Inspection on 06/09/07 for Ashleigh House

This inspection was carried out on 6th September 2007.

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 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

Ashleigh House 07/10/08

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

CARE HOME ADULTS 18-65 Ashleigh House 39 Redstone Hill Redhill Surrey RH1 4BG Lead Inspector Jenny McGookin Unannounced Inspection 6 September 2007 11:15 th Ashleigh House DS0000069516.V343772.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 Ashleigh House DS0000069516.V343772.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. Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashleigh House Address 39 Redstone Hill Redhill Surrey RH1 4BG 01737 761904 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) ashleighhouse@aol.com Mr Mahmad Basseer Hulkhory Mrs Saira Banoo Hulkhory ****Post Vacant**** Care Home 9 Category(ies) of Learning disability (0) registration, with number of places Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Ashleigh House has been registered by the Commission for Social Care Inspection to provide residential care for nine young adults with learning disabilities between 18 and 65 years of age. Mr Basseer Hulkhory is the current manager; subject to the completion of the Commission’s own formal registration process in due course. The accommodation is arranged over two floors. All bedrooms are single occupancy, and, with one exception, all have en-suite toilet facilities, wash hand basins and either bath or shower facilities. There is no passenger lift to the 2nd floor and separate ramped access at the front. There is a choice of communal space, and it is spacious. There is car parking space at the front for up to eight vehicles and this area has been attractively landscaped. There is also an enclosed garden at the rear. The home is located in Redhill within easy reach of the town facilities and public transport links. The current range of fees for the home is £1,250-2,500 per week. Additional charges are payable for: clothing, spectacles, items of personal nature / toiletries, personalised linen; personalised furniture, furnishings / electrical equipment; holidays and outings – accommodation and travel costs; aromatherapy and other non-health therapies. There is an e-mail address for this service: ashleighhouse@aol.com However, since its registration, no service users or care staff have been taken on, while the registered manager is establishing contractual arrangements with funding authorities. Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is designed to simply mark this service’s registration as a residential care home by the Commission for Social Care Inspection, as required, within its first year. Since its registration, no service users or staff (other than an acting manager and prospective deputy manager) has been taken on, while the acting manager negotiates a marketing base with funding authorities. So that the customary processes associated with inspections (e.g. case tracking, face to face interviews, feedback surveys and the auditing of files) were not possible. The facilities, policies, processes and operational arrangements have already been subject to a preliminary assessment as part of the initial registration process, but a room-by-room inspection was carried out, and key documentation was subject to further scrutiny to establish this home’s readiness. A detailed assessment was also made of the services’ Statement of Purpose, Service User Guide and contract for local authority and self-funding service users, for future reference. Account was also taken of the information supplied by the manager. What the service does well: What has improved since the last inspection? What they could do better: Some matters have been raised to further improve the home’s Statement of Purpose, Service User Guide and contract and these have been reported back to the home separately. An admissions checklist is recommended, to evidence the issue of these documents and whether other languages or formats are warranted. Some matters have been raised to further improve the building. Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 6 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. Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 1, 2, 3, 4, 5 The home’s preadmission assessments are designed to address the needs, wishes and views of those who apply to come into this home. Work has been done to ensure service users will have clear information to help them choose a service that meets their needs. The home has a range of contracts to set out the details of the service provided. EVIDENCE: This home has a Statement of Purpose and Service User Guide, each of which usefully describes the facilities, services and principles of care. Some matters have been raised for attention or consideration to further improve each document. These have been reported back to the home separately. No other languages are currently indicated, though the manager is still exploring the home’s marketing potential. But both are available as selected extracts in simplified text, and in picture-assisted format, to help prospective service users’ understanding. An admission checklist is recommended to evidence the issue of these documents, so that anyone authorised to inspect Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 9 the records can be assured that people have all the information available to make informed choices, before they move in. Whether prospective service users will be funded by local authorities or will be self funding, there are documents detailing the terms and conditions governing each placement. And key terms have been extracted and presented in a more accessible format, to assist their understanding. The home has its own preadmission assessments, and this document properly takes assessments from funding authorities into account. The admission process anticipates prospective residents or their representative being invited to visit the home, before moving in, and having overnight or weekend stays and being offered a trial stay of six weeks before their admission is confirmed. The procedure anticipates interactions and responses being observed at each stage. This is judged a careful approach. Ashleigh House DS0000069516.V343772.