Inspection on 15/07/08 for 87 Pinkneys Road

This inspection was carried out on 15th July 2008.

CSCI found this care home to be providing an Excellent service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

87 Pinkneys Road 15/08/06

87 Pinkneys Road 03/11/05

87 Pinkneys Road 01/11/04

87 Pinkneys Road 20/04/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 87 Pinkneys Road Pinkneys Green Maidenhead Berkshire SL6 5DT Lead Inspector Jill Chapman Unannounced Inspection 15th July 2008 10:35 87 Pinkneys Road DS0000011274.V366991.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 87 Pinkneys Road DS0000011274.V366991.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. 87 Pinkneys Road DS0000011274.V366991.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 87 Pinkneys Road Address Pinkneys Green Maidenhead Berkshire SL6 5DT 01628 626167 F/P 01628 626167 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) Voyage.com Milbury Care Services Ltd Ms Annie McDermott Care Home 3 Category(ies) of Learning disability (0) registration, with number of places 87 Pinkneys Road DS0000011274.V366991.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 only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 3. Date of last inspection 15th August 2006 Brief Description of the Service: 87 Pinkneys Road is a residential home offering twenty-four hour care. The home is registered for three residents with learning and associated physical difficulties. The residents have been living in the home for several years. Milbury Care Services Ltd provides the service. The house is a bungalow with three bedrooms; all of the bedrooms are single and none of them have en-suite facilities. There is one communal toilet and one communal bathroom and there are a variety of aids and adaptations around the building. The home has its own transport as the local public transport system is limited and it would be difficult for the residents’ to access. The current fees for the service provided at this home are £1428.78. Additional charges are made for hairdressing services; massage therapy; toiletries and holidays. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. 87 Pinkneys Road DS0000011274.V366991.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 10:35 am and was in the service for four and a half hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. The inspector spoke with the manager, senior support workers and support workers on duty. The operations manager telephoned the inspector during the inspection to give an update on a premises issue. The three service users were at home for part of the inspection and staff helped them communicate their views on activities and aspects of their daily routines. A tour of the house was carried out and records relating to care, staff and health and safety were sampled. What the service does well: The Annual Quality Assurance Assessment was well filled in and showed how the home meets the regulations and standards New service users can be confident that their needs would be fully assessed before they are offered a place in the home. Service users care plans meet their assessed needs in the way they prefer. Detailed communication guidelines help staff to fully respond to their needs. Service users are supported to take responsible and assessed risks as part of an independent lifestyle. The home is able to meet a diverse range of needs and can demonstrate that they would be able to meet any religious or cultural needs that may occur in the future. Service users are supported to lead as fulfilling lifestyle as possible by joining in activities in the local community. Daily routines are flexible to meet service users needs and preferences. Meals provided take into account service users preferences and dietary needs 87 Pinkneys Road DS0000011274.V366991.R01.S.doc Version 5.2 Page 6 The provision of personal and health care for service users is of a very high standard. Specialist advice is sought to ensure the best outcomes are achieved for each service user. Staff are trained to give service users their medication safely. Service users and others know that their concern and complaints will be dealt with listen to and dealt with. Staff are trained to in the protection of vulnerable adults and policies and procedures are available to report any concerns about service users wellbeing or safety. There are enough trained staff to meet the service users needs. Recruitment checks make sure that new staff are suitable to work with vulnerable people. The home is well managed by experienced and qualified manager. The views of service users and others are sought to help develop the service. Up to date health and safety systems make sure the home is kept safe for service users. 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. 87 Pinkneys Road DS0000011274.V366991.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 87 Pinkneys Road DS0000011274.V366991.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 & 5. The people who use the service experience good outcomes in this area. New service users can be confident that their needs would be fully assessed before they are offered a place in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager confirmed that each service users has a copy of the Service Users Guide in their room. Each is in a format to make it more accessible to the individual service user and staff help them to access this. There have been no new admissions since the home opened. There are policies and procedures are in place to make sure that if a vacancy occurs the new service user would be fully assessed prior to the home offering them a place. Service users have a copy of their service agreement kept on their file which shows the terms and conditions of their service. 87 Pinkneys Road DS0000011274.V366991.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 & 9 The people who use the service experience excellent outcomes in this area Service users care plans meet their assessed needs in the way they prefer. Detailed communication guidelines help staff to fully respond to their needs. Service users are supported to take responsible and assessed risks as part of an independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of all three service users were sampled and show that there are up to date care plans in place. These are very detailed and written in a way that shows how service users like to be supported. Daily records show that care plans are carried out. The AQAA (Annual Quality Assurance Assessment shows that care plans are drawn up with the involvement of service users, their family (if appropriate) and other professionals. They are reviewed at least six monthly and cover a variety of needs including aspects of personal care, mobility and access to the community. Evidence from this inspection, shows 87 Pinkneys Road DS0000011274.V366991.R01.S.doc Version 5.2 Page 10 that the home would be able to meet a variety of diverse needs including cultural or religious needs. The three service users are unable to express their needs, preferences and choices verbally but detailed communication guidelines show staff how service users communicate their needs. In discussion with staff and from observation of practice it showed that they have a very good understanding of the service users non-verbal communication. They were seen to respond appropriately and include service users in conversations. There is a system of assessing risks to the individual in place and these are developed from each care plan. These cover areas such as personal care, outings, trips and falls, social skills and finances. They were up to date and relevant. The personal care risk assessment covers the risk of bathing but not all of the risks associated with this activity were fully documented. The manager agreed to update these immediately to show that the risks of falling, scalding and drowning had been assessed. 