Inspection on 06/02/07 for Acorn Lodge

This inspection was carried out on 6th February 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 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 Lodge 21/03/06

Acorn Lodge 10/01/06

Acorn Lodge 01/03/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Acorn Lodge 12 Grand Avenue Southbourne Bournemouth Dorset BH6 3SY Lead Inspector Sally Wernick Unannounced Inspection 6th February 2007 10:00 Acorn Lodge DS0000062108.V329075.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 Acorn Lodge DS0000062108.V329075.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. Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Acorn Lodge Address 12 Grand Avenue Southbourne Bournemouth Dorset BH6 3SY 01202 426085 F/P01202 426085 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) Acorn Lodge (Bournemouth) Ltd Mrs Angela Kay Druce Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st March 2006 Brief Description of the Service: Acorn Lodge is registered to provide residential care for up to nine younger adults (aged 18-65). The property is a large family style home, located in a tree-lined avenue close to the centre and to the beaches of Southbourne. The Proprietor maintains one of the bedrooms for short-term care. The service users are accommodated on the ground, first and second floor. All bedrooms are single and two have the benefit of en suite facilities. There are bathrooms on each floor. The communal areas are on the ground floor and consist of a lounge, conservatory/dining room and a kitchen. Accessed from the conservatory is the garden, which is level and private. Acorn Lodge is staffed 24 hours a day, with two waking night staff. The Proprietor works in the home full time as the Manager. Fee range: - £600-£695.00 per week. See the following website for further guidance on fees and contracts. http:/www.csci.org.uk/about_csci/press_releases/better_advice_for_people_ choos.aspx Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and began at 10.00am on Tuesday 6 February 2007. This was a ‘key inspection’ where the homes performance against the key National Minimum Standards was assessed alongside progress in meeting recommendations made at previous inspections. The Registered manager assisted the inspector, as did residents and other members of care staff. Methodology used included a tour of the premises, review of records and discussions with service users and staff. The inspector also reviewed the contact sheet for Acorn Lodge. A Pre-inspection questionnaire was also sent to the manager in order that information could be provided prior to the inspectors site visit. That information where relevant will be included in the main body of this report. Prior to the inspection comment cards were sent out by the home on behalf of the commission. Of those returned six were from current service users, one from a G.P, three from care managers, nine from relatives/visitors and two from other health and social care professionals. The following are some of the comments received from relatives: “We are very happy with the care and attention our relative receives at Acorn Lodge and we are always made very welcome.” “The home is always clean and clients well care for.” “Very happy by the way my relative is looked after at Acorn Lodge and they are very happy there”. “Staff are always helpful and I am always invited on day trips and holidays with my relative”. “We are always made very welcome at Acorn Lodge whenever we visit. The staff are very friendly to us and the clients. There is a lovely atmosphere at Acorn Lodge Angela and her staff do a wonderful Job. They have some marvellous holidays and outings”. Comments from professionals include: “I am very satisfied with this placement for this client. The manager has formed an excellent working relationship with the client. The client has tried other residential placements but been asked to leave due to behaviour. They are well settled here and challenging behaviour is managed well. I have great professional respect for Mrs Druce.” Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 6 “My service user is happy and well looked after. Angie Druce and her team are great”. None of the current clients had included comments in their surveys although all had indicated they were happy at the home. Four residents had completed surveys themselves two with the assistance of staff. This could have affected the independent outcome of the surveys however. It would be beneficial to service users therefore to consider what other support can be given in similar situations in the future. What the service does well: What has improved since the last inspection? Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 7 In line with recommendations made at the previous inspections policies and procedures relating to complaints and adult protection have been updated. Accident and injury forms have also been extended to provide relevant, detailed information. 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 Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 8 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 Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 9 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information provided about the home and a good admissions procedure enables prospective residents and their supporters to make informed decisions about admission to the home and ensures that only service users whose needs can be met by are offered places there. EVIDENCE: No new residents have moved to live at Acorn Lodge since previous inspections. The Registered manager however provided a detailed account of the processes involved during pre-assessment and the steps taken to ensure that service users views are sought in relation to their assessment of need. Prospective service users are given the opportunity for informal visits, and may join residents for meals or outings and stay overnight if they wish. Families and supporters are included in this process and care plans examined for current residents contained clear evidence that consultation had taken place during the pre-assessment period. Acorn Lodge DS0000062108.V329075.