Inspection on 18/10/06 for Allington House

This inspection was carried out on 18th October 2006.

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

Allington House 18/10/07

Allington House 17/10/05

Allington House 10/05/05

Allington House 12/10/04

Allington House 05/05/04

Similar services:

Clouds House

Closereach

Westcliffe House

Hilldales

Longreach

Chandos House

Cherry Orchards Camphill Community Ltd

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

CARE HOME ADULTS 18-65 Allington House 46 Dean Park Road Bournemouth Dorset BH1 1QA Lead Inspector Martin Bayne Key Unannounced Inspection 18th October 2006 09:00 Allington House DS0000003910.V316889.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 Allington House DS0000003910.V316889.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. Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Allington House Address 46 Dean Park Road Bournemouth Dorset BH1 1QA 01202 551254 01202 293660 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) Streetscene Mrs Karen Mary Mills Care Home 16 Category(ies) of Past or present alcohol dependence (16), Past or registration, with number present drug dependence (16) of places Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th October 2005 Brief Description of the Service: Allington House is a residential unit run by streetscene, a registered charity that operates a total of three residential units, two of which are situated in Dorset the other Hampshire. Allington House provides primary care and support for people recovering from dependence on drugs or alcohol. The home is registered to accommodate up to 16 residents. There are 10 single bedrooms and 3 shared bedrooms, none are en-suite. The duration of stay at the home is 12 weeks, the service users can then move to the secondary care house a short distance away (Anderson House) where the stay would be a further 12 weeks. If accepted on to the treatment programme, service users must agree to abide by the treatment philosophy of the house and the necessary restrictions that are imposed. Allington House is situated within easy walk of Bournemouth town centre. There is also good access to local and national bus, coach and train routes. The property was originally built as a family house, it is detached and in a residential area of the town. The home has a lovely large garden, which this year won 2nd place in the Bournemouth in Bloom competition. There is garden furniture and a wooden framed shelter where service users are able to smoke. Volunteers assist in maintaining the pretty grounds and considerable effort is made by staff and the registered manager to create a positive, welcoming environment. The fees for the home are £530 per week. Addition charges are detailed within the Service User Guide for the home. The Service User Guide also informs that service users can obtain a copy of CSCI reports through the Registered Manager. Further useful information about the fair terms in contracts can be obtained through the following web link. www.oft.gov.uk Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to a key inspection that was carried out on 18th October 2006, between 9:00am and 4:15pm. The aim of the inspection was to evaluate the home against the key standards and to follow up on the three requirements and two recommendations made at the last inspection. Mrs Karen Mills, the Registered Manager of the home assisted throughout the inspection. A group of staff were met during the lunchtime period and four service users were spoken with about their experience of living at the home. A tour of the premises was made and also of the well maintained gardens. A sample of services users files was used to track the records and paperwork that the home is required to maintain concerning the care of the people who come to stay at the home. Ten comment cards were returned from service users, two from placing authorities and one from visiting health and social care professionals. These were also used to help form the judgements made about the home. What the service does well: What has improved since the last inspection? What they could do better: In circumstances where residents bring medication into the home when they are admitted, one member of staff should enter and record on the MAR (medication administration record) and another member of staff should sign that the information has been completed correctly. Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 6 Advice was given on where to obtain the latest guidance provided by the DOH, (Department of Health) on infection control and it was agreed that the home would obtain an updated copy of the Care Homes Regulations 2001. It is recommended as part of the quality assurance that service users views on the information they would find helpful when choosing a home is investigated further. 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. Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are fully assessed before admission to ensure that the home can meet these. EVIDENCE: Four of the returned comment cards from service users said that they had not received enough information about the service for them to make a decision about whether the service was the right place for them. This was discussed with Mrs Mills. She informed that the Service User Guide is sent to placing authorities for them to give to prospective service users at the time when they are considering placement options that are available. Should a referral be made to the home, a visit is offered to the prospective resident as part of the assessment process. At this point the person is given a copy of the Service User Guide for them to take away. The Service User Guide provides full details of the home, written in plain English, providing information of the rules of the home and how the treatment programme is carried through. The Guide also includes information on all of the topics set out in the Standards for Younger Adults. It is recommended that as part of the Quality Assurance evaluation that the home monitor with service users the information they would wish to be informed of when making the decision to move to the home. Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 9 The personal files for two service users were used to track through the inspection the required paperwork that the home must record. It was found that a full assessment of the person’s needs had been carried out and a record of this was detailed on the home’s assessment form. It is also usual practice for the home to obtain a copy of the care management assessment for people who are being referred through a Local Authority to assist in the pre-admission assessment process. Through these means, the home ensures that it can meet the needs of people who are admitted to the home. Allington House DS0000003910.V316889.