Inspection on 18/09/07 for Anbridge Care Home

This inspection was carried out on 18th September 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

Anbridge Care Home 24/05/06

Anbridge Care Home 20/09/05

Anbridge Care Home 31/05/05

Anbridge Care Home 22/02/05

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

SignHealth

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

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

CARE HOMES FOR OLDER PEOPLE Anbridge Care Home 1 Herbert St Watersheddings Oldham Lancashire OL4 2QU Lead Inspector Sandra Buckley Unannounced Inspection 18th September 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Anbridge Care Home Address 1 Herbert St Watersheddings Oldham Lancashire OL4 2QU 0161 665 2232 F/P 0161 665 2232 anbridgecarehome@tiscali.co.uk 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) Mrs Sally Anne Jones Mr Charles Paul Jones Mr Charles Paul Jones Care Home 20 Category(ies) of Dementia - over 65 years of age (5), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (14), Physical disability over 65 years of age (1), Sensory Impairment over 65 years of age (1) Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 20 service users to include: *up to 5 service users in the category of DE(E) (Dementia over 65 years of age); *up to 1 service user in the category of PD(E) (Physical disability over 65 years of age); *up to 14 service users in the category of OP (old age not falling within any other category); *up to 1 named service user in the category of SI(E) (Sensory impairment over 65 years of age); *up to 1 named service user in the category of MD(E) (Mental disorder, excluding learning disabilities over 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 24th May 2006 2. Date of last inspection Brief Description of the Service: Anbridge is a privately owned care home registered to accommodate 20 people. The home is situated in the Watersheddings area of Oldham and is within easy reach of shops, a park and other community facilities. The building is a detached property with pleasant gardens to the front and rear, and car parking space to the side. Accommodation for service users is provided on the ground, first and second floors of the building. A passenger lift has been installed between these floors and ramped access has been provided externally. There are 16 single bedrooms, 11 of which have en-suite toilet facilities (four rooms also have an en-suite shower), and two double bedrooms, one of which has en-suite toilet facilities. Fees charged by the home are £338 to £343. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection, which included an unannounced visit to the service, looked at all the key standards and included a review of all available information received by the Commission for Social Care (CSCI) about the service provided at the home since the last inspection. During the site visit information was taken from various sources, which including observing care practices and talking to people in the home. The manager and some members of the staff team were also interviewed. A tour of the home was undertaken and a sample of care, employment and health and safety records were seen. Comments from questionnaires returned from residents and their relatives are also included in this report. The CSCI requires the home to complete an annual quality assurance assessment (AQAA) in order to demonstrate the level of care provided. Comparisons are made with this document at the time of inspection, which, in this instance, found that what the manager thought they did well and what they need to improve on were consistent with the views of the inspector. This shows the manager has good insight into the service they provide. What the service does well: The owner and manager provide an open and inclusive atmosphere that is welcoming and relaxed. People in the home, their relatives and staff are provided with regular opportunities in which to express their views or concerns. There was evidence that the manager takes issues raised seriously and acts upon them. A professional assessment is obtained prior to people’s admission, from which a person centred approach to care planning, delivery and social stimulation is developed. This is put into practice, resulting in an interactive atmosphere. People were happy with the good home cooked food. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 6 One relative questionnaire said, “I feel they try hard to entertain and keep a happy atmosphere. They also to take my mother out to the shops which I feel is important”. Another said, “everyone is always very caring and offers me a drink.” Further comments included “they are very caring and they do have a lot of patience. I see this not only with my mother but other people as well.” People in the home said, “the home is always fresh and clean and I know who to speak to if I am not happy” and “the carers always listen to my concerns”. Also “when I cannot sleep staff offer me a cup of tea.” All the people in the home were complimentary about the care they received and standards that were maintained. What has improved since the last inspection? What they could do better: Although outcomes for people were very positive, the lack of ancillary staff over a weekend period may impact on this and must be kept under review. Staffing routines over the lunchtime period and the time lapse between supper and breakfast needs to be addressed to ensure people receive adequate fluids and refreshments at sufficient intervals. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 7 Whilst we felt sufficient care staff were on duty, one questionnaire returned said, “sometimes of an evening I feel they could do with more staff, I sometimes see only two staff of an evening.” One person in the home said, “I feel they need more staff.” The manager may wish to discuss the staffing levels provided with residents and relatives to offer reassurance that sufficient are provided, and that he does keep such levels under review. Policies and procedures in relation to emergencies, unplanned discharges and managing challenging behaviour should be developed to ensure sufficient guidance for staff action should these situations arise. 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. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 Quality in this outcome area is good. An assessment of people’s needs is obtained from professionals prior to their admission, ensuring their needs can be met. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Three case files were examined in depth and were found to have a professional assessment of need. There was evidence that for those people who were self funding, the manager undertakes an in-depth assessment of their needs prior to offering them a place at the home. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 10 One person said, “I visited the home myself before I came in and spoke to the manager who was very nice and I liked the look of the home.” Intermediate care is not provided at Anbridge. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 Quality in this outcome area is good. The arrangements in place ensure that residents’ needs are met. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Three care plans were examined in depth and were found to detail care according to people’s assessed needs. Each care plan had a section on risk, reviews and behavioural assessments. People’s social and medical histories were also recorded. Professional visits, weights and personal care instructions were easy to understand. Likes and dislikes and people’s sleeping patterns were noted. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 12 There was evidence that specialist care had been obtained, for example, for speech therapy and cognitive function testing. In addition to this, a person centred care plan is completed. For example, clothing preferences, how does the person react in group situations, what situations disturb them and what makes them feel embarrassed or frustrated. All the people in the home look well cared for. People said, “we are looked after well and staff are very nice.” Comments taken from questionnaires included “the care is very good here” and “staff provide good care for my grandmother and are very friendly and attentive.” Other comments included “they are very caring and they do have a lot of patience. I see this not only with my mother but with other people as well.” One person in the home said “I always get medical support when I need it.” Appropriate aids and equipment are provided to promote people’s independence. These include: hoist, turntables, grab rails and bath chairs. Staff were observed to use safe working practices throughout the day and had received training in moving and handling. At interview, staff demonstrated knowledge of how privacy and dignity are promoted in the home whilst attending to personal care. Outcomes for people were positive. However, accident recording would benefit from additional detail of the incident, outcome and follow up. The development of an emergency and crisis policy would give staff direction on when to seek medical advice and would ensure safe practices are maintained. The annual quality assurance assessment required by the CSCI asks providers to list their policies and procedures. From this, the manager had recognised that an emergency procedure would enhance safety in the home. Medication policies, procedures and administration were examined and found to be well maintained, stored and administered safely. Staff have received training in medication procedures. The PCT team had recently undertaken an independent review in the way medication is dealt with and were satisfied that procedures were safe. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. Quality in this outcome area is good. An holistic approach to people’s needs leaves them with a sense of fulfilment in their daily lives. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The atmosphere in the home was stimulating and interactive. Full-time hours are allocated to activity co-ordinators, allowing for a more individual approach to activities and recreation. A mobility car had been purchased in order to take people out more. One person said, “I went out to the garden centre” and “staff take me shopping.” An entertainer comes in once a month and on special occasions. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 14 One person said “we do movement and exercise.” Another said “the hairdresser comes in once a week but she is on holiday for two weeks, so staff will do my hair.” Another said “someone comes from church every Sunday.” Sweets and chocolates are on sale at a counter situated in the entrance of the home. People discussed the flexibility of routines saying “when I cannot sleep staff bring me a cup of tea” and “staff pop in the morning to see if I want to get up, I stayed in bed for an extra half hour this morning.” Questionnaires returned from relatives stated, “we visit regular and are always made welcome” and “everyone is always very kind and offers us a drink.” Another said, “I feel they try hard to entertain and keep a happy atmosphere. Also, they take my mother out to the shops which I feel is important.” A newsletter is produced to inform people of activities and forthcoming events. Special dates and birthdays are also recorded. Home cooked food is provided. The inspector dined with people and found the food to be well presented, tasty and nutritious. One person said “the cook comes round to see us every day and asks what we want, we can always have something different, there is always a choice.” Another person said “we always have juice with dinner and I would like tea but we don’t get tea till much later.” Lunch was served at 12.30, tea at 4.30 and supper 6.30. The gap between supper and breakfast was too long. Although night staff will offer drinks to people for those who retire to bed early, the time lapse may be too long. The inspector discussed this with the manager who said this would be kept under review and brought up at the next community meeting. There was evidence in the minutes of meetings that the manager had acted upon people’s wishes regarding changes in menus. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is good. People felt safe in raising any concerns they may have and assured their concerns would be listened to. Staff training in the protection of vulnerable adults ensures people are not placed at risk. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The manager maintains a record of complaints and what action is taken to address issues. The CSCI had received one complaint regarding care issues. This was passed to the manager to investigate and was completed to the satisfaction of the complainant. The home had received three complaints, one regarding a member of a staff’s attitude, which resulted in the home implementing disciplinary procedures. The inspector was satisfied that the complaint had been dealt with satisfactorily. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 16 People in the home said “I would complain to the manager if I were not happy but I think we are looked after very well” and “ the carers always listen to my concerns.” An internal suggestion box is situated in the entrance of the home to enable people and their relatives to express any points they wish to make confidentially. Staff training is provided in the protection of vulnerable adults. At interview, staff discussed how abuse may present and what their responsibilities would be in such an event. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 Quality in this outcome area is good. Anbridge provides a safe, well-maintained, clean and homely environment, which promotes comfort for people in the home. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Anbridge has a friendly atmosphere and homely environment. People have the opportunity to choose from various small private quiet areas or join in the large lounge where activities take place. The theme of small group living follows through to the dining experience with three small areas to choose to dine in. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 18 Since the last inspection new dining room furniture with easy glide chairs has been purchased. At the time of the inspection decoration was taking place in one of the bedrooms. Considerable refurbishment has taken place and is ongoing. The manager had completed the AQAA for the CSCI in which they recognised that improvements were needed. Planning permission has now been given to make improvements and address the issue of some undersized rooms. The manager said the work was due to start in the near future. Other purchases included a new manual hoist and carpet cleaner. Many of the bedrooms have been personalised and were homely. The premises were clean, tidy and free from odour. One relative said, “The home is always fresh and clean.” One person in the home said, “the home is always very clean.” Outside provides a safe, pleasant garden patio area for people to enjoy. Cordless phones have been purchased and placed about the reception area and corridors in order for people to have access to a telephone to use in privacy. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30. Quality in this outcome area is good. Recruitment procedures were robust and ensured protection for people in the home. Staffing levels maintained positive outcomes for people. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Monday to Friday, the owner and manager are present in the home. Their hours are reflected on the duty rota. There are also two carers, cook and domestic staff. The lap-over time between night staff and day staff was an hour, in order to maintain additional staff at peak periods. These levels drop over the weekend period where only two staff and a cook are on duty for 18 people. At the time of this inspection outcomes for people were positive. However, the lack of domestic staff at weekends may impact on care practices and must be kept under review in line with people’s dependency levels. One questionnaire returned said, “sometimes of an evening I feel they could do with more staff. I sometimes see only two staff. If it takes two to bathe or help someone to bed other people are left alone”. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 20 One person said, “I feel they need more staff” and “staff are usually available when needed.” Other comments included “mum is cared for very well” and “the care is very good.” All staff commented that they felt supported by the owner and manager and found them to be approachable. A good standard of staff training is provided, with the manager working in partnership with Oldham Social Services’ training department. Staff have undertaken training in protection of vulnerable adults and diseases associated with old age. NVQ training is also promoted. Staff induction is undertaken in line with skills for care. Staff were observed using safe working practices throughout the day. Examination of staff files and recruitment procedures found them to be well maintained with appropriate checks being carried out to ensure the safety of people in the home. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, 37 and 38. Quality in this outcome area is good. Management and administration systems are in place, resulting in the home being run in an open and inclusive manner in the best interests of people. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The manager/owner is a qualified nurse and has had previous managing experience in residential care. He has successfully completed the registered manager’s award. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 22 The views of people in the home and their relatives are sought. The last community meeting was on 20th July 2007, at which time people discussed laundry issues and that they would like toast from when they get up until breakfast is ready. Questionnaires returned to the home had been analysed. Results from relatives’ questionnaires were (a) environment – seven were happy, four felt it needed modernising; (b) seven were happy with staffing levels, five said good but insufficient staff sometimes. All said they felt they had the opportunity to discuss any issues. Questionnaires from people living there showed that 14 were happy with the environment, two would like their rooms decorated. Also, 14 were happy with the care they received and two would like more staff. In relation to their daily lives, 13 were happy, three felt choices and portions of food could be bigger. All were happy about general routines and activities. There was evidence that the manager was addressing the above issues, with decoration taking place at the time of inspection and staffing levels and menus being reviewed. Building plans had been passed for improvements in the environment. In the CSCI questionnaires returned, all said they were satisfied with the management of the home. Staff supervision and staff meetings take place on a regular basis, giving staff a voice in the home and the opportunity to identify training needs. Financial records were maintained to a good standard. There was evidence that regular safety checks take place on equipment and staff received training on health and safety. Accident recording needed more information on cause and outcome. The development of an emergency policy would provide staff with information when medical help should be sought, i.e., head injuries. Policies and procedures are reviewed regularly. The development of an unplanned discharge policy and managing challenging behaviour would ensure staff had information to hand when needed. Anbridge Care Home DS0000062410.V347989.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X 2 3 Anbridge Care Home DS0000062410.V347989.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 2 3 Refer to Standard OP15 OP27 OP37 Good Practice Recommendations Review mealtime routines and the length of time between supper and breakfast. Keep staffing levels over a weekend period under review, in line with people’s dependency levels. This is especially in relation to ancillary staff. Develop policies on unplanned discharge and managing challenging behaviour. An emergency procedures policy needs to be developed in relation to accidents, as to when medical attention should be sought. Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local Office 11th Floor, West Point 501 Chester Road Old Trafford Manchester M16 9HU 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 Anbridge Care Home DS0000062410.V347989.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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