Inspection on 30/10/06 for Ashley House Residential Home

This inspection was carried out on 30th October 2006.

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

Ashley House Residential Home 27/09/07

Ashley House Residential Home 12/12/05

Ashley House Residential Home 09/05/05

Ashley House Residential Home 24/01/05

Ashley House Residential Home 27/07/04

Ashley House Residential Home 19/02/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ashley House Residential Home Ashley House Thornley Road Deaf Hill Trimdon Station Durham TS29 6DA Lead Inspector Mr Stephen Ellis Unannounced Inspection 30th October 2006 2:00 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 Ashley House Residential Home DS0000034013.V314488.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. Ashley House Residential Home DS0000034013.V314488.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashley House Residential Home Address Ashley House Thornley Road Deaf Hill Trimdon Station Durham TS29 6DA 01429 881225 01429 883769 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) Mr Matt Matharu Mrs Jean Kennedy Steven White Care Home 25 Category(ies) of Dementia (25), Old age, not falling within any registration, with number other category (25), Physical disability (5) of places Ashley House Residential Home DS0000034013.V314488.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 5 persons in the category of PD Physical Disability 55 years or above may be accommodated within the overall total of 25. 12th December 2005 Date of last inspection Brief Description of the Service: Ashley House provides residential care services (25 beds) for older persons in the categories: Dementia (25); Old age, not falling within any other category (25); and Physical disability (5). Mr Matt Matharu and Mrs Jean Kennedy own the home. It is located in the small village of Deaf Hill: a large two-storey building with a passenger lift to the first-floor. The home has a pleasant garden area to the rear, which can be readily accessed by service users from the homes large conservatory. There are 19 single bedrooms, including one with en suite facilities, plus 3 double bedrooms. These are all spacious rooms. The fees vary between £380 and £417 per week. The fee covers all accommodation, meals and personal care. Hairdressing, toiletries, newspapers and chiropody are not included in the fee. The actual amount people pay will depend upon their individual circumstances. Ashley House Residential Home DS0000034013.V314488.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4 hours. It included a tour of the building, examination of a number of records and discussions with 6 residents, and 5 staff. Comments were also received from 5 relatives/visitors to the home via questionnaires and 4 service users via questionnaires. The overall quality rating for this care home is: ‘good’. This judgment has been made from evidence gathered both during and before the visit to this service. What the service does well: Residents said they were satisfied with the care and facilities provided. A typical comment was “the staff are lovely…you couldn’t wish for better…it’s all good…we’re well looked after…no complaints.” They liked their rooms and the various activities supplied, including occasional outings, beanbag exercises, bingo and visiting entertainment. Positive comments were received from relatives and visitors to the home: “Unfortunately my Mum died in Ashley House 2 weeks ago. The care she received was excellent. She had lived there for 14 months. Since July she was very ill and the staff were excellent.” “People are very nice and kind; person in office always smiling, greets us nice.” “Found care very good, very caring staff, home from home, very impressed with care”. Residents described the food and catering as being good, with much home baking and good quantities. Residents get on well with the staff and would not hesitate to discuss any concerns or complaints with staff or management. They described a cheerful, happy environment. The home has a number of small lounges, plus one large dining room, which allow residents to meet in groups of various sizes for a number of social and recreational activities. The home is generally well maintained. There is a friendly, welcoming atmosphere. Service users may come and go as they please, subject to risk assessment. There is an attractive rear garden with good access for people to enjoy. Management are keen to receive comments from service users and others about the quality of service provided by the home. Ashley House Residential Home DS0000034013.V314488.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. Ashley House Residential Home DS0000034013.V314488.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 Ashley House Residential Home DS0000034013.V314488.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. They have their needs assessed and a contract which tells them about the service they will receive. EVIDENCE: Comments received from residents and relatives confirmed that full assessments of needs were carried out prior to admission to the home. They said there was enough information from which to make a choice about being admitted. Service user guides, statement of purpose and statements of terms and conditions of residence are supplied routinely. These are helpful documents and the content is generally good, but some further detail is required, plus some editing to ensure clear communication. For example, in the home’s terms and conditions of residence/contract, the information about fees and complaints needs to be elaborated further, giving timescales for complaint investigation and conditions under which fees may be Ashley House Residential Home DS0000034013.V314488.R01.S.doc Version 5.2 Page 9 refunded, in line with regulations. The legislation quoted needs to be checked and amended where necessary and the details of the regulator (The Commission for Social Care Inspection) need to be further updated. Care plans revealed comprehensive, detailed assessments of need being carried out both prior to admission and afterwards, as confirmed by members of staff. These assessments showed that the home only admitted people whose assessed needs it could meet. Ashley House Residential Home DS0000034013.V314488.