87 Pinkneys Road DS0000011274.V366991.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, 14, 15, 16 & 17. The people who use the service experience good outcomes in this area Service users are supported to lead as fulfilling lifestyle as possible by joining in activities in the local community. Daily routines are flexible to meet service users needs and preferences. Meals provided take into account service users preferences and dietary needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has an activity programme in their file and daily records show activities and outings take place. Staff helped service users let the inspector know what activities they can join in at the day centre, this includes the sensory room, cooking, having make up applied, stories and art. Service users were not able to verbally communicate their views however it was clear 87 Pinkneys Road DS0000011274.V366991.R01.S.doc Version 5.2 Page 12 from their reactions when staff talked about these activities that they enjoy them. Staff described how they support service users to access the community. There is a house minibus and car available, however a lack of drivers in the team sometimes restricts outings. The three service users have wheelchairs so outings for all are limited to when there are three staff on duty including a driver. Staff said that outings to local parks, shops and the garden centre take place frequently and this was shown in daily records. Staff helped service users tell about holidays taken and planned. They confirmed that care is taken to choose accommodation that meets the service users mobility needs and that there are appropriate staffing levels to meet their needs. One service user has a lot of contact with close family and this is evident in discussion with staff, photos and records. The other service users did to have an advocate but the advocate has now stopped contact. Efforts by the manager to find a replacement have so far been unsuccessful due to a lack of local resources. Records show service users preferences and choices in day-to-day routines. They also show how service users would like their privacy and dignity upheld. One service user prefers to spend time alone and whilst two prefer the company of each other and staff. Individual lists of likes and dislikes show their preferences in food and other aspects of daily life. Menus were sampled and show that a recommendation to offer less pre prepared food has been met. Menus have been reviewed with the input of a dietician. They are planned with the service users preferences, dietary or eating needs taken into account. Records show that alternatives are given if a service user doesn’t like the menu choice. Records show that food is cooked and stored at the right temperatures and that staff have been trained in Food Hygiene. It was seen that staff help service users if necessary and that their choice of where to eat their meals is respected. 87 Pinkneys Road DS0000011274.V366991.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 & 20. The people who use the service experience excellent outcomes in this area The provision of personal and health care for service users is of a very high standard. Specialist advice is sought to ensure the best outcomes are achieved for each service user. Staff are trained to give service users their medication safely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care records clearly detail individual service users preferred daily routines, what time they like to get up, how they like to use the toilet and shower, activities and bedtime routines. Specialist advice and equipment has been sought to make their routines comfortable and safe. There is detailed information in health care plans and risk assessments about health care needs. The involvement of health professionals and health appointments is well documented. Records show that physiotherapists, occupational therapists, behavioural specialists, psychiatrists, chiropodists, 87 Pinkneys Road DS0000011274.V366991.R01.S.doc Version 5.2 Page 14 dentists, opticians and community nurses have attended to service users when required. Feeding guidelines take into account particular health needs. There is a clear procedure for the storage and administration of medication. Staff receive internal training and re assessment and complete a medication course. Monthly audits are carried out and there is a system for returning unused medication to the pharmacy. The manager agreed to develop a stock control system for a medication only given occasionally. 87 Pinkneys Road DS0000011274.V366991.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 & 23 The people who use the service experience good outcomes in this area Service users and others know that their concern and complaints will be dealt with listen to and dealt with. Staff are trained to in the protection of vulnerable adults and policies and procedures are available to report any concerns about service users wellbeing or safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The commission has not received any information from other people about complaints made against this service. There is a complaints procedure in place and this has been individualised to make it accessible to each service user. The homes complaints record shows that only one complaint has been received recently and this is being dealt with appropriately. Staff spoken with knew what to do if anyone expresses a concern about the service. The commission has not received any information about any safeguarding referrals relating to this service and the home has not needed to make any. The AQAA states that staff are trained in the protection of vulnerable adults and staff spoken with confirmed this. There are policies to deal with whistle blowing, service users finances and what to do if staff are offered a gift to help protect service users and give staff guidance. The manager is aware of the local safeguarding adults policy and how to report concerns to the relevant agencies. 87 Pinkneys Road DS0000011274.V366991.