Inspection on 04/05/05 for Allerton Park

This inspection was carried out on 4th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Allerton Park 29/10/08

Allerton Park 30/04/08

Allerton Park 01/05/07

Allerton Park 09/05/06

Allerton Park 01/12/05

Allerton Park 31/08/05

Allerton Park 14/12/04

Allerton Park 04/10/04

Allerton Park 22/06/04

Allerton Park 01/10/03

Similar services:

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

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

CARE HOMES FOR OLDER PEOPLE Allerton Park 39-41 Oaks Lane Allerton Bradford BD15 7RT Lead Inspector Susan Knox Unannounced 4 May 2005, 9:45am 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 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. Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Allerton Park Address 39-41 Oaks Lane, Allerton, Bradford, BD15 7RT 01274 496321 01274 782841 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Park Homes UK Ltd Care Home with nursing 50 Category(ies) of Dementia - over 65 years of age (4), Physical registration, with number disability over 65 years of age (50) of places Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14 December 2004 Brief Description of the Service: Allerton Park is part of Park Homes Limited, a registered company with several care homes in the area. It is situated three miles from Bradford city centre and can be accessed by public transport. Parking is provided within the grounds.Allerton Park provides nursing and personal care for a maximum of fifty service users. Service users are older people who are physically frail or have nursing needs. A number of service users may have a diagnosis of dementia.The building has been divided in order to provide two different types of care in designated areas. A 26 bedded unit for nursing care and a 24 bedded unit for residential care. Both managed separately.Each unit provides accommodation in mainly single room accommodation. All but two bedrooms are equipped with an en-suite toilet. Each unit provides communal rooms of lounge and dining facilities.There is ramped access to the main door and a passenger lift ensures easy access to both floors. Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and carried out by two inspectors, Susan Knox and Nadia Jejna. It started at 9.45 am finishing at 6.45 pm. The person in charge was Ms B Hogan, training and development manager. A new acting manager was due to start work 9 May 2005. The home has been without a registered manager for a long period. It is acknowledged that senior managers were aware of the shortcomings within the home and were reluctant to implement changes until the new manager was in place. However, the shortcomings in care planning should have been dealt with. Most of the day was spent talking to service users, staff and a visitor. A number of documents were inspected. These included plans of care, medication records, minutes of meetings and fire safety checks. The residential part of the home was inspected including bedrooms, communal areas and the kitchen. Comment cards for service users and relatives to complete and return to the CSCI were left. A change of registration in the categories of service users accommodated in the nursing unit is currently taking place. The unit is being altered to provide for service users with dementia. The change will take place early June 2005. Information about the inspection findings was given to Ms Hogan and Mr J Sykes Operations Director. A list of requirements identified from this inspection can be found at the end of this report. What the service does well: The majority of service users said they were content and settled in the home, they were happy with the carers and felt safe. Care staff said they look after service users physical needs and encourage their choices. They feel they are a family. Service users and representatives are involved in the decision making in the home. There are good relationships between service users and staff. There are regular activities on the residential unit. Preparations are well underway preparing the building for the change to a dementia unit. Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 6 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. Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) -5 The written information given to service users and/or representatives is good and means good decisions can be made before admission. Assessments are carried out before admission but in one case the assessment was not carried through to the care plan and this put the service user at risk. EVIDENCE: The Statement of Purpose is available in the home and service user guides are given to service users and/or representatives. These provide sufficient information about the home so that people can judge for themselves before admission, whether the home can meet their needs. The Statement of Purpose is being amended to reflect the proposed changes in the nursing unit. A recently admitted service user said that her family had visited the home to look around before admission. Senior staff made a pre admission assessment of the service user. The document used for this assessment should have had more details to meet the standard. The assessment was undated but did provide sufficient information for decisions to be made on whether the home could meet their needs. Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 9 A contract was seen for someone purchasing care privately. This document was satisfactory. The managers were advised to check the contract for a longterm respite service user in order to clarify the obligations of different agencies. Three sets of records were seen on each unit. These showed that comprehensive assessments had been carried out before admission. These contained relevant information for setting up care plans Staff confirmed that service users do visit the home before admission and the first few weeks are a trial period. Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 & 11. Care plans were poor, being out of date and with insufficient details. In one case a care plan was missing. There was no involvement of service users/representatives in care planning. Communication between managers and care staff was not good in relation to new admissions. It is hoped that the new format and new manager will improve matters. Staff have started medication training but some records and storage issues need attention. EVIDENCE: Three care plans were checked on each unit. A new format of care planning focusing on person centred care is to be introduced in all the group’s homes. There have been problems with this and the launch date has been changed a number of times. Care plans for the majority of service users were in place but not up to date and not reviewed monthly as required. For one recent admission, information in the assessment had not been communicated to care staff and an essential Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 11 care plan was late in being established. This put the service user at risk. Insufficient information was detailed for staff to address health needs. Although staff were able to anecdotally provide evidence that the needs of service