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 6, 7, 9, 10 Service users are likely to benefit by the person-centred plans the manager intends implementing. The agency’s policies are designed to put the principles of respect, dignity and privacy into practice. EVIDENCE: These standards cannot be properly assessed until the home is fully operational. But the format of the Person-Centred Plans intended for use in this home is designed to enable all aspects of the service users’ health, personal and social care needs to be addressed; and it is written in the 1st person (“about me”, “things I am working towards” etc to properly keep the service user’s Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 11 perspective central, even if that perspective cannot actually be expressed verbally by them and has to be largely interpreted to provide staff instruction. The home’s Statement of Purpose commits it to setting up a key worker system, to give some continuity of care. And it also commits the home to six monthly reviews of the care plans, and to making the reviews inclusive of all interested parties; most notably the service user who will be given the final say over who attends. And the manager showed a good working knowledge of the balance to be drawn between promoting each individual’s independence and the need to properly underpin their activities and their environments (on and off site) with risk assessments and guidelines for managing behaviours. The home’s arrangements for keeping confidential information secure against unauthorized access was judged generally satisfactory. There is a dedicated office, overlooking the entrance, which is judged a useful safeguard against unauthorised access or egress. Ashleigh House DS0000069516.V343772.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 11, 12, 13, 14, 15, 16 People who use these services are likely to benefit by access to the full range of social, educational, cultural and recreational activities described in the home’s public information . EVIDENCE: These standards cannot be properly assessed until the home is fully operational. But the home’s Statement of Purpose lists a range of recreational activities expected to be readily available on site – painting, colouring, knitting, sewing, board games, puzzles, gardening and outdoor games such as swing ball, skittles and football. And there was some evidence of these resources having been set up in readiness. It anticipates service users pursuing pre-existing hobbies and interests such as television, videos, computer, music, books, Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 13 magazines and papers. There are expected to be open visiting arrangements (though there is no provision for overnight stays) and service users will have ready access to the use of a phone. The home’s Statement of Purpose also anticipates service users being supported to carry out a range of light household tasks such as laying or clearing tables, washing up, loading or unloading the dishwasher or washing machine, doing business at the local Post Office. But the home’s Statement of Purpose provides a list of community resources not necessarily identifiable with or restricted to the service users’ disabilities. Examples include: outings to cinemas, restaurants, pub, library, church, bowling, bingo, snooker / pool, football, theatre, shows, pantomimes, outings to park, zoos, seaside, swimming, Gateway Club, Rangers, YMCA social group, twice yearly holidays, the Colebrook Centre (which is only 500 yards away); the Shrewsbury Centre (for music, speech and art therapy), adult training centres, colleges and employment. The manager showed a good working knowledge of these resources and how to obtain community presence. The home will have access to its own vehicles to facilitate this. And the home’s Statement of Purpose also anticipates service users accessing therapies such as aromatherapy, keep fit, manicures and pedicures as well as hair and skin care. Ashleigh House DS0000069516.V343772.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 18, 19 Service users should be able to expect their health and personal care to be based on their individually assessed needs. EVIDENCE: These standards cannot be properly assessed until the home is fully operational. See “Individual Needs and Choices” section for findings in respect of the Person-Centred Planning processes. The practical application of core values such as privacy, dignity, fulfilment, choice, independence and rights are usefully illustrated throughout the home’s Statement of Purpose, and Service User Guide so that service users know what their rights and responsibilities are. The home will be using its copy of the Boots Monitored Dosage System guidance, with ready access to a copy of The Royal Pharmaceutical Society Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 15 Guidance for reference. The manager also produced recent certification in the safe handling of medication. Ashleigh House DS0000069516.V343772.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 22, 23 People who use the home’s services should feel safe and secure and should expect to have confidence that their welfare and safety needs will be promoted. EVIDENCE: These standards cannot be properly assessed until the home is fully operational. But the home has a complaints procedure in place, which is already available in a picture-assisted version so as to be more accessible to its service users. And its Statement of Purpose commits it to monthly group meetings with the service users, and to actively encourage them to comment on the services provided. See also section on Conduct and Management of the Home. The home also has its own adult protection procedure, which introduces the underlying principles, the reporting procedures, training, support and media interest. It also usefully makes references to other relevant policies such as disclosure of information, harassment and bullying, personal possessions, petty cash, physical interventions. This is judged a rounded approach, particularly if staff are required to sign as evidence of having read and agreed to comply with their provisions. Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 17 And the home has a copy of the Surrey multi disciplinary protocol, to ensure a timely and co-ordinated response to any incident should it arise. Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home should enable people who use the service to live safely, and comfortably. The environment is well maintained, and likely to encourage independence. EVIDENCE: This home is a characterful property (formerly a hotel) in a conservation area, subject to all the conditions of maintenance that implies. A number of original features have been retained; but the number of bedrooms has been reduced from 25 to 9 beds occupancy level, and the property has been refurbished to a high quality - a new extension has been created, new carpets laid and a new electrical circuit and low surface radiators installed. The layout of this home is judged generally suitable for its registered purpose. All areas of the home were inspected and found to be homely, comfortable and clean. The furniture tends to be domestic in style and there were homely Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 19 touches throughout. The rear garden is enclosed on all sides and could, if provided with discrete focal points, become a congenial area to walk or sit in. The home has a “No Smoking” policy. Communal Areas These are all on the ground floor. There is a spacious