Inspection on 24/04/07 for Ashbury

This inspection was carried out on 24th April 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

Ashbury 06/12/05

Ashbury 11/07/05

Ashbury 07/12/04

Ashbury 10/08/04

Ashbury 20/06/02

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

1 Marten Road

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

CARE HOMES FOR OLDER PEOPLE Ashbury 124-126 Aldwick Road Bognor Regis West Sussex PO21 2PA Lead Inspector David Bannier Unannounced Inspection 24th April 2007 09:15 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 Ashbury DS0000014369.V334280.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. Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashbury Address 124-126 Aldwick Road Bognor Regis West Sussex PO21 2PA 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) 01243 824689 Mrs Susan Rosalind Newman Mrs Margaret Anne Hibbert Care Home 29 Category(ies) of Learning disability over 65 years of age (5), registration, with number Mental disorder, excluding learning disability or of places dementia (29), Mental Disorder, excluding learning disability or dementia - over 65 years of age (29) Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of five (5) Service Users in the LD(E) category may be accommodated Only Service Users over (55) Fifty-five years in the MD category may be admitted. The home should not accommodate more than 29 service users at any one time 6th December 2005 Date of last inspection Brief Description of the Service: Ashbury is registered with the Commission for Social Care Inspection to provide personal care for up to 29 residents. The registration categories are; Mental Disorder, excluding learning disability or dementia-over 65 years of age (MD/E) Old age, not falling within any other category (OP) Learning disability over 65 years of age (LD/E) and Mental disorder, excluding learning disability or dementia (MD). Additional conditions of registration are; 1) No further service users in the OP category to be admitted, 2) A maximum of 5 service users in the LD/E category and 3) Only service users over 55 years in the MD category may be admitted. Ashbury is situated in Bognor Regis, West Sussex, close to the sea and the town centre, with gardens, local shops, and cafes nearby. All the bedrooms are single occupancy, with either bath or shower en-suites. Fee levels range between £400 and £735 per week. Additional charges are made for personal items such as toiletries, hairdressing and chiropody. The service is owned by Mrs. Susan Newman, and managed by Mrs. Margaret Hibbert. Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report has been written using methods introduced on 1st April 2006. Some evidence used to assess standards has been gathered before this visit took place, during the visit and afterwards. For example, information has been used from the previous inspection report; comments made by residents at the time of the visit have been noted; the registered manager has also supplied further information on request that has been considered after the visit took place. This visit was unannounced and started at 9.15am. It took place over approximately six hours. The inspector spoke to five of the twenty nine residents who are currently being accommodated at this care home. This enabled to inspector to form an opinion about how it was to live there. The inspector also spoke to two of the staff who were on duty. They told the inspector about their jobs within the care home and the training they had received in order carry out their duties. Some records were also examined. The inspector looked at those standards that are about how new residents are admitted to the care home; how residents are cared for; the daily life and social activities provided for residents; how the care home deals with complaints and how they protect residents from abuse; the environment in which residents live; how staff are recruited and trained; and how the care home is managed. Mrs Margaret Hibbert was present throughout the inspection and kindly assisted the inspector with his enquiries. What the service does well: Ashbury provides good care, good food and a programme of stimulating activities appropriate for the needs of residents. The premises are well maintained and decorated in a welcoming and homely manner. Staff continue to be provided with a range of training so that they have the necessary skills and knowledge to provide for the needs of residents. One resident said, “ The staff look after me wonderfully well. The food is wonderful; the place is lovely.” Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 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 Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care needs of prospective residents are assessed before admission. Staff have been fully briefed about residents’ needs. Residents are satisfied with the care provided to them. Ashbury does not provide intermediate care. EVIDENCE: The names of three residents, who had been admitted on a permanent basis, were identified for case tracking purposes. The inspector spoke to two of them and also looked through the care records of all three residents. The third resident had gone out to attend a day care placement. The inspector also spoke to three other residents. Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 Page 9 Residents said that they were very satisfied with the care and services provided to them. One resident said, “ The staff look after me wonderfully well. The food is wonderful; the place is lovely.” Another resident told the inspector that they were reasonably comfortable at Ashbury. Records seen showed that residents’ care needs have been assessed. Information gathered from the assessment process has been transferred into care plans. Care plans have been reviewed and updated regularly. This means that staff have up to date information about each resident and the action required of them to meet residents’ needs. However, the inspector noted that assessments and care plans have not always been dated and signed by the author. This means that it is not clear if assessments have been assessed prior to the resident’s admission and has been used to confirm the resident’s needs can be met by the resources of the care home. The manager readily agreed to ensure that, in future, assessments and care plans are dated and signed by the person writing them. Staff on duty were spoken to as a group. Following discussions about the needs of identified residents, the staff team were able to demonstrate they were fully briefed about the care residents required and what was expected of them. Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have appropriate information to ensure they are able to meet residents’ needs. Residents’ have been consulted with regard to making choices about how their needs will be met. Residents’ health care needs have been fully met. Residents are responsible for their own medication, where appropriate. Residents have been protected by the home’ policies and procedures for dealing with medicines. Residents feel they are treated with respect and their right to privacy has been upheld. EVIDENCE: Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 Page 11 A care plan is in place for each resident and reflects the level of care that each resident requires. Care plans have been regularly reviewed and up dated. This means staff have up to date information about each resident’s care needs and the action required to meet them. Information contained in each resident’s care records were comprehensive and include sections in which can be detailed a record of needs related to medication, leisure activities, personal hygiene, mobility, communication, eating and drinking. One resident told the inspector that the staff are very good and very helpful. A second resident said, “The staff look after me wonderfully well. I wish I had found Ashbury before!” Care plans include information about visits and appointments made with doctors, district nurses and other community health services. Residents who are at risk due to poor nutrition or who are at risk of falling have been identified and have been closely supervised to ensure their health is maintained. This means that staff have been made fully aware of what is required of them to maintain residents health and safety. Medication is kept securely and has been dispensed safely. Records of all medicines kept in the care home are up to date and have been well maintained. The manager confirmed that only staff who have received training in the safe administration of medicines are responsible for giving them out. Currently one resident has chosen to take responsibility for their own medication. From direct observations there was clear evidence that staff are respectful to residents and ensure their dignity is maintained. Staff spoken to were able to demonstrate they were aware what was expected of them. They were able to talk about the care required by each resident and also how each resident should be treated. Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The registered manager has continued to provide a programme of activities for residents which matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. The registered manager has continued to ensure residents are able to maintain contact with family and friends as they wish. The registered manager has continued to ensure residents are helped to exercise choice and control over their lives. The registered provider has continued to ensure residents receive a wholesome appealing and balanced diet. EVIDENCE: Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 Page 13 Residents’ social and recreational interests have been recorded in individual care plans. Residents spoken to have confirmed they enjoyed the programme of activities provided at Ashbury. An activities programme was displayed on the residents’ notice board and include musical quizzes, music and movement, board games such as chess and draughts, a range of card games, karaoke and discussion groups. There are also art and craft sessions, including painting, drawing, collage, origami, knitting, embroidery and sewing. Some residents attend courses at a local college. There also regular trips out to local pubs, restaurants and shops. The inspector saw that a notice board had been filled with photographs of residents engaged in a variety of activities. Ashbury employs an activities organiser whose responsibility is to ensure residents are appropriately occupied. The inspector noted that this person was engaged with a resident in a game where the resident had to match picture cards with pictures on a board. The activities organiser began by asking the resident to name the animal on the card and them place the card on the appropriate part of the board. The resident was clearly absorbed and enjoying the activity. The inspector also noted there were pictures on display in the lounge that had been painted by residents. Residents’ care plans include a record of residents’ families and the contact they have with them. The inspector did not meet any families or friends of residents during his visit. Residents told the inspector that their visitors are made welcome by staff. Residents told the inspector that they are afforded choice and control over their lives. Personal preferences are recorded in residents’ care plans. For example one resident has chosen to cook their own meals with support and assistance. Also residents are encouraged to bring in their own possessions to make their rooms personalised. Residents are afforded a choice of cooked meal for lunch and supper. On the day of his visit the inspector noted that the choice of meal was between roast pork with roast potatoes, cabbage and carrots or quiche followed by bread and butter pudding or tinned pineapples and custard. The inspector observed the meal being served. It consisted of a choice of lamb curry with rice or sausage casserole with carrots, swede and potatoes, followed by jam and coconut sponge with custard. Other alternatives for dessert included fresh fruit, yoghurts or ice cream. The inspector also sampled the food and found it to be well cooked and very tasty. Residents confirmed they were satisfied with the food; it was sufficient in quantity and catered for their likes and dislikes. Records of food provided and menus confirmed that residents are provided with a nutritious and varied diet. Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives know that their complaints will be listened to by the manager, taken seriously and, where necessary, acted upon. The manager has ensured residents are protected from abuse. EVIDENCE: The inspector asked residents what they would do if they wished to make a complaint. They confirmed that, if necessary, they would speak to the manager. They were satisfied the manager would take their concerns seriously. Whilst the inspector did not look at the complaints record on this occasion, it has been noted in previous inspections that the registered person does have a means of recording complaints about the conduct of the care home. There is evidence in reports of visits made by the registered provider that the complaint record is regularly examined to monitor how complaints have been dealt with. The inspector also noted that the home’s complaint procedure is included in the Statement of Purpose and has been made available to residents. Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 Page 15 One resident told the inspector, “The staff look after me wonderfully well. Thank God I found this place! I wish I had found it before! ” According to records seen training provided to all staff includes training in Adult Protection procedures. The staff on duty confirmed that they had received such training and knew how to recognise and report any allegation or incident of abusive practices. It was also noted that a copy of the Adult Protection procedures published by West Sussex Local Authority was available in the manager’s office. Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: The inspector viewed a number of bedrooms, some bathrooms and WC’s, the laundry room and the lounge/dining rooms. The inspector noted that some improvements had been made to the environment since the last inspection. This included the provision of an additional four single bedrooms to accommodate residents. The premises have been kept to a good standard of cleanliness, well maintained and decorated throughout. Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 Page 17 Residents told the inspector they were very satisfied with the accommodation. They explained that the home is very clean and also is very homely. Residents have been able to bring small items of furniture, photographs, pictures and ornaments. Those rooms seen were presented in a homely and comfortable way, and reflected the personality of the resident accommodated. The laundry area was also seen. This included appropriate provision for staff to wash their hands after dealing with soiled linen and clothes. The washing machine was equipped with a sluice programme so that such laundry can be washed at appropriate temperatures. Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has ensured there are adequate staffing levels to ensure residents needs are met by the numbers and skills mix of staff. The registered provider has ensured residents are in safe hands at all times. The registered provider has ensured residents are supported and protected by the home’s recruitment policy and practices. The registered provider has ensured staff are trained and competent to do their jobs. EVIDENCE: On the day of the inspection, the inspector noted that the manager was on duty supported by a team of four care staff. In addition there were house keeping and catering staff to ensure the premises are kept clean and residents are provided with cooked meals, snacks and drinks throughout the day. According to the staff rota there were sufficient care staff and ancillary staff to meet the needs of residents accommodated. This also ensures staff are in safe Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 Page 19 hands at all times. Residents told the inspector they were very happy with the care and services provided. The inspector examined the records of one member of staff who had commenced working at Ashbury since the last inspection. The inspector concluded that all appropriate checks had been taken up to ensure staff are fit to work with vulnerable people before commencing work in the care home. Records seen included copies of certificates of training courses the member of staff had completed. This confirmed the member of staff had completed the National Vocational Qualification (NVQ) in care at Level 2. However, there was no evidence that the member of staff had received structured induction training. the manager informed the inspector that, as this person had completed the NVQ, she did not think it was necessary. The inspector advised her, that despite this, it was essential that all staff are appropriately inducted into the care practices and philosophy of care at Ashbury. The manager readily agreed to remedy the shortfall. Staff training records were also seen and confirmed the various courses staff had undertaken. This included mandatory training such as moving and handling, fire safety, adult protection; food hygiene; the safe administration of medication, health and safety and first aid training. In addition seven staff had obtained the NVQ in care at Level 2 and five staff have obtained the same qualification at Level 3. From direct observation of care practices and discussions with staff and residents, the inspector concluded that staff employed in the care home are well trained and capable of providing the level of care required by residents who are accommodated at Ashbury. Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 Page 20 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): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being run and managed by a person who is fit to be in charge. The home is being run in the best interests of the residents. An appropriate secure facility has been provided for residents to deposit money and valuables for safe-keeping. Appropriate records have been kept of transactions made on behalf of residents. The registered provider has taken appropriate action to ensure the health, safety and welfare of residents and of staff. Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 Page 21 EVIDENCE: Mrs Margaret Hibbert has been registered with the Commission as the manager of Ashbury since 26 April 2004. During this process, Mrs Hibbert was able to demonstrate she has the necessary skill, knowledge and experience to manage this care home. From discussions with residents and staff, direct observations, and examining a selection of records the inspector concluded that Mrs Hibbert has provided good leadership and direction. Records seen indicated that the registered provider has continued to make arrangements for the care home to be visited unannounced on a regular basis in order to monitor the way in which the home has been managed. Records seen provided evidence to confirm that residents and staff are spoken to as part of the visit to ensure the home has been run in the best interests of the residents. Following discussion, the registered provider informed the inspector she is currently making arrangements to provide the Commission with information about the way the care home is managed and run. This is in accordance with recent changes in legislation. The provider has appointed a consultant who is responsible for matters related to quality assurance; they will also be expected to oversee this process. The inspector was informed of the arrangements made for handling residents’ money . Residents are given their personal allowance on a regular basis, for which appropriate records have been kept. Some residents’ money is put in safe keeping on their behalf. A facility is provided to keep such money safely and accurate records have been kept of money given to residents or spent on their behalf. The premises have continued to be well maintained, ensuring a safe environment in which residents can live and staff can work. Whilst they were not seen, the manager confirmed she has kept records of regular maintenance work, including regular checks and servicing of equipment. Residents have told the inspector that they are very satisfied with the accommodation and services provided. According to training records staff have been provided training in such subjects as moving and handling, health and safety, first aid and fire safety. Staff on duty, who were spoken to confirmed the training they had received. Ashbury DS0000014369.V334280.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 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 15 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 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 X 3 X 3 X X 3 Ashbury DS0000014369.V334280.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. Refer to Standard Good Practice Recommendations Ashbury DS0000014369.V334280.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Ashbury DS0000014369.V334280.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. 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!