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 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good care planning system in place to ensure that staff and service users know assessed and changing needs and personal goals are clearly reflected. The home encourages service users to make decisions in their daily lives with effective use of advocacy services to facilitate independence and choice. An individual approach to risk taking ensures service users are able to responsible risks in order to enjoy an independent lifestyle. EVIDENCE: Three care plans of service users were examined. Clip art has been used to make the format of the plans more accessible to ensure that service users are able to participate in the process. Plans clearly detailed the likes and dislikes for each resident including preferred methods of dress, eating, drinking health social and therapeutic activities as well as goals and aspirations. Each care Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 11 plan presented an individual account of the service user and there was evidence of liaison with the individual, family and friends. The inspector observed that there was a good level of interaction between staff and service users during the day with supportive relationships formed. Care plans included individualised procedures for service users who may at times demonstrate challenging behaviour. Knowledge of individuals was good with a responsible balanced approach, which recognises the difficulties that service users face in their daily lives. Care plans are regularly reviewed to ensure that they are upto-date and there was evidence of good liaison with care managers and community health providers. There was evidence during the inspection that service users were encouraged to make decisions in their daily lives. For example observed practice during the inspection showed that service users were asked what they preferred to do during the morning one chose to go shopping another to remain at home. The home is also able to demonstrate where they have made use of advocacy services to support residents. One resident has recently received help with their personal finances from an advocate. The home also has bi-monthly residents meetings where residents are encouraged to provide feedback on the home and areas, which may require improvement. Risk assessments are in place the content evidenced that the home in line with the assessment process promote and encourage service users to take responsible risks and fulfil their personal aspirations. All service users are supported in having holidays, day trips, outings, attending social events, dances and competing in a range of sport activities/competitions. Acorn Lodge DS0000062108.V329075.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 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Links with the community are good and regular promoting service users social and leisure opportunities. Service users are supported to maintain links with family and friends and to enjoy a range of activities and responsibilities. The home provides a varied selection of food that meets service users tastes and choices. To promote a healthy diet for service users however EVIDENCE: Service user care plans identify what they like to do and how they wish to spend their time. Most of the residents at the home attend at day centres or college two prefer to remain at home and enjoy a range of other activities. Most residents undertake small housekeeping tasks around the house, which are identified in individual, care plans. Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 13 Acorn Lodge does have its own mini-bus and the resident manager and her staff arrange lots of trips and outings. All of the residents are given the option whether or not they would like to attend the majority of which do. During the last twelve months there has been a holiday to Austria for several service users and some of their family members. Seventeen people then went to the Isle of Wight where two bungalows were hired for a week. There was also a day trip to Jersey. Parties and events included: a beach picnic with a Red Arrows display, Chinese circus and Cinderella on Ice, visits to Monkey world and the Steam fair. A sports day which a number of service users competed in, regular discos, trips to the cinema and a trip to Spirit of the Dance. There are always themed events such as Easter buffet, egg hunts, birthday parties, bonfire night and Halloween. Residents generally meet up with other service users at Ivy Lodge friends and family are always welcomed. There are also weekly swimming sessions and the registered manager has recently trained as a lifeguard/swim instructor. The home has a further holiday planned for service users to Mexico. In addition to the above the home also arranged community safety days where local police officers and fire brigade officers gave talks. On the day of the inspection the atmosphere within the home was calm and positive and service users needs and preferences were managed with sensitivity. Service users were observed to be treated with respect and kindness by the manager and care staff. The lack of food hygiene certificates means that residents are prevented from preparing their own meals in the kitchen although the dining room is used to undertake activities such as preparing lunch boxes or making salads and cakes. There is no dedicated cook the staff team take turns to prepare a variety of meals. A sample of the home’s menus was viewed these were a combination of fresh and frozen meals some of the residents having a fondness for shop frozen pies, breaded chicken and chicken “Kiev”. These are less nutritionally balanced however and lower quality than freshly made options and in order to promote resident’s wellbeing the home needs to consider how this could be improved. The registered manager has recently contacted the community dietician for information and advice for residents and is looking at ways in which the home can further promote healthy eating. Fresh fruit and vegetables were readily available and clearly in evidence. Acorn Lodge DS0000062108.V329075.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 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides personal guidance and support according to assessed need and in line with resident’s preferences and wishes. Policies and procedures relating to the health care needs of service users promote good practice and ensure physical and emotional needs are met. Medication held at the home is very well managed to ensure that service users medication needs are met and they are protected through the policies, procedures and practices within the home. EVIDENCE: Care plans clearly outline service users preferences, where guidance and support is needed for care and how this must be provided in line with service uses wishes. Residents are supported in deciding what they wish to wear, personal hygiene and there was evidence on files examined of appropriate referrals to occupational therapists, psychiatry, psychological services, dentists and chiropodists. The home clearly has good working relationships with Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 15 community health professionals and liaises regularly with other community staff and stakeholders to ensure continuity and consistency of support is given. Medication is kept in a secure cupboard administration records were checked and found to be up to date and accurate. Details are kept of all medication taken by each service user and information is available about possible side effects. In addition a list of homely remedies is kept which has been signed and agreed by the service users G.P. All staff responsible for administering medication completes an external course in the safe handling of medication and also have a signed in house certificate of competence in the administration of medication. Acorn Lodge DS0000062108.V329075.