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Residents said that they believed their health and social care needs were well known by staff and were being fully met. They said that the community nurse or doctor would see them whenever required. Their personal and social care needs were known, understood and respected by the staff team. They said that they felt they were treated with respect and sensitivity. As one resident said: “The staff are lovely, you couldn’t wish for better…it’s all good, we’re well looked after…no complaints”. Positive comments were also received from relatives and visitors to the home: “Unfortunately my Mum died in Ashley House 2 weeks ago. The care she received was excellent. She had lived there for 14 months. Since July she was very ill and the staff were excellent.” “People are very nice and kind; person in office always smiling, greets us nice.” “Found care very good, very caring staff, home from home, very impressed with care”. Ashley House Residential Home DS0000034013.V314488.R01.S.doc Version 5.2 Page 11 Care plans were detailed and comprehensive about residents’ health and social care needs, providing clear guidance to staff. They were subject to regular review, in keeping with National Minimum Standards. There are good links with General Practitioners and Community Nurses who visit as required. Staff training such as National Vocational Qualifications (NVQ) at level 2 or above in Care has included the important issues of privacy and dignity and 80 of care staff have completed NVQ in care. There are good arrangements for the safe administration of medicines. Most care staff members have completed the Safe Handling of Medicines training. There is good support from a local Pharmacist who supplies most of the medication in Monitored Dosage form (in blister packs with the medication clearly identified for the individual resident). There are good storage systems and care staff check all medication when it is received into the home. Medication is kept securely in lockable cabinets and trolleys. Residents may attend to their own medication, but in practice most prefer to delegate this responsibility to staff. Unwanted medicines are returned promptly to the Pharmacist and the home is careful not to stockpile large quantities. The registered manager carries out medicine audits routinely. Ashley House Residential Home DS0000034013.V314488.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 - 15 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. Residents are able to choose their lifestyle, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet residents’ expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: Residents said that they enjoyed living at Ashley House. They described the staff as being caring and helpful. They could exercise choice in their daily lives. For example, they could decide what clothes they wore and how they spent their days, including what times they got up and went to bed. They said that there was a varied programme of social and recreational activities, including visiting entertainers, reminiscence, music and movement and bingo. An Activities Organizer was appointed earlier this year and made a significant contribution to developing ‘life story books’ and personal profiles with service users and their families. Unfortunately, the post is vacant again, but the job has been re-advertised and the manager hopes to be able to appoint someone soon. In the meantime, one member of staff takes a lead in organising social events for each day. Residents may pursue individual interests if they wish, such as reading, Ashley House Residential Home DS0000034013.V314488.R01.S.doc Version 5.2 Page 13 television or knitting. As one resident said: “I enjoy trips, going to the town and other outings, plus bingo”. People’s religious needs were being addressed. There were services from different denominations held each month within the home. Residents said that visitors were always made welcome and could call at any reasonable time. Some residents went out with relatives or friends for part of the day. Many residents said they liked the atmosphere in the home, describing it as being friendly, supportive and caring. They were free to sit in any lounge, in their own bedroom, or dining room. All were satisfied with the arrangements for daily life in the home. All the residents spoken to said the catering was good. There was a wide choice and the Cook understood their preferences. They particularly liked the home baking. A cooked breakfast was available for those who wanted one. Residents mainly dined together in the dining room. They could, however, eat their meals elsewhere and at different times if required. Records are kept of meals served, available for inspection. The Cook confirmed the varied, appetising menu. Ashley House Residential Home DS0000034013.V314488.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. Residents have access to a robust, effective complaints procedure and are protected from abuse. EVIDENCE: Pre-employment checks are carried out on staff, including enhanced checks with the Criminal Record Bureau and Protection of Vulnerable Adult checks. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to try to ensure that unsuitable people are not employed to care for vulnerable adults. New staff members go through induction and foundation training so that they have the right knowledge and skills to do their jobs competently. All care staff members have completed Protection of Vulnerable Adults training. Residents reported a caring, supportive atmosphere in the home, which is well established. There is good leadership and teamwork evident and these features reinforce the caring culture and provider policies concerning adult protection. Residents and relatives described staff as being approachable, kind and helpful. As one resident said: “The staff are very helpful and I can talk to them about anything”. They expressed every confidence in the staff team and said they would not hesitate to approach staff with any concern or complaint. They knew that such matters would be taken seriously and acted on appropriately by the staff and management of the home. Members of the care staff team confirmed that they had completed adult protection training and Ashley House Residential Home DS0000034013.V314488.R01.S.doc Version 5.2 Page 15 would not hesitate to refer any suspicions of abuse or neglect to the appropriate authorities. Ashley House Residential Home DS0000034013.V314488.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 and 26 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The physical design and layout of the home enables residents to live in a safe, wellmaintained and comfortable environment, which encourages independence. EVIDENCE: There were no unpleasant odours and the home was found to be clean in all the areas inspected. Parts of the home have been redecorated since the last inspection, and one of the first floor bedrooms now has an en suite toilet. Care staff members have completed training in Health and Safety, Infection Control and Food Hygiene. Paper towels and liquid soap were provided in toilets and bathrooms in wall-mounted containers, to promote hygienic practices (although residents have personal flannels and towels in their rooms). Residents said that they were pleased with the premises, finding them comfortable and homely as well as practical. They also described the home as being clean: A typical comment from a resident was “The home is always fresh and clean”. Ashley House Residential Home DS0000034013.V314488.R01.S.doc Version 5.2 Page 17 The home is generally well maintained with repairs/replacements and servicing being carried out promptly and according to schedule. It was noticed, however, that curtains are required in the ‘bottom lounge’ on the ground floor and a water thermometer is needed in the main ground floor bathroom. Provision of a walk-in, level entry shower should be considered as a useful addition to the home’s bathing facilities, promoting choice and independence in some situations. At present, most bathing is carried out in one, assisted bathroom on the ground floor. A couple of bedrooms still require suitable locks to be fitted. Ashley House Residential Home DS0000034013.V314488.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 - 30 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. EVIDENCE: On the day of inspection, there were 17 residents being accommodated. Typically there are 3 care staff members on duty during the day, one of whom is either a senior care assistant or supervisor (day shifts run from 8 am to 8 pm). At night, there are 2 members of care staff on duty (again, one will be a senior). There are sufficient ancillary staff members, including 2 full time cooks. The full time registered manager works weekdays. His hours are not included in the care hours available. A part time Activities Organizer is being recruited to replace the one that left earlier this year. A full staff training and development programme is in operation, including moving and handling, first aid, safe handling of medicines, protection of vulnerable adults, positive dementia, health and safety, infection control and food hygiene. Staff confirmed that they had undergone extensive induction and foundation training. At least 80 of care staff members have completed training and assessment for National Vocational Qualifications (NVQ) in Care at NVQ level 2 or 3, which is commendable. Supervisors are working towards NVQ level 3 in Care and one Ashley House Residential Home DS0000034013.V314488.R01.S.doc Version 5.2 Page 19 of the catering staff is also progressing through NVQ level 2, in units of competence related to her catering work. Pre-employment checks are carried out on staff, including enhanced checks with the Criminal Record Bureau and Protection of Vulnerable Adult checks. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. New staff members go through induction and foundation training to ensure they have the right knowledge and skills to do their jobs competently. All care staff members have completed Protection of Vulnerable Adults training. Residents reported a caring, supportive atmosphere in the home, which is well established. There is good leadership and teamwork evident. Ashley House Residential Home DS0000034013.V314488.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: The registered manager is experienced and competent in his role. Residents and staff spoke well of his leadership skills and commitment to good outcomes for residents. He was described as being approachable and caring. He has completed the