had been signed and completed correctly. We saw that some medications that are given when necessary did not always have the full prescribing instructions in place. This issue was discussed and the manager, who confirmed during telephone feedback at the time of the visit that the issue would be addressed. We saw that one of the residents self administered their medication and the quantity of medication they were given was checked regularly to ensure they 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 15 were taking the correct quantity of medication and minimizing the risks associated with self medicating. Detailed risk assessments are in place and where a resident was not able to undertake a specific task without support an explanation was recorded. One resident said “I can do what I like really the staff help me to be safe and not come to harm”.” Staff discussion and written risk assessments show us that staff understand the need to balance residents right to take risks against residents being placed in potential danger. Residents told us that they were satisfied with the care they received and that they were able to chose how they were given assistance. A staff member gave examples of how they spend time with a resident who becomes very anxious at times and how they are able to support the residents through these episodes. 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 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 confident their concerns will be listened to and acted upon. Staff are trained in safeguarding adults procedures and service users are protected from harm. EVIDENCE: We spoke with two residents about what they would do if they had any worries or concerns. One of the residents we spoke with said that they were certain if they had any worries they could speak to any of the staff and they would address the concerns they also said that they went to a day centre so could always speak with someone there. Two staff were spoken with and given safeguarding adult scenarios, which they were able to answer appropriately. Staff spoken with said they were confident to challenge the manager if they thought a decision was not in the best interest of the service users. An up to date Lincolnshire safeguarding adult policy was in place. Staff confirmed they had received training in safe guarding adults procedures we also saw the staff training plan for the year and saw that training had been planned and taken place. 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 17 The manager told us that new staff had criminal record checks in place before they were offered a position within the service. We couldn’t see any staff records on the day of the visit so could not fully evidence this. One of the staff spoken with said that they had a Criminal records bureau check in place before they stared work. 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and tidy and provides residents with comfortable surroundings, which they are able to personalise. EVIDENCE: Previous inspections carried out in January 2007 and July 2007 found the home to be in good repair and well decorated. A recent flood in one side of the home resulted in decorative work being carried out which has now been completed. One resident who was spending time in their room told the inspector” This is my room and I like it, I have help to keep it tidy” .We saw residents had personalised their rooms with their own possessions. Residents were able to play music in one of the communal lounges and there were televisions and videos in both of the lounges. There was additional seating in the dining room and conservatory on one side of the home and a dining table is also situated in the kitchen on the other side of the home. 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 19 Decoration was of a good standard and the gardens are easily accessed. Corridors were clear from any obvious hazards. Pre inspection information evidenced that all servicing of equipment such as the heating system and fire safety system had been carried out within agreed timescales. Staff confirmed that residents are supported to carry out tasks to keep the home tidy and clean. One resident was seen sweeping the kitchen floor and he told the inspector “That’s my job and i like doing it”. The resident also confirmed that it was each resident’s choice if they did any cleaning work. 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are care for by enthusiastic and trained staff. Recruitment records need to be available at all times to demonstrate that the right people care for residents. Supervision sessions enable development and training needs for staff to be identified. EVIDENCE: We were not able to look at the recruitment records for staff working on the day of the visit because they were not accessible to care staff. This was discussed with the manager during telephone feedback. The manager confirmed that all staff had had the necessary recruitment checks undertaken including a (CRB) Criminal records Bureau check and written references. A new member of staff working at the time of the visit spoke about how they were recruited and confirmed what we had been told by the manager. A training plan was in place for all staff and we saw that courses and training had been booked for infection control, protection of vulnerable people and basic food hygiene. The two staff on duty told us that they had attended a lot of training and that one of them hoped to start her NVQ (National Vocational 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 21 Qualification) in Mental health. An induction programme is in place and all staff are enrolled on a nationally recognised induction course called Skills for Care Common Induction Adult services. This enables new staff to be aware of the polices and procedure of the service and how to care appropriately and safely for the service users. The staff we spoke with said they had a contract of employment and a job description. This enables them to be clear of their job role and what is expected of them. There are 2 staff on duty during day time hours. The duty rotas we looked at stated that one night staff undertook a sleeping duty and one staff undertook a waking duty through discussion we found that the “Waking” duty was only to 11pm then this member of staff went to sleep and woke up if called by residents. The actual job description and duties and need to be more defined so people who use the service including residents and people who place residents at the service can be clear on what level of support they are receiving at night time. Currently the duty rota shows the “waking” staff as working a shift then doing a waking night then working a shift the following day. This means that staff work long shifts without time away from the service. The statement or purpose and service user guide do not provide exact information and term staff cover as “Staff in attendance 24 hours a day”. This issue had been discussed with the provider and manager so they can take action to clarify the issues with relevant people. The residents who spoke with us made very positive comments about staff such as “Mary and the others are good to me”, “It is good living here, I go on holiday and go out a lot” and “I can talk with them all and they will sit with me and sometimes watch a programme with me” “They will make my tea for me and help me keep my room nice” Staff confirmed that staff meetings take place regularly. We didn’t see any minutes on this visit. Staff said they receive supervision sessions and these took place about” every 2 –3 months”. We didn’t see records of supervision and these were with the staff records, which were not available. 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is well run by a competent and trained manager. Residents are able to express their opinions. Checking of equipment and servicing of house systems keep residents and staff safe. EVIDENCE: The registered manager is Mrs Mary Conlon and the registered provider is Mrs Jill Ross. Mrs Conlon has many years experience of working with people who have mental health needs and has worked at Richmond road for thirteen years. Mrs Conlon has a NVQ Level 3 in Mental Health Care and is also working towards a diploma in management. This provides her with up to date skills and knowledge to manage a service effectively and ensure it is well run. 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 23 A quality assurance programme is in place and part of this consists of the monthly visits Mrs Ross makes to the service. During these visits Mrs Ross speaks to staff and residents and reports upon the conduct of the service. A report is then produced which is sent to the manager and to the commission so we can continually assess the progress the service is making. Residents told us they see Mrs Ross often. The two staff said they had not been on duty when Mrs Ross visited so had not had opportunity to meet with her formally but knew they could contact her if they needed to. Staff made positive comments regarding the manager and said she “approachable and fair” and easy to get on with”, and “has time to listen to you”. From pre inspection information we received we could see that all testing of equipment had been carried out regularly to keep staff and residents and visitors to the service safe. A recent environmental health visit had taken place and this resulted in action being taken to change where in the service residents could smoke. 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 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 3 STAFFING Standard No Score 31 x 32 3 33 2 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 3 x x 3 3 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 25 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA34 Regulation 17(3)(b) Requirement Recruitment records and staff details need to be available at all times so the relevant people who look at these documents can ensure the residents are protected by the service recruitment procedures. Night working hours need to be reviewed so staff, residents and people who purchase the service are clear if the shift is waking or sleeping and what level of support is provided. Medication administration records must have sufficient information written regarding dosage instructions so resident can receive their medication safely. Timescale for action 29/02/08 2 YA33 18(1)(a) 14/02/08 3. YA20 13(2) 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. Refer to Standard Good Practice Recommendations 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 26 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Unity House The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 8-10 Richmond Road DS0000062565.V356857.R01.S.doc Version 5.2 Page 28 - 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!