Inspection on 24/05/06 for Anbridge Care Home

This inspection was carried out on 24th May 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Anbridge Care Home 18/09/07

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 Unannounced Inspection 24th May 2006 09:20 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.V291070.R01.S.doc Version 5.1 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.V291070.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Anbridge Care Home Address 1 Herbert St Watersheddings Oldham Lancashire OL4 2QU 0161 665 2232 0161 665 2232 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 West Mr Charles Paul Jones Mr Charles Paul Jones Care Home 20 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (14), of places Physical disability over 65 years of age (1), Sensory Impairment over 65 years of age (1) Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 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 service user in the category of SI(E) (Sensory impairment 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. 20th September 2005 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. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key inspection of Anbridge has been carried out which included an unannounced site visit to the home by 2 inspectors on 24th May 2006. During the visit, the inspectors spoke with some of the residents, a relative, a social worker from the community, the owners, and 2 members of staff. Time was also spent having a look round the home, observing staff with service users and looking at some records. What the service does well: What has improved since the last inspection? There had been a significant improvement in many areas since the last inspection. The statement of purpose, service user guide, statement of terms and conditions of residency had been amended to provide prospective residents with the information they need to make an informed choice about where to live, and give a legal basis to residents’ conditions of residency. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 6 Assessments of prospective residents’ needs had been completed prior to admission to the home, to enable the management of the home to form a judgement about whether the needs could be met at the home. Care plans and administration of medication had improved, and residents’ weight was being recorded regularly. There had been many improvements to the accommodation. In one section of the home a new stair carpet had been fitted, and the window on the staircase had been replaced with a very attractive stained glass window. The bedrooms in that section had been refurbished and rewired, and telephones had been installed. Other improvements in the home included: redecoration of corridors; installation of radiator safety guards; some new lounge furniture; installation of door and direction signs which were also printed in Braille, residents’ name plates on their bedroom doors, and new ‘sit on’ scales in the ground floor bathroom. An internal telephone system had been installed on each floor including the cellar, for ease of contact with staff. There had been a significant improvement in the procedures used for recruiting new staff, making the process safer, and providing some protection for residents. An increase was noted in the provision of training for staff, which covered a range of topics. A survey was done earlier in 2006, which enabled residents, visitors, and members of staff to give their views on the service provided at Anbridge, therefore improving the quality monitoring system used in the home. 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. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 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 the following standard(s): 1,2,3. Quality in this outcome area is good. Information is available to prospective residents to enable them to make an informed choice about where to live. Assessments of prospective residents care needs are completed before they move into the home, to enable the management of the home to ensure that the home is able to meet the assessed needs. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The statement of purpose, service user guide, and statement of terms and conditions of residency, had been amended since the last inspection as required, to provide prospective residents with the information they need to make an informed choice about where to live, and give a legal basis to the conditions of residency. The statement of purpose and service user guide, were displayed at the reception area in the home. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 9 Pre-admission assessments of needs were in place on the files that were case tracked, which enabled the management of the home to form a judgement about whether the needs could be met at the home. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 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 the following standard(s): 7,8,9 & 10 Quality in this outcome area is good. Care plans provided for meeting individual needs, and residents were involved in the process of developing and reviewing them. Good access to services ensured that residents’ health care needs were met. Some further improvement was needed in relation to procedures for dealing with medication to ensure safety for the residents. Residents were treated with respect and their rights to privacy were upheld. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Care plans related to the residents’ identified needs and they had been reviewed monthly. A formal review of all care needs and preferences had also taken place at 6 monthly intervals. Residents were present at the reviews, and the care plans were re written. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 11 The members of staff who were interviewed were very knowledgeable about residents’ care needs, but the information about the way in which the needs should be met needed to be more detailed in some care plans, to provide greater guidance for staff. Resident’s or their representative had signed the care plans to confirm their involvement in, and agreement with, the care plans. Risk assessments were in place, but they were not updated following incidents/accidents. There was, however evidence that in practice action had been taken by the home to prevent further incidents such as falls. Access to health care services was good, and the recording of residents’ weight had improved since the last inspection. A social worker who was visiting the home for a resident’s review, said that she was very impressed with the service, and the resident had improved a lot since admission. She felt that the review was well organised, and that the deputy manager who was involved in the review was well informed about the resident’s care needs and progress. A relative said, “Staff are very good, they always keep us updated when anything happens – they get straight on the phone”. Medication procedures had improved since the last inspection, but further improvement was needed in some areas, specifically: recording of variable doses; storage of eye drops and recording the date of opening; countersigning handwritten instructions, and a photograph of the resident is needed in their medication records. Records showed that 8 members of staff had received training regarding medication during the period September 2005 to May 2006. Residents continued to feel that the staff in the home respected their rights to privacy and dignity. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. Activities were sufficient to meet resident’s individual needs, and provide them with enough stimulation. Residents were able to maintain contact with relatives and friends, providing them with links with the wider community. There was evidence that residents were offered a wholesome and varied diet, and that they were able to exercise control over their diet. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The atmosphere in the home was relaxed and friendly, and interaction between the residents and members of staff was good. Staff were seen chatting to residents, some residents were spending time in their rooms, 2 ladies were knitting in one of the lounges, 1 resident was collecting empty cups and taking them back to the kitchen, and music ranging from artists such as Cliff Richard to those popular during the 1940’s, was being played in different lounges at various times throughout day. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 13 A notice was displayed in the reception area advertising a ‘Whitsuntide Special’ on 29/5/06, when there would be a party and an entertainer. A programme of activities/entertainment was in place which included: exercises and ball games, entertainers every month, and beauty therapy/massage 2 days a week. It was noted that there was a box of equipment for activities, and arts and crafts. The manager said that 1 resident enjoyed gardening, a darts board had been purchased for another resident, and staff encouraged residents to join in with daily tasks such as laying the table. He said that the activities organiser had left, but a replacement had been appointed, and was starting work the week after the inspection, working 5 days a week. She is a senior carer, and has had training regarding ‘activities’. An enclosed garden with seating is provided at the back of the home. It is very popular with residents and visitors, and residents said they were looking forward to sitting out in the garden in the better weather. Residents made comments such as “there’s always something going on here”, and gave examples of how the daily routine within the home was flexible, and enabled them to make choices, e.g. they were able to choose what they ate, get up and go to bed when they pleased, spend time in their rooms, and bring in furniture and other personal possessions of their choice to meet their needs and make their rooms homely. Visitors were noted to be calling at the home throughout the day. A resident’s relative, and a social worker spoke with one of the inspectors. The relative confirmed that visiting times were flexible and that staff made her welcome, and the social worker, who was there for a resident’s review, was also positive in her comments about the home. There was general satisfaction with the food at the home. On the day of the inspection the lunch was cod and parsley sauce, cabbage, broccoli, and mashed potato, followed by pear and custard flan with cream. It was noted that individual requests made by 2 residents for meals which was not on the menu, were provided. The food was well presented, and there were cloths on the tables, which were nicely set with condiments and jugs of juice. There was also a pleasant atmosphere with music playing. Residents were heard to make comments such as, “This is lovely – nice and hot”, “This is beautiful”, “Nice isn’t it? ”. There was also evidence that special dietary needs were met, e.g. 1 resident had a soft diet, and was using a plate-guard to aid independence. Tea was spring vegetable soup, sandwiches, and cheese and crackers. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. Information was provided about the procedure for making complaints to ensure that all interested parties know how to make a complaint. Training for staff in relation to the protection of vulnerable adults from abuse, improved measures within the home, for protecting residents from possible risk of harm. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The home’s complaints procedure was on display in the reception area, and was included in the statement of purpose, and contracts of residency. A complaints log was kept showing that 1 had been made since the last inspection. Information was available which included the action taken by the home and their response to the complainant. Oldham Social Services and the home’s own policies and procedures regarding the protection of vulnerable adults were available for staff. Since the last inspection training in relation to ‘Abuse’ had been provided for a further 10 members of staff. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. The accommodation was clean and decorated to a satisfactory standard, and residents were able to benefit from a programme of improvements, routine maintenance and renewal of furniture and fittings. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Standards of cleanliness within the home continued to be maintained, and no unpleasant odours were detected. A programme of improvements to the accommodation continued to be implemented. Since the last inspection bedrooms in section of the home referred to as ‘The Heron Suite’, had been completely re furbished and rewired, a new stair carpet had been fitted, and the window on the staircase had been replaced with a very attractive stained glass window. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 16 Other improvements during that time included: redecoration of corridors; installation of radiator safety guards; some new lounge furniture; installation of door and direction signs which were also printed in Braille, name plates on residents’ bedroom doors, and new ‘sit on’ scales in the ground floor bathroom. For ease of contact with staff, an internal telephone system had been installed on each floor including the cellar, and telephones had been provided in the refurbished rooms in the Heron Suite. At the time of the inspection a double room was being used as a single room to accommodate a resident who is wheelchair dependant. The bedrooms inspected were personalised to varying degrees according to residents’ choice, including some items of their own furniture. Comments from residents included, “lovely”, “I’ve brought some knick - knacks in from home”, “Mine’s just been redecorated, and I like what they’ve done”. Aids to independence were provided in bathrooms and toilets, and there was level access to the property. The laundry was appropriately equipped with a new washer and a drier, a sink, and a dosage system was in use for detergent. A reception area has been created close to the entrance of the home, providing a small seating area for residents and visitors, and access to information as mentioned in sections 1,3,4 and 7 of this report. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. There had been a significant improvement in the procedures used for recruiting new staff, making the process safer, and providing some protection for residents. Staffing levels within the home were sufficient to meet the needs of the residents, and there had been an improvement in staff training, which included some specialist training relating to the categories of need for which the home is registered. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Information obtained during the inspection indicated that at the time of the inspection staffing levels within the home were generally satisfactory. In discussion with the manager, he reported that the programme of NVQ training was continuing, with new staff being employed on the understanding that they enrol to undertake the training. A training programme for the period September 2005 to October 2006 was in place. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 18 The programme included some specialist training relating to the categories of need for which the home is registered, i.e. dementia, and incontinence, together with medication (see S9),‘abuse’ (See S18), and some safe working practices (See S38). The staff files which were inspected, contained POVA first checks and written references, which had been obtained prior to employment commencing. This demonstrated a significant improvement in recruitment practices, but the manager must ensure that staff files contain proof of identity, and the date when employment commenced, and that staff who provide personal care to residents, are at least 18 years of age. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. Management and administration systems are in place resulting in the home being run in the best interests of the residents. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The joint owner and manager, Mr Jones is a qualified nurse, and he was the manager of a care home prior to purchasing Anbridge in December 2004. The inspectors were informed that Mr and Mrs Jones and the deputy manager had enrolled for the Registered Managers Award in September 2006. Significant progress had been made in improving the quality monitoring system used in the home since the last inspection. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 20 A survey was done earlier in 2006, and 14 residents, 10 visitors and 9 members of staff gave their views on the service provided at Anbridge. An audit of the survey was completed on 2/5/06. A meeting for residents and relatives was held on 12/5/06, and was attended by 15 residents and 3 relatives. Minutes of the meeting were available in the reception area of the home. The agenda included information about changes to services, i.e. the activities organiser had left and the owners were looking for a replacement, a beauty therapist who specialises in massage was available in the home 2 afternoons each week, and suggestions were requested for outings. All residents said they were happy with the running of home. Staff meetings had also been held on 3/3/06 and 15/5/06. Records of money held in safekeeping for 4 residents were selected at random for inspection and were found to be in order. An examination of the fire precautions records indicated that tests and checks in relation to fire precautions, and fire drills, had been done at the prescribed intervals. Maintenance records were available regarding smoke detectors, the bath hoist and the passenger lift. Staff training records indicated that staff had received training and up dates regarding food hygiene, moving & handling and fire safety. The manager and 6 members of staff were said to have current first aid certificates, providing a trained first aider on each shift, and 5 staff members had received training relating to infection control, with further training in first aid and infection control having been arranged for September 2006. During interviews with staff it was stated that accidents which do not result in an injury, are not recorded in the book. Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? Yes - Action taken but not fully addressed. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 13,14,15 Requirement The registered person must ensure that more detailed information about staff interventions is provided in care plans, and that risk assessments are reviewed following accidents. The registered person must ensure that medication is administered and stored in accordance with the National Minimum Standards and the Regulations. The registered person must ensure that staff who provide personal care to residents, are at least 18 years of age. The registered person must ensure that proof of identity, and the date when staff commence employment, is available on staff files. The registered person must ensure that all accidents are recorded in the accident book. Timescale for action 01/08/06 2. OP9 13,17 01/08/06 3. OP27 18 01/08/06 4. OP29 19, 17(2) 01/08/06 5. OP38 17 sch3 01/08/06 Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Anbridge Care Home DS0000062410.V291070.R01.S.doc Version 5.1 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!