Inspection on 18/04/08 for Acorn House Residential Home

This inspection was carried out on 18th April 2008.

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

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

Acorn House Residential Home 12/05/09

Acorn House Residential Home 17/04/09

Acorn House Residential Home 18/09/07

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

CARE HOMES FOR OLDER PEOPLE Acorn House Residential Home 310-312 Norton Road Stockton-on-Tees TS20 2PU Lead Inspector Brenda Grant Key Unannounced Inspection 13:15 18th April & 29th May 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 Acorn House Residential Home DS0000068682.V362924.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. Acorn House Residential Home DS0000068682.V362924.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Acorn House Residential Home Address 310-312 Norton Road Stockton-on-Tees TS20 2PU 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) 01642 607101 Mrs Carol Lynn Trainor Position vacant Care Home 14 Category(ies) of Dementia (8), Old age, not falling within any registration, with number other category (6) of places Acorn House Residential Home DS0000068682.V362924.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 6 2. Dementia - Code DE, maximum number of places 8 The maximum number of service users who can be accommodated is: 14 18th September 2007 Date of last inspection Brief Description of the Service: Acorn House is a care home registered to provide care for 14 older people. There is one unit for 8 people who have dementia and another unit for 6 older people. The home is a two storey building converted from two Victorian terraced houses. It stands on an elevated site overlooking Norton Road. Access to the front is via a path with steps, a handrail is fitted. At the back of the building there is ramped access to the home. The garden and elevation of the building allow for privacy. Acorn House is located near to local shops, post office, public houses, social clubs and churches. It is situated on a bus route providing access to Stockton town centre. At the time of the inspection the fees ranged from £346 to £364. Acorn House Residential Home DS0000068682.V362924.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was an unannounced inspection. We assessed the information from: the information we already had about the home and we carried out two visits to the home. The visits took place over two days, six hours in total. We received surveys completed by: two staff, six people who used the service and one relative. Discussion and observation took place with six people who used the care service, one relative, two staff, the provider and the manager. We looked around the home as well as examining a number of records which included those for: staff and people who use the care service, health and safety and maintenance checks, accidents and medication documentation. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. What the service does well: What has improved since the last inspection? All of the requirements from the last inspection had been addressed. The provider no longer interferes with the running of the home. Staffing levels were sufficient, to allow people’s social needs to be met. The home had copies of duty rosters, showing how many staff were on duty at all times of the day and night. Acorn House Residential Home DS0000068682.V362924.R01.S.doc Version 5.2 Page 6 Monies, held on behalf of people who lived at the home, were kept individually and there were records and receipts of all money spent. Staff files showed that recruitment, of new staff, was carried out in the correct manner. The home had satisfactory checks and references, before a person starting working at the home. Risk Assessments were carried out, they identified the risks and how those risks would be managed. Care Plans and Risk Assessments were reviewed monthly. 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. Acorn House Residential Home DS0000068682.V362924.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 Acorn House Residential Home DS0000068682.V362924.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): Standards: 3 & 6 The care needs of individuals are assessed before moving to the home and people are assured those needs will be met. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including two visits to the service. EVIDENCE: A sample of three files, of people who use the care service, was examined. They did not contained assessments carried out by a care manager. The assessment information had been gained but it was not stored in the individual files. Assessments included general information as well as the person’s health, social and personal care needs. Additionally, the home completed a basic assessment form before people were admitted to the home. All of the assessment information was used to start a Care Plan. A relative told us, before admission the person and his/her family were fully Acorn House Residential Home DS0000068682.V362924.R01.S.doc Version 5.2 Page 9 involved with the assessment process there was the opportunity to look around the home. The home did not offer intermediate care therefore standard six did not apply. Acorn House Residential Home DS0000068682.V362924.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): Standards: 7, 8, 9 & 10 The health, personal and social care needs, of people who used the service, are met but the full details are not always recorded in Care Plans. People are protected by the home’s policies and procedures for dealing with medicines. People are treated with respect and their right to privacy is upheld. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including two visits to the service. EVIDENCE: A sample of three Care Plans was examined. The home had developed a Care Plan for each person who used the service. The Care Plans did not have all details about people’s personal, social and healthcare needs and all aspects of daily living. They did contain people’s care needs and described how those needs would be met. None of the Care Plans had signatures of the person, or their relative, showing they were involved with the Care Plans. A relative we spoke with told us, “I am fully involved with how staff look after my mother/father”. People were assessed for areas of risk. The Risk Assessments Acorn House Residential Home DS0000068682.V362924.R01.S.doc Version 5.2 Page 11 detailed how risks would be managed; to reduce those risks to an acceptable level. The plans, we looked, at showed they had been regularly reviewed and updated. The files included healthcare matters, including healthcare visits and appointments. The records had showed details of health care visits and if treatment was to be continued. The manager told us, the home ensured referrals were made when specialist equipment and/or specialist healthcare treatment was needed. The home had suitable equipment for staff to use when they assisted people with bathing and showering. We examined the home’s storage and recording of people’s medicines and found it to be satisfactory. The home’s senior care staff usually administered medicines. Staff files confirmed they had completed training for handling and administering medication. Staff were observed being respectful to residents. People could stay in their own rooms or go to communal rooms as they wished. A relative told us, “The staff are lovely and they and make sure resident’s dignity is maintained”. A person who used the care service told us, “It is a lovely place” and another person told us, “Being here is like home from home”. We noticed there was a good relationship between staff and people who lived at the home. The home had relocated the telephone, so that people could use the telephone in private, without being overheard by other people. In a survey a relative commented on the positioning of the telephone. The manager told us, the telephone had been moved, so that people could talk in private. Additionally, the home had a cordless telephone that people could use, when receiving calls, and people could take the telephone to a private place in the home. Acorn House Residential Home DS0000068682.V362924.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): Standards: 12, 13, 14 & 15 People mainly have a lifestyle that suits them and they live as they wish. Individuals have choice and control over their lives and people maintain their contacts with families and friends. The home provides a varied and balanced diet for people who use the care service. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including two visits to the service. EVIDENCE: In a survey a member of staff told us, “I would like to see more carers being able to take residents out for walks in the summer”. The home had enough available staff for organising activities, in the home, but there was no ‘activities programme’. Staff told us, activities take place in the unit for people with dementia care needs but there was no record of the activities. A relative told us, “Staff offer resident’s choices of things they want to do”. The home did not have a record of people’s social interests or religious needs, so that staff could assist people with accessing appropriate facilities. The manager told us, she would find out people’s interests and introduce an ‘activities programme’, in addition to finding out about people’s religious needs. Acorn House Residential Home DS0000068682.V362924.R01.S.doc Version 5.2 Page 13 The manager and staff told us that relatives and visitors were welcome to come to the home at any time. A relative told us, “We can come anytime and staff are always friendly and they make us feel welcome”. The manager told us, there were no visiting restrictions. We saw that people lived their lives as they wished. They were able to bring some of their personal possessions to keep in their bedrooms. Staff told us, people could get up and go to bed whenever they wished. The manager informed us, relatives or the local authority usually looked after people’s financial affairs. For most people who used the service, the home held small amounts of money so that they could pay for hairdressing and buy toiletries or other small items. The home’s menus were examined, showing there was a variety of food offered to people at the home. The lunch was well presented and the dining areas were very pleasant. A person told us, “The food is lovely”. The food stored at the home was of there being fresh fruit and vegetables and a good variety other dried, tinned and frozen foods. The cook did not keep a record of all the food that had been served at the home because when people had food, different to the set menu, it was not recorded. There were completed records for fridge and food temperatures but no records of freezer temperatures or the cleaning rota. There was suitable equipment in the kitchen but we saw that the microwave was a bit rusty. Acorn House Residential Home DS0000068682.V362924.