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. Service users benefit from a care plan being developed through the assessment process. Service users can make decisions about their lives within the confines of the house and treatment rules agreed with them before they were admitted to the home. Service users are encouraged through a structured programme to develop routines and take control over their lives independent of drugs and alcohol. EVIDENCE: Individual care plans had been developed and were held on the files for the two residents tracked through the inspection. These had been developed from the assessment forms mentioned above and through on-going assessment once a person had been admitted to the home, which is part of the treatment process. The service users had signed the care plans and there was evidence that they were being updated and reviewed regularly. At the last inspection a requirement had been made that more information be recorded with reference to family and friends. It was found that this had been complied with. The care plans also linked into risk assessments that had been carried out on how best Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 11 to reduce risks identified through the assessment. Being the first stage in the treatment programme offered by Streetscene, there is a very structured programme for service users of the home as for most service users their lives have been unstructured and chaotic. Groups are held daily and service users set goals within groups that link to their care plans. Records are maintained of the goals and tasks that service users set. Where service users are subject to court orders, these are clearly detailed within care plans together with any restrictions that the orders set out. Service users are asked to prepare a life history to share within groups as part of the treatment programme. These are handled sensitively and service users are supported to work at a pace with which they can cope. With regards to service users being able to make decisions about their lives, being a first stage treatment programme there are rules and codes of conduct that residents are made aware of before entering the home and reminded of during the assessment process. These form part of the terms and conditions that service users sign up to as part of their treatment. The programme is designed to be very structured to establish routines of self-care, concern and care for others as well as their environment. Weekly service user meeting are held where they can voice issues on the running of the home. Allington House DS0000003910.V316889.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. Activities in the home are centred around treatment and change and access to the community is under supervision of peers. Service users after a settling in period can have contact with family and friends, however there are house rules about developing close relationships with other service users that they sign up to on admission. Service users are encouraged to eat healthily and develop domestic skills and routines. EVIDENCE: As detailed in the last section of the report the majority of the activities of the day are structured. Residents are expected to get up at 7.30am have breakfast together at 8am followed by a short morning meditation with readings to enhance a positive reflection for the day ahead. Residents are then expected to collectively carry out cleaning of the home and other domestic duties before groups are held until lunchtime. Further groups are held in the afternoon until 3pm, when a group of service user go out to do the shopping. There are small groups held again before the evening meal at 6pm. Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 13 In the evenings some residents go to meetings in the community. At 10pm service users are asked to write up a daily diary before going to bed at 11pm. On Friday nights service users can watch a DVD that they choose and are allowed to watch some television over the weekends when there are not so many groups held. Once a month there is an outing arranged with service users being involved in where to go. On completion of the 12-week programme, service users move on to another home run by Streetscene for second stage treatment where more emphasis is placed on allowing service users to take responsibility for their lives and develop interests in hobbies and learning. All of the service users at the time of the inspection had lived outside of the area prior to moving into the home as it is established that this provides a greater chance of people completing treatment. This first stage part of the treatment does not place emphasis on community involvement with this again being more of a focus in second stage treatment. Should service users have religious needs these are identified as part of the assessment and service users would be supported to attend their place of worship or to have visits from leaders of their faith. Service users are allowed to have visitors after an initial four-week period of settling into the routine and structure of the home. One service user discussed how they were supported to see their children, whilst some others had objectives within their care plans for maintaining or re-building relationships with families and friends. The home has a policy on handling mail that residents sign up to in that service users must open their mail in the presence of staff. The service users spoken with and comments returned through the comment cards informed that the staff were very helpful and treated service users with respect. Copies of menus were seen that reflected a varied and balanced diet. Nutrition is given high priority as many service users may have neglected their diet on account of their lifestyles prior to moving into treatment. Residents have some input into the menu planning and food is discussed at service users’ meetings. The service users spoken with said that they were happy with the food provided in the home. At the last inspection a recommendation was made that fresh vegetables are provided. Mrs Mills informed that the home now provided fresh vegetables. Fresh fruit is also available to service users. Service users take responsibility for preparing the meals with support from the staff. Allington House DS0000003910.V316889.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. Service users are supported through group work and individual counselling with their health needs attended to. Service users are assessed for taking control of some medicines, however by agreement most medication is administered through the staff. EVIDENCE: Service users spoken with and returned comment cards informed that the staff were very supportive and treated people as individuals with respect. Each service users has an allocated keyworker. Treatment is centred on both group work and individual counselling. A proportion of people referred to the home have mental health issues associated with their addiction. In these circumstances and where the person is referred from out of the area arrangements are made at the time of admission to ensure that there is psychiatric support from the placing authority set up before the person moves into the home. Mrs Mills gave examples of where CPNs (community psychiatric nurses) have visited the home to support service users. If residents are admitted in the final phases of a reduction programme this is managed through the placing authority. Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 15 All of the service users are registered with the GP surgery that supports the home. Service users are given a health assessment at the surgery when they are admitted to the home. Attention is also paid to dental needs as many people who use the service have neglected care of their teeth. An optician visits the home should anyone have a need for eye care. With regards to medication, service users are assessed with regards to their ability to manage some medications such as inhalers or creams. However, it is policy of the home that the staff administer all other medication. All of the staff who administer medication have been trained through the pharmacy that supplies the home. A unit dosage system is supplied to the home and all medications entering the home are recorded. Medications are administered at set times and recorded on the medication administration records. These were inspected and completed with no gaps in the record. When people are newly admitted they may bring a supply of medication to last until such time as they are registered with the local GP. The staff in these circumstances then have to enter these medications by hand onto the recording system. It was agreed that staff member should enter the medications onto the recording sheet, but another member of staff should then check and sign that the entries are correct. This is to ensure that possible mistakes are eliminated. The medication cabinet is kept locked with one member of staff per shift having responsibility for the key. The system in the home allows for a complete audit trail of medication entering or leaving the home. It was found that medications were being stored correctly. Allington House DS0000003910.V316889.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. Service users are listened to and there is a full complaints procedure made available to them. Service users are protected from harm through the training of the staff and policies and procedures for the organisation. EVIDENCE: Since the time of the last inspection there have been no complaints referred to the manager of the home and none have been brought to the attention of CSCI. Three of the returned comment cards from service users informed that they were not aware of how to complain. This was discussed with Mrs Mills. She informed that each service user is given a copy of the procedure that they sign as having received. The complaints procedure is also documented in the Service User Guide, a copy of which is kept in the day room. Information is clearly therefore given to service users on how to complain. It was agreed that once people have settled they would be reminded within one of the groups on the procedure for how to make a complaint. Returned comment cards and discussions with service users informed that they are listened to. The home has full policies and procedures concerning adult protection that link into the local ‘No Secrets’ documents. All of the staff receive training in adult protection. Allington House DS0000003910.V316889.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. Allington House provides a safe, clean and homely environment to undertake treatment. EVIDENCE: The home is set in a quiet residential area and is well suited to meet its aims and objectives providing a positive and safe environment. The home has well maintained gardens and received an award of second place for ‘Bournemouth in Bloom’. The home was found to be clean and in good decorative order. The home was visited by the Fire Officer and Environmental Health Officer in March 2006 and found to comply with safety standards. Since the last inspection the dining room, two bedrooms and laundry room have been redecorated. During the inspection the inspector viewed one bedroom, which was adequately furnished and there was evidence that service users could personalise their rooms. Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 18 The home has a dedicated laundry area that meets the needs of the home. All of the staff have been trained in infection control and protective clothing and equipment are provided should these be necessary. Soap dispensers and paper towels are provided in bathrooms and WCs. Allington House DS0000003910.V316889.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. Staff at the home are well qualified and are appointed through robust recruitment procedures. EVIDENCE: The home is staffed each weekday by three counsellors, a support worker and the Registered Manager. During the night time period there is one member of staff who carries out a sleep-in duty with back-up of an on call duty manager. Comment cards returned by three service users stated that in their opinion the home would benefit from more counsellors. This was discussed with Mrs Mills who felt that there were adequate numbers of staff to run the treatment programme. The home also uses volunteers and befrienders, the majority of whom have been through treatment at Streetscene and help support the service. A sample of two staff files were inspected to ensure that appropriate recruitment practices and checks take place for staff who work at the home. It was found that all the recruitment checks and procedures complied with the legal requirements. Mrs Mills informed that volunteers are also subject to a Criminal Record Bureau check. Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 20 It was found that the staff are well trained and provide expertise in treatment for addiction. All of the counsellors are trained in addiction counselling and many have diplomas and degrees in the field. All the staff receive core training in First Aid, basic Food Hygiene, moving and handling, fire safety and infection control. Mrs Mills informed that the NVQ level 2 qualification did not meet the needs of care workers in drug and alcohol treatment units and therefore staff had been trained in NVQ level 3. A recommendation was made at the last inspection that the home achieve a level of 50 of the staff trained to level 2. It was found at this inspection that by November the home would have 50 trained to level 3. Allington House DS0000003910.V316889.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 home is well managed through a competent manager and supporting organisational structure. The service is regularly reviewed with the aim of providing best treatment outcomes. Health and safety is promoted in the home. EVIDENCE: Mrs Mills has achieved the Registered Manager’s award and NVQ level 4. The home was well-managed through her leadership and through the supporting structure of the organisation. The home regularly reviews the treatment programme through quality assurance surveys and best practice guidance. There were no hazard identified during the inspection. The pre-inspection survey informed that all tests of fire safety system and other equipment in the home is serviced and tested within recognised timescales. Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 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 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 23 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 YA1 Good Practice Recommendations It is recommended that views on the information that service users would find helpful in choosing a home be investigated further through the quality assurance surveys. Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 24 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 Allington House DS0000003910.V316889.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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