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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system in place with some evidence that service users are promoted to raise concerns and their views are listened to and acted on. Service users are safeguarded by staff’s knowledge of adult protection procedures and written policy. EVIDENCE: In line with a recommendation made at a previous inspection the home has amended the complaints procedure to ensure that service users and their supporters know what action to take and who to speak to if they have a concern or a complaint about the home. The procedure is clearly visible within the vestibule at the home and for the benefit of the residents each has received an individual copy, which is written in accessible format. During bimonthly residents meetings service users are asked if they have any concerns or complaints. None has been received during this inspection period. Similarly the abuse guidance policy has been updated to include guidance from the Department of Health and all staff has received up to date adult protection and POVA training. Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides service users with a comfortable well-maintained and homely environment. The home was clean and hygienic with procedures generally in place to protect service users from the spread of infection. EVIDENCE: Acorn Lodge is a large comfortable home, which is well maintained. Bedrooms are big, personalised, bright and cheerful There is a large communal lounge which on the day of inspection was being fitted with new carpet. It is well situated close to the local town and amenities and has an attractive rear garden. A decoration and renewal programme means that the home is well maintained and meets the requirements of the local fire and environmental health departments. There are up to date infection procedures and staff has received Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 18 relevant training. It is recommended however that in communal bathrooms and washing areas paper towels be provided to prevent the risk of infection. Similarly two communal bathrooms would benefit from further updating and re-decoration. Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 19 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, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well-qualified and competent staff team ensures that the assessed needs of individual service users are well met. Residents are protected by the employment procedures and the staff, training programme, which is comprehensive and covers all aspects of the statutory training. EVIDENCE: On the day of the inspection the Registered and deputy manager and two senior carers staffed the home and staff were able to support individual residents to undertake activities of their choosing. Brief observation indicated that staff and residents interacted well in a way, which seemed positive and comfortable. The Registered manager confirmed that staffing levels are influenced by the assessed needs of the individuals within Acorn Lodge and staffing provided meets the Department of Health staffing guidance. All staff at Acorn Lodge hold or is either studying for NVQ qualifications as well as benefit from a range of on-gong external and internal training. The staff Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 20 team is stable and the numbers and skill mix means that they are able to provided effective support for residents within the home. Good recruitment procedures are in place three staff files were examined and were all found to be in good order with the relevant documentation. Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 21 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered manager is well qualified and experienced which ensures the home is run effectively to meet its stated purpose, aims and objectives. The home does generally review aspects of its performance through a programme of self-review and consultation with service users and staff. The lack of an up to date quality assurance system however means that the home is not in a position to demonstrate that there is an on-going review of aims and outcomes for service users. Practices in the home promote and safeguard the health, safety and welfare of the residents. Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 22 EVIDENCE: The Registered manager Mrs Druce is well qualified holding a range of professional qualifications. She has managed the home for a number of years and prior to this worked as a community psychiatric sister. There was evidence that Mrs Druce regular updates her knowledge and skills and is also an NVQ assessor for other staff within the home. The home does generally review aspects of its performance through a programme of self-review and consultation with service users and staff. The lack of an up to date quality assurance system however means that the home is not in a position to demonstrate that there is an on-going review of aims and outcomes for service users. Sample records of safety checks, servicing and maintenance of equipment were examined and found to be up to date. All staff had undertaken fire safety training at the required intervals, and fire drills had included various scenarios. Staff had undertaken appropriate health and safety training including moving and handling and infection control. A tour of the premises demonstrated that routine maintenance and refurbishment work was being implemented. A recommendation made at the previous inspection to record action taken following incidents or accidents within the home had been followed. Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 23 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 X 2 3 3 X 4 X 5 X 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 X 34 3 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 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA17 Good Practice Recommendations Service users health and well being should be further promoted by the supply of nutritious, freshly prepared meals, reducing the use of frozen meat products which do not contain or provide the same nutritional value. It is recommended that paper towels be provided in communal bathrooms and washing areas to prevent the risk or spread of infection. The Registered manager should continue to develop quality assurance methods based upon seeking the views of service users and other interested parties, to ensure success in achieving the aims and objectives of the home. The outcomes of which should be provided to service users in a format, which can be easily understood. A record should be kept of the outcomes and incorporated into an annual development plan for the home, which should be available to the commission and other interested parties. 2. 3. YA30 YA39 Acorn Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Lodge DS0000062108.V329075.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!