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): Standards: 16 & 18 People are confident their complaints will be listened to, taken seriously and acted upon. Individuals are protected from abuse by the home’s policies and procedures. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including two visits to the service. EVIDENCE: The home had a Complaints Procedure. It informed people, to whom they could make a complaint to and when they would expect to receive a response. The procedure included details of the Local Authority, to which people could also make a complaint. A relative we spoke with informed us, s/he did not have anything to complain about and s/he was, “More than happy with the service”. In surveys two relatives told us, complaints would be relayed to the assistant manager because the manager was never at the home and the provider was not very approachable. That manager has since left the home and the assistant manager is now managing Acorn House. The new manager was in full day-to-day control and running of the home. The home had a copy of the Local Authority Policies, Procedures and Practice Guidance, ‘No Secrets’, for safeguarding adults. Staff records confirmed staff had completed training, for safeguarding vulnerable adults. Staff said, they knew of the procedures to follow if there was an allegation of abuse on an individual. Acorn House Residential Home DS0000068682.V362924.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): Standards: 19 & 26 People who use the service live in an environment that is mostly safe and wellmaintained. The home is clean, pleasant and hygienic and free from offensive odours. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including two visits to the service. EVIDENCE: Acorn House provided a homely and warm environment. The enclosed patio, at the back of the home, had been developed to allow a seating area that had attractive flowering pots, a table and some chairs and there was also an aviary. We saw some people, their relatives and staff sitting outside, enjoying the newly developed patio and the sunny warm weather. Some maintenance work had been carried out but not all of it had been completed. The manager told us, the remaining maintenance work would be carried out in the coming Acorn House Residential Home DS0000068682.V362924.R01.S.doc Version 5.2 Page 16 weeks, that of: a stained ceiling and a missing curtain at the window of a toilet, the stained ceiling of a bathroom, rotting wood of a toilet door frame. Additionally, there was the flooring at the entrance of the kitchen that was uneven, a cracked ceiling and peeling wallpaper in a lounge, the external peeling paintwork below a bedroom window. There was some uncomfortable seating in both lounges, two chairs in one lounge and two chairs and a sofa in the other lounge. One person told us, the material of the chair arms was, “Sometimes uncomfortable. The requirements of the Environmental Health Department had been met and all fire safety measures were in place but we saw that the kitchen fire door, hold opening device was not working properly. The manager informed us, the ‘hold opener’ was to be mended within two days. This was confirmed. The home was clean, pleasant, hygienic and free from offensive odours. Acorn House Residential Home DS0000068682.V362924.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): Standards: 27, 28, 29 & 30 The numbers and skill mix of staff are satisfactory. Staff are trained and competent to care for the people at the home. People are protected by the home’s recruitment procedures. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including two visits to the service. EVIDENCE: On the days of the inspection ‘site’ visits there was sufficient care staff to meet the needs of the people who lived at the home. There was also domestic and kitchen staff and care staff carried out laundry duties. A relative of a person who used the service told us, “Staff are great, I am really pleased my mother/father is at this home”. There were three staff available day and night, for up to fourteen people. We agreed with the manager, that night care staffing could be reduced by one waking night staff, unless people’s dependency levels determined the staffing should be increased to the former staffing levels of three care staff. Staff appeared to work well as a team. A sample of training records was examined. The numbers of care staff who had successfully completed the National Vocational Qualification at Level 2 was over 63 , seven of a total of eleven staff. Two of those staff also had Level 3 of the qualification. Staff had completed induction and basic training and extra specialist training in caring for people who have dementia as well as training Acorn House Residential Home DS0000068682.V362924.R01.S.doc Version 5.2 Page 18 for Equality & Diversity. All of the care staff were females and the male who worked at the home was the person who carried out regular maintenance checks. We looked at staff files. They contained completed application forms, two references and checks with the Criminal Records Bureau. This confirmed the home had followed the recruitment and selection process. Acorn House Residential Home DS0000068682.V362924.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): Standards: 31, 33, 35 & 38 The home is mainly managed and run in the best interests of the people using the service. People’s personal money is safeguarded by the home’s procedures. The health, safety and welfare of staff and people who live at the home is mostly promoted and protected. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including two visits to the service. EVIDENCE: The manager had years experience as assistant manager at the home. In surveys comments from staff and relatives, of people who used the care service, were that the previous manager was rarely available. The current manager has been in post for approximately six weeks. People and staff told Acorn House Residential Home DS0000068682.V362924.R01.S.doc Version 5.2 Page 20 us, the present manager is always available and approachable and that she has already made improvements to the service. She had successfully completed the National Vocational Qualification Level 3, in care and was about to start the Registered Manager’s Award at Level 4. The manager is to apply, to the Commission for Social Care Inspection, to become the registered manager of the home. Staff told us, they are well supported by this new manager. The home did not have a Quality Assurance System. The manager told us, she is to develop a system, so that people can give their views about the running of the home. The manager told us, she intends to write a report upon the findings of people’s views and include what actions the home will take, to improve and develop the service. The provider visited the home but did not produce a monthly report on the findings of her visits. The home was developing some management monitoring systems and audits but they had not yet been started. The manager had not yet had the opportunity to arrange a staff meeting but the manager intends to have a meeting in the next few weeks. The manager also intends, but hasn’t yet had the opportunity, to have meetings with people who live at the home. The meetings will be an opportunity for people and staff to put forward their views about the service and discuss how the home is run. A sample of financial records, of monies held on behalf of people who used the service, were examined and found to be correct. A sample of health and safety records was examined. The manager kept an up to date record of all maintenance and checks that were required throughout the year. Checks for; electrical appliances and fire equipment were up to date. The Risk Assessments, for Control Of Substances Hazardous to Health, had not been reviewed in the last twelve months. The home kept records of all accidents and the record for checks of the hot water outlet temperatures had just been started. The fire alarm and emergency lighting checks had lapsed but the manager made sure they were checked on the day of our ‘site’ visit. The manager is to delegate responsibility of those checks to a member of staff. Acorn House Residential Home DS0000068682.V362924.R01.S.doc Version 5.2 Page 21 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 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 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 2 X 2 X X X X 2 Acorn House Residential Home DS0000068682.V362924.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14 Requirement The home must keep people’s assessment details with the individual’s records, so that all relevant details are kept together. • Care Plans must include all aspects of daily living as well as how people’s social and personal care is delivered. People and, where appropriate, their relatives must be involved with people’s Care Plans. Timescale for action 31/07/08 2. OP7 15 31/07/08 • 3. OP12 16 • The home must provide and 31/07/08 record regular activities that take place for people who use the care service. • There must be a record of all food served at the home, so that we can determine if people have a proper diet. The rusting microwave must be replaced. 31/07/08 4. OP15 17 • Acorn House Residential Home DS0000068682.V362924.R01.S.doc Version 5.2 Page 23 5. OP19 23 6. OP31 9 7. OP33 24 8. OP33 26 9. OP38 13 Maintenance/repair/redecoration /replacement must be carried out for: Toilets • Stained ceiling and a missing curtain • Door frame with rotting wood. Bathroom • Stained ceiling. Kitchen • The uneven flooring at the entrance of the kitchen must be levelled. Lounge • Cracked ceiling and peeling wallpaper • Uncomfortable seating – four chairs and a sofa. The manager must apply to the Commission for Social Care Inspection, to become the registered manager. The home must have an effective Quality Assurance System, so that people can give their views about the running of the home. The provider must carry out monthly monitoring visits to the home and write a report on the findings of the visits. Regular audits and checks must be carried out for: • Risk Assessments for the Control Of Substances Hazardous to Health • Hot water outlet temperatures • The fire alarm system and emergency lighting. 31/08/08 30/09/09 30/09/08 31/07/08 31/07/08 Acorn House Residential Home DS0000068682.V362924.R01.S.doc Version 5.2 Page 24 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. 2. 3. Refer to Standard OP12 OP15 OP19 Good Practice Recommendations The home should have a record of people’s interests and religious needs. Kitchen records should include: freezer temperatures and a cleaning rota. The provider should consider making sure the material covering the seating in the lounges is comfortable. Acorn House Residential Home DS0000068682.V362924.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Acorn House Residential Home DS0000068682.V362924.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. 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