users were being met this was not backed up in care records. This could pose a risk to service users health and well-being. New care needs and health changes identified in daily records and or at GP visits were not recorded in existing or new care plans. Care staff working on the nursing unit were not fully aware of service users needs as they were not actively encouraged to look at care plans. They relied on verbal information and provided the best care they could with this information. Staff said that attempts to meet health needs were being made but possibly due to a staff training need this was not carried out in a robust fashion. Staff were pleased that they had dealt with one care need when previously this had been difficult to accomplish. Risk assessments were in place including for those at risk of falling. In one case a service user was identified as a risk but a care plan identifying how staff could reduce the risk was not in place. A monitored dosage system (MDS) is in place. The record of administering medication on the residential unit was satisfactory. However, some changes are necessary to storage; record of pharmacist label and recording changes; service users receive all prescribed medication. Three loose tablets were found in the drug trolley. One bottle of eye drops and two bottles of antibiotics should have been stored in a refrigerator. Staff were reminded that any record of medication brought into the home and recorded by them needed to be an exact replica of the label provided by the pharmacist. In addition, changes in doses or timing made by the GP or pharmacist needs to be clearly recorded. On the nursing unit a medication policy is in place but not to professional guidelines. The operations director said that this policy was obsolete and a new one should be in place. The nurse in charge had not attended a drugs update since completing an adaptation course two years ago. The drugs trolley is kept in the dining room but not secured to the wall. The operation manager advised that trolleys could be safely secured in the drug room. Stock records were not completed and MAR records not used appropriately to record stock received. Medication was being covertly administered to one service user at the request of a health professional but the care plan did not provide enough details about the reasons and the method used. All non-qualified staff have attended Medication level 1 training provided by the local pharmacist. Level 2 is arranged for the end of May 2005. It was evident that service users and staff view one another as a family and have respect for one another. This was let down to some extent on the day by senior staff discussing the personal details of service users in communal Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 12 rooms. The operations manager advised that staff training was to be instigated. Staff confirmed that holistic care plans would be established where death was expected. A recent unexpected death had badly affected staff but this was eased to some extent by staff organising a funeral meal that was in line with the service users wishes. Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12-15 A comprehensive activity programme is ongoing in the residential unit this is in contrast to the nursing unit where little activities take place. Attempts are made to ensure that choice is provided for service users and that their opinions are listened to. Meals are taken in a pleasant environment and the quality of the meals is good. EVIDENCE: Activities are organised most afternoons in the residential unit. Arranged events are listed on the notice board. Service users enjoyed activities although one felt the lounge was too noisy at times. It was acknowledged that activities were lacking on the nursing unit. Staff said they provide music they know the service users will enjoy. Care plans did not provide any information about service users social, cultural and leisure interests. This shortfall will be addressed in the new care plans. Service users and staff said that choice was provided relating to bed times and how to spend the day. A number of service users said they prefer to stay in their rooms. Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 14 Regular resident and relative meetings are held and minutes were available. A number of changes within the home have been made in the last twelve months and are on going. These have all been discussed at these meetings. It was recognised that the recent influx of service users was having an effect on long established service users. Because of this it was proposed that the main lounge should be divided into two. Relevant statutory bodies were contacted and agreement reached for the change. This is on hold as some service users have changed their minds. The main meal of the day was not observed however, the dining room provides a pleasant setting and tables were appropriately laid. During discussions with service users and staff it was felt that the quality of food was good and choice was offered. The operations director was in discussions with the butcher about the quality of the meat. Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 15 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 Service users feel safe and know how to complain. Staff are trained and more is planned in order to protect the service users. EVIDENCE: A complaint procedure is displayed in the entrance for service users and visitors to see. In addition, this is included in the statement of purpose and service user guide. As this is given to every service user or representative all are aware of the procedure. The operation manager advised that no complaints have been made since the beginning of the year. One from December 2004 has been resolved and information will be forwarded to the complainant and the CSCI. No complaints have been made to the CSCI since December 2004. Service users said they felt safe in the home. Staff said they would have no hesitation in reporting suspected or actual abuse to a senior person. In house abuse awareness training has been held for staff. The operations director said that all staff would be attending the Local Authority Adult Protection training. In addition a member of staff will undertake the Train the Trainer course in order to improve the in house training. Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19-26 The quality of the environment is variable with some rooms bare and uninviting and others warm and attractive. Some carpeting is ill fitting. This reflects the refurbishment that is not yet completed. Some of the redecoration is imaginative. EVIDENCE: Work is in hand to ensure that the outdoor area between both units is made safe. The area is enclosed and a ramp and handrails are to be fitted/installed. Since the end of last year a number of bedrooms have been upgraded with new carpeting and redecoration. A number are still to be done. The residential lounge and dining rooms have been upgraded to good effect. The communal lounges in the nursing unit will be decorated/refurbished to improve the areas for those with dementia. At the present time these rooms are uninviting and bare. Work has begun in the unit that will be designated for those with dementia. Imaginative decoration has begun in the main corridor to reduce confusion and improve orientation. This would be further enhanced if corridor carpeting were Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 17 replaced, as it is ill fitting with much unevenness. The bedrooms doors that have been painted have been fitted with a fake letterbox to give an appearance of a house front door. A number of other doors show signs of damage by wheel chairs, these need attention. There are sufficient bathrooms and WC’s in all areas but these would benefit from redecoration. Apart from the rooms awaiting redecoration, bedrooms were warm and inviting. Many of the service users had their own belongings displayed. Service users said they were comfortable in their rooms. The majority of radiators were low surface temperature ensuring vulnerable service users were kept safe. However, two rooms had freestanding radiators. As discussed, these need to be risked assessed and removed if necessary. Heating in bedrooms must work effectively without the need for supplementary heaters. Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 30 Staffing levels are too low for the residential unit. Staff training is ongoing but an audit of mandatory training needs to be carried out. EVIDENCE: It was evident from observations during the visit and from the rota that staffing levels on the residential unit were low. Staff training has improved with induction and NVQ. Person Centred Care training is to be introduced. Staff confirmed training of Fire Safety, Health and Safety, Moving and Handling. The training manager was advised to check that staff had attended all mandatory training courses such as Food Hygiene, First Aid and Infection Control. Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 36, 37, 38. The interests of the service users take high priority but the home will benefit from having an established registered manager who will be able to move forward with changes. Staff and service users would benefit from staff having regular supervision and staff meetings. The health and safety of service users and staff was being met but some areas could be improved. EVIDENCE: The operations director and the training and development manager have managed this home since Autumn 2004. There has been no registered manager for a long period. This is soon to be rectified, as an acting manager was due to start the week after this inspection. Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 20 Well-attended service user and representative meetings are held regularly, the next one due in a week’s time. Records are kept and show these are positive and helpful events. The majority of the carers said they found the management team approachable and supportive. Recently, staff meetings have not been regularly held. Although staff can raise views and ideas they felt these were not always taken on board. The managers said that the majority of the staff are very loyal and have worked extremely hard. One senior care is to attend a mentoring course. Formal supervision of care staff is not in place although this is to be implemented soon. An accident policy is in place but needs to include a procedure to follow in the event of a head injury. New accident forms are in use. It was suggested that the record includes the time the service user was last seen and by whom. A new fire safety logbook has been introduced. This showed that fire safety tests and drills were up to date. Other health and safety checks were in place relating to Portable Appliances. Health and safety issues were not a major concern apart from the following: • • • • • The swing doors to the residential dining room closed ineffectively. Therefore in case of fire would not prevent the spread of smoke. Remove combustible furniture from the area near the passenger lift, as this is an evacuation route in case of fire. Check the positioning of the alarm call in one bedroom. The bed head was away from the call. Review the use of free standing radiators in two bedrooms. These present a tripping and burning hazard to service users. Introduce a kitchen cleaning schedule. This is required under food hygiene recommendations. Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 2 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 2 3 3 2 2 2 3 STAFFING Standard No Score 27 2 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 1 x 3 x x 1 1 2 Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 22 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. 2. Standard 3 7, 8 Regulation 14 13, Timescale for action Ensure that pre admission 15 June assessment documents meet this 2005 standard and are always dated. 15 Ensure that care plans are kept 15 June up to date and address all needs. 2005 Provide evidence of service user/representative involvement. review monthly.Where a risk is identified format a care plan. 13, 17 Improve the storage of 15 June medication; transferring drug 2005 records; clearly record changes in dosage and timing of medication; provide drug updates; stock records; clearly record the reasons for covert administration of medication. Ensure that all staff are 15 June instructed about the need to 2005 respect service users privacy. Ensure that nursing service users 15 June are provided with appropriate 2005 social interests. Continue to improve the 1 June environment (ongoing) including 2005 bedrooms and make safe the garden (1June 2005). Make safe or replace uneven corridor carpets (1 June 2005 ). 23 Review the use of free standing With radiators. Ensure that the immediate J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 23 Requirement 3. 9 12, 4. 5. 6. 10 12 19, 20, 23, 24 12 16 13 7. 25 13, Allerton Park 8. 9. 10. 11. 27 30 31 36 18 18 8 18 12. 13. 37 38 17 12, 13 heating in bedrooms works effectively. Increase the staffing levels on the residential unit. Review mandatory training undertaken to ensure all staff have attended. Ensure that an individual is appointed to manage the home. Ensure that regular staff meetings are held and introduce staff supervision six times a year. Ensure that records are kept up to date. Amend the accident policy to include procedure in event of head injury. Ensure the dining room doors close effectively. Remove combustible furniture from fire escape routes. Check the positioning of one alarm call. Introduce a kitchen cleaning schedule. effect as discussed 15 June 2005 15 June 2005 15 August 2005 15 June 2005 15 June 2005 15 June 2005 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. Refer to Standard 2 38 Good Practice Recommendations Clarify responsibilities and obligations in the long term respite contract. Amend accident reports to include the time the service user was last seen and by whom. Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley LS13 1HP National Enquiry Line: 0845 015 0120 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 Allerton Park J52 S29131 Allerton Pk V224800 040505 Stage 4.doc Version 1.30 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. 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. 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