formal lounge at the front of the home. At its far end is another room, which lends itself to use as a discrete activities area, and there was evidence of its being set up in readiness for this. There is one two-seater sofa and one three-seater sofa, as well as an individual armchair and an upright wooden chairs in the lounge area. The dining room is in the home’s new extension at the centre of the home and is linked on one side to the kitchen, to the laundry at another, and at another side to the patio and rear garden. The dining room chairs are uniform in style and might require some variation (e.g. some with arms), subject to individual assessments in due course. The kitchen is light, airy, clean and well maintained. Some storage facilities may require securing against unauthorised access e.g. to cleaning products. Communal Bathrooms / WCs There are WC facilities on both floors, and a choice of bath and shower facilities - all of which are reasonably accessible to bedrooms and communal areas; and these have all undergone substantial refurbishment. Bedrooms All the bedrooms are spacious and single occupancy. With one exception, they all have en-suite facilities (WC, wash hand basin and bath or shower). All the bedrooms were inspected and found to be well presented. In terms of their furniture and fittings, they were generally compliant with the provisions of the National Minimum Standards, and every bedroom also has a TV point. Very few matters were raised for attention on this occasion. Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 32, 33, 35 Service users should benefit by the investments being made in the staffing arrangements for this home. EVIDENCE: These standards cannot be properly assessed until the home is fully operational. But the home’s Statement of Purpose indicates that the home will be managed by a manager, deputy manager, and 8 care workers as well as ancillary staff (one driver / maintenance man, a part time cleaner and a part time cook). The manager currently anticipates there being 3-4 staff on duty during the day; one waking night staff and one sleep-in staff on call. He also anticipates the introduction of other staff with the relevant qualifications and experience on an as and when basis. Early information indicates that management and care staff in the home will have the requisite NVQ accreditation; and a training file has been set up in Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 21 readiness, which makes conspicuous links to the National Minimum Standards, and available training resources. The home is registered with the Skills for Care (SfC) national minimum dataset for social care and has copies of the General Social Council for Care Guidance in readiness for issue to staff. And the Commission’s own registration process will have established that all the requisite policies are in place. All of which should combine to ensure practice does become variable and stays in line with best practice standards. This is judged a promising start. The inspection process will assess the level of training, support and deployment against the assessed support needs of the people who use the service, in due course. Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 38, 39, 40, 42 The management and administration of the home is based on openness and has promising quality assurance systems in place EVIDENCE: This standard cannot be assessed any further until the service has become fully operational. Mr Hulkhory assumed management control of this home in April 2007, after its first registered manager moved on. He is an accountant by profession and has worked in this capacity at a very senior level in the voluntary sector for over eighteen years. But he has also been more directly involved in setting up another residential care home; as well as at a more practical level with service Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 23 users with learning disabilities while studying for his Registered Managers Award. As part of the Commission’s own formal registration process, the home’s own business-planning processes will have been assessed. And Mr Hulkhory will now need to demonstrate he has the qualifications, skills and preparedness appropriate to the role of manager of a residential care home. Early indications are that he is a good position to make use of available resources in the delivery of services. This site visit was selective but found a sound level of compliance with all the National Minimum Standards (NMS) assessed. And the home’s quality assurance policy makes conspicuous references to the outcome groups embedded in the NMS; as well as to equality issues, and value for money. It commits the home to place the views of its service users at the centre of its service development and to review provision every six months with a view to producing an annual report. See section on “Staffing” in respect of operational policies. All property maintenance records seen were up to date and maintained in good order and the Statement of Purpose commits the home to regular checks and the setting up of a dedicated Health and Safety co-ordinator in the staff group. Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 24 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 2 2 2 3 2 4 2 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 2 25 2 26 2 27 2 28 2 29 2 30 2 STAFFING Standard No Score 31 X 32 2 33 2 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 2 LIFESTYLES Standard No Score 11 2 12 2 13 2 14 2 15 2 16 2 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 X X 2 2 2 X 2 X Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA1 Good Practice Recommendations An admission checklist is recommended to evidence the issue of the Statement of Purpose, Service Users Guide and contract, so that anyone authorised to inspect the records can be assured that people have all the information available to make informed choices, before they move in. Building. The following matters are raised for attention or consideration: • • • • Kitchen should have a lockable cupboard for hazardous cleaning products Recommend sample 1st aid items readily available for kitchen staff in an emergency Recommend dedicated WC for kitchen staff close to kitchen with wash basin, soap dispenser, paper towels or air dryer Each bathroom should have provision for clothing and personal effects DS0000069516.V343772.R01.S.doc Version 5.2 Page 26 2 YA24 Ashleigh House • • • • • 1st floor bathroom window requires curtain or blind to ensure privacy Wall mounted hair dryer in each bedroom. May well require risk assessment. Bedroom 3 needs bedside lamp Bedroom 7 – protruding wooden frame on bed will require risk assessment Bedroom 8 – en-suite window requires blind or curtain Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Ashleigh House DS0000069516.V343772.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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