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): 24 & 30. The people who use the service experience adequate outcomes in this area This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were four requirements regarding the premises from the last inspection. One regarding the need for decoration to be carried out to the exterior of the premises has been met. The windows have been repainted and it is planned to replace two large bay windows with double-glazing. 87 Pinkneys Road DS0000011274.V366991.R01.S.doc Version 5.2 Page 17 A previous requirement to ensure that maintenance to the home is completed promptly has also been met. Fire doors that were faulty have been repaired. The inside of the home was well maintained and further work is being carried out to improve the exterior. The manager said that there is a maintenance call centre now that gives quicker responses and she has access to a company handyman. A requirement to ensure the provision of a second dropped kerb to allow the safe travel of the homes minibus has been pursued with the council. The council have refused permission for a second dropped kerb but an alternative solution to the access problem has been identified. Work has started to clear the front garden to enable a turn around space for the minibus, so that the existing drop kerb can be used. The communal space is inadequate for the current needs of the service users. There has been a delay in fully meeting the requirement to review the communal space to meet the increasing needs of the service users and develop an action plan. At the time of the Annual Service Review the manager verbally updated the commission that a review and initial investigations have taken place to identify suitable alternative premises but to date no clear decision has been taken about whether this is the plan to be followed. A new requirement will be made that the registered persons submit a written action plan to the commission and the timescale in which this is to be achieved. This should show how they will provide adequate communal space to meet the regulations and standards and the needs of the service users. Service users bedrooms were nicely decorated and personalised with their belongings. Hoists, an assisted bath and wheelchairs meet their mobility needs. The home was clean and hygienic and staff confirmed they have been trained in infection control. The AQAA stated that enhanced training for staff has made sure they are competent to maintain a safe and clean environment. There are risk assessments in place regarding infection control, hot water temperatures and hazardous substances (COSHH). 87 Pinkneys Road DS0000011274.V366991.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 & 36. The people who use the service experience good outcomes in this area Service users are supported by enough trained staff to meet their needs. Recruitment checks make sure that new staff are suitable to work with vulnerable people. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a programme of National Vocational Qualification (NVQ) training in place. Some staff have already achieved this and others are taking this training. From observation of practice and from discussion with staff it was found that they relate well with the service users and understand how to meet their needs. They were aware of the roles of other professionals in the involvement of the care of the service users. A previous requirement that the registered manager must make sure that there are sufficient staff on duty at all times to care for the service users has been met. The manager confirmed that there is a minimum of two staff on 87 Pinkneys Road DS0000011274.V366991.R01.S.doc Version 5.2 Page 19 daytime shifts. On Tuesday mornings there are three staff to help all of the service users go out to day centre. The manager has identified that an extra staff is needed for a few hours each morning due to the increased manual handling needs of two service users. She confirmed that she is negotiating with the purchasers for funding to cover these hours. There is a company recruitment procedure in place that includes carrying out Criminal Records Bureau checks, Protection of Vulnerable Adults list checks and references. Recruitment records are held at the area office however a recruitment checklist and discussion with staff showed that the procedure is carried out. Staff confirmed that they received a thorough induction and training that was relevant to their role and the service users needs. They receive LDAF (Learning Disability Award Framework) training and comprehensive a range of mandatory training. The organisation has introduced a new computer based training programme and managers and staff said it was a good learning tool. 87 Pinkneys Road DS0000011274.V366991.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 & 42. The people who use the service experience good outcomes in this area The home is well managed by experienced and qualified manager. The views of service users and others are sought to help develop the service. Up to date health and safety systems make sure the home is kept safe for service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well managed by an experienced and qualified manager. The manager works full time and is also registered for another home nearby, she divides her time between the two homes and staff teams. The Annual Quality Assurance Assessment (AQAA) submitted prior to the inspection was well filled in and showed how the home meets the regulations 87 Pinkneys Road DS0000011274.V366991.R01.S.doc Version 5.2 Page 21 and standards. There is a company quality assurance system that includes an annual service review that seeks the views of the service users, families and others. There is an annual development plan with identified actions. Monthly service reviews, staff and service users meetings and individual reviews also seek the views of others. The AQAA shows that regular maintenance and servicing of equipment takes place. Health and safety records sampled show that regular checks to the fire safety system, hot water temperatures, hoist and wheelchairs are carried out. Health and safety training is mandatory for all staff and risk assessments are in place to make sure that any environmental or individual risks are identified and reduced. 87 Pinkneys Road DS0000011274.V366991.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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 3 X X 3 X 87 Pinkneys Road DS0000011274.V366991.R01.S.doc Version 5.2 Page 23 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 YA24 Regulation 23(2)(a)&(f) Requirement The registered persons must submit a written action plan and the timescale in which this is to be achieved; to show how they will provide adequate communal space to meet the regulations and standards and the needs of the service users. Timescale for action 15/09/08 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 87 Pinkneys Road DS0000011274.V366991.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 87 Pinkneys Road DS0000011274.V366991.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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