Inspection on 30/05/07 for Ashlar House

This inspection was carried out on 30th May 2007.

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

Ashlar House 24/01/06

Ashlar House 02/08/05

Ashlar House 19/01/05

Ashlar House 19/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Ashlar House 76 Potternewton Lane Leeds West Yorkshire LS7 3LW Lead Inspector Carol Haj-Najafi Key Unannounced Inspection 30th May 2007 09:45 Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashlar House Address 76 Potternewton Lane Leeds West Yorkshire LS7 3LW 0113 2262700 0113 2262700 admin@las.uk.net 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) Leeds Autism Services Mrs Christine Ann Pullinger Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: Ashlar House is a large detached property, providing residential care without nursing, for eight people with Autism. The National Autistic Society accredits the organisation in control of the home, which is a local Christian charity. The aim of the home is to meet the wide range of needs of everyone, as determined by their autism, much of it being linked to and complemented by a day centre, which is also run by the same charity. The home is situated in a residential area of the suburbs of Leeds, close to a range of local facilities, including shops, pubs, and bars. There are eight single bedrooms for people who use the service, and overnight accommodation is provided for visitors. There are several communal rooms. Information provided in January 2007 stated the weekly cost of the placement for each person is £1548. Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk. The last key inspection was carried out in November 2006. A pre-inspection questionnaire was completed by the home and this information was used as part of the inspection process. Surveys were sent to people who use the service, their relatives, health and social care professionals; twenty two surveys were returned and responses have been included in the inspection report. Seven surveys were received from people who use the service, all of which were completed with help from staff. One inspector carried out a site visit over two days. The first visit started at 9.45am and finished at 3.15pm. The second visit started at 1.30pm and finished at 4.00pm. Feedback was given to the manager at the end of the visit. During the visit the inspector looked around the home, spoke to people who use the service, staff and the manager. Interaction between staff and people who use the service was also observed. Care plans, risk assessments, daily records, meeting minutes, and staff recruitment and training records were looked at. What the service does well: The inspection identified that the home is providing an excellent service and people who use the service are very happy. Everyone works hard to make sure that the people who live at the home receive person centred care and are supported to achieve their personal goals, which help maintain and develop skills. People are empowered to make decisions about their lifestyle and the general running of the home. People lead an active and fulfilling lifestyle. Care records provide very good information about what people like and dislike and how their individual needs should be met and potential risks. Good recording systems are in place to make sure people’s health and welfare is carefully monitored. Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 6 People who use the service, their relatives and professionals were very positive about the service. The following are a sample of comments and responses from surveys. • • • • • • • • The care service uses a person centred approach and they endeavour to meet the needs of the people who use the service Staff have a good relationship with people who use the service and they are very aware of people’s needs. The care service always meets the needs of the people who live there It is a really excellent service They provide a high standard of care, respect, choices and cleanliness The manager really does listen Staff have the right skills and experience Staff are caring, expert and flexible People who live at the home are supported by a skilled and cohesive staff team. 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 Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Previous inspections and procedures indicate that a thorough admission process is carried out to make sure the home can meet the needs of people who move into the service. EVIDENCE: The same people have lived at the home for over four years so there was very little recent evidence for many aspects of this outcome group. The admission process was looked at during previous inspections and the relevant National Minimum Standards were met. Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Everyone works hard to make sure people who use the service receive person centred care and are supported to achieve their personal goals, which help maintain and develop skills. People are empowered to make decisions about their lifestyle and the general running of the home. EVIDENCE: Three people’s care records were looked at. There were several different documents that provided information about care needs. There was very good information about what people liked and disliked and how their individual needs should be met and potential risks. For example one plan stated that staff should go through the menu for the following week and look at any meals the person likes and which they do not. Another plan gave very specific guidance on how staff must support one person during their morning routine. Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 11 Each person has an annual review, where aims and objectives are agreed. As part of the reviewing process keyworkers and people who use the service identify what they want to achieve over the next few months. Several people attend the review meeting including the person who uses the service, their family, staff from the home, day service staff and other professionals. Once aims and objectives are agreed, the keyworker and a senior staff member devise session plans. Staff talked about the session plans and were familiar with each person’s individual goals, and they gave examples of how they had supported people to achieve them. Keyworkers had regularly reviewed the session plans and progress was closely monitored. The manager and the staff member responsible for co-ordinating session plans said people who use the service were involved in monthly reviews informally but agreed this was an area they could look at developing. Care management surveys were very positive about meeting individual needs. The following comments were made: • • • The care service uses a person centred approach and they endeavour to meet the needs of the people who use the service Staff have a good relationship with people who use the service and they are very aware of people’s needs. There is evidence of excellent care plans and recording Throughout the home there were signs and pictures to help people who use the service. For example pictures of meals were used with the written menu, pictures of food were displayed on cupboard doors, photographs of staff were displayed next to the rota. Several people had pictorial timetables in their room to help them understand daily routines. Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service have a varied and fulfilling lifestyle that is based on their wishes and individual needs. Relatives are very happy with the quality of the service. EVIDENCE: People who use the service spoke positively about the home and said they were happy there. They talked about going shopping with staff, going on holiday, doing jobs around the house and spending time with staff. Eight relative surveys were returned, these were positive about the standard of care that is provided and the following are a sample of responses and comments: Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 13 • • • • • • • The care service always meets the needs of the people who live there They are always kept up to date with important issues The care service helps their relative keep in touch The care service always gives the care they expect It is a really excellent service They are good at encouraging people to try new activities They provide a high standard of care, respect, choices and cleanliness Seven surveys from people who use the service were returned; staff helped them to complete the forms. Each survey stated they could do what they wanted during the day, in the evening and at the weekend, six stated they always make decisions about what they do each day, one stated they sometimes make decisions. Health and social care surveys stated that the home provided good opportunities for social activities. The daily records for three people, covering a four-week period, were looked at. There was evidence that people had an active lifestyle, family contact, health appointments and involvement in daily living tasks. Recreational activities included meals out, cinema, computer, trampoline, sensory sessions, church and shopping trips. The home has a weekly programme of daytime and evening activities that identifies activities for the week ahead. People who use the service are asked to put forward suggestions at the weekly residents meeting. The majority of people attend external day services. People who use the service said they enjoyed attending. People who use the service said the meals were good and they were aware of what was being served on the day of the inspection. Copies of the menu were sent with the pre inspection questionnaire; these were varied and nutritious. Staff said the menus had recently been reviewed and the meals were better because they were more varied. All meals are recorded individually so it easy to monitor that each person is getting a nutritious and varied diet. Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home has good systems in place to make sure health and personal care needs are met and people receive the right support from healthcare professionals. EVIDENCE: Four healthcare and three care manager surveys were returned, these were positive about the standard of care and the following are a sample of responses and comments: • • • • • • Individual health care needs are met The care service always supports people to live the life they choose The care service is good at following up recommendations The care service does well in providing a specialist service to people with autism They provide excellent information Individual’s privacy and dignity is always respected DS0000001416.V333152.R01.S.doc Version 5.2 Page 15 Ashlar House • • They take on board and listen to advice They involve professionals Each file had a health summary section. This provided details of any recent healthcare appointments. One sheet confirmed the person had seen a dentist, an optician, a nurse, a chiropodist and a specialist in the last four months. Individual weight records were also maintained. Daily records stated that people had attended healthcare appointments within the last four weeks. Medication and medication records were looked at and the amount of medication and the records corresponded. Medication storage was looked at and the medication was well organised. Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are aware of how to complain if they are unhappy with any aspect of the service, which helps safeguard people who use the service. EVIDENCE: Surveys stated they know how to make a complaint and if they have raised concerns the response has been appropriate. One relative survey stated ‘the manager will always listen carefully to concerns’ another stated ‘the manager really does listen’. Several surveys from people who use the service stated they would talk to the manager if they had concerns. The pre inspection questionnaire confirmed that the home has a complaint’s and an adult protection procedure. A senior member of staff has recently completed a safeguarding adults training course which qualifies them to facilitate adult protection training. The management team had identified that some staff needed to up date their adult protection training and this was being planned for the end of June. Financial records were looked at. All financial transactions were recorded and receipts were obtained for any purchases made. Two people’s monies were counted and the amount corresponded with the amount on the balance sheet. Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is pleasant, well maintained and people who use the service are very comfortable in their surroundings. EVIDENCE: A tour of the building was carried out. All communal areas and bathrooms were visited and the majority of bedrooms were seen. The home was clean and tidy. Furniture and furnishings were of a good standard. Generally decoration was good although some communal areas needed redecorating; the bathrooms and the first floor landing were going to be decorated the week after the inspection. The garden was very well maintained and a very pleasant area that people can safely use. Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 18 Bedrooms were personalised and each room had items that reflected individual preferences. Photographs of family and friends had been mounted on the wall. This is good practice and demonstrates that everyone is encouraged to make their rooms homely. People who use the service have access to a small domestic kitchen and use it regularly to make meals and drinks. A large trampoline had recently been purchased and was in the back garden; one person who uses the service said they had been on it. Staff said repairs are generally dealt with promptly. Windows above ground floor level were fitted with restrictors but a velux window on the second floor was not restricted. The manager said she would arrange for a restrictor to be fitted. The first floor shower room was quite humid and there were mould patches on the ceiling. The registered provider should look at how they can improve ventilation. The home does not have an emergency call system but staff have access to internal SOS phones which they carry with them if required. The manager said this system works well and is fit for purpose. Since the last inspection, each bathroom has been fitted with a cupboard to store cleaning equipment. There was a supply of disposable gloves and wipes throughout the home. Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service are supported by a skilled and cohesive staff team. Staff are well supported and everyone has opportunities to develop. EVIDENCE: During the inspection, seven staff were spoken to individually. Everyone said they thought the staff team worked very well together and they communicated well. Staff were knowledgeable and had a good understanding of autism and the individual needs of the people who use the service. They were able to provide very specific details about the support they provided which was consistent with what had been recorded in care plans and assessments. Surveys were very positive about staff and management and the following are a sample of responses and comments: • • • Staff have the right skills and experience Staff are caring, expert and flexible There is good communication DS0000001416.V333152.R01.S.doc Version 5.2 Page 20 Ashlar House • • Staff are supportive and friendly Staff have people’s interests at heart Surveys from people who use the service all stated that staff always treat them well; six stated staff always listen and act on what they say, one stated they sometimes listen and act. A senior staff has responsibility for making sure staff receive the right training. On the day of the inspection they were facilitating autism in focus training to several staff. Staff that attended said the training was good and they had learnt a lot about autism. Other staff said they had previously attended the training and had also attended external autism training. All staff said they thought the staff team were very well equipped to work with people with autism. The home has a training plan that identifies the training staff have completed and any training needs. This confirmed that all staff had completed a good range of training programmes. People who use the service are given a copy of the staff rota so they know which staff will be on duty. Staff said they thought that staffing levels were satisfactory. Two staff talked about the recruitment process and confirmed they had completed all the relevant information before they commenced employment. They also talked about the induction programme which they thought was excellent. One staff member had visited colleges and day placements that people who use the service attend. Recruitment records for three staff were looked at and all the relevant information was available. Staff meetings are held every week. Staff said these were good opportunities to discuss anything that was relevant to the home. The minutes from the meetings were detailed and a good source of information for staff. Staff also said they received regular supervision and had opportunities for personal development. Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is very well managed and good systems are in place to measure the overall quality of the service EVIDENCE: People who use the service, relatives and staff were very complimentary about the manager and they thought the home was very well managed. Staff said the manager was well organised, very supportive, sets very high standards for everyone to follow and always puts people who use the service first. Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 22 Staff were consistent in their responses when asked about the quality of the service. Everyone said the home provided a very high quality service and all staff had a very good understanding of what is expected; they said this was because the manager gave everyone clear direction and was consistent. Every Sunday evening people who use the service meet to talk about what they have done the previous week and what they would like to do the following week. They also talk about any issues that relate to the home. Minutes from the meetings were looked at and these confirmed that people had regularly spoken about they would like to do and had recently chosen colour schemes for decorating. At annual reviews people who use the service complete a survey about the standard of care they have received. Systems are also in place to gather views from relatives. Some relatives are members of the home’s quality action group, who meet quarterly. Once a month the registered provider arranges for a member of the management team to visit the home and look at the general conduct, these visits are called Regulation 26 visits. Copies of the Regulation 26 reports are sent to the Commission. The pre inspection questionnaire stated that policies and procedures were available and regular maintenance and health and safety checks by external agencies were completed at the home. Ashlar House DS0000001416.V333152.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 4 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 4 4 3 X X 3 X Ashlar House DS0000001416.V333152.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. Refer to Standard YA6 YA24 Good Practice Recommendations People should be encouraged to have more involvement in reviewing the session plans with their keyworkers. The velux window on the second floor should be restricted to make sure potential risks are minimised. The first floor shower room should be appropriately ventilated. Ashlar House DS0000001416.V333152.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Ashlar House DS0000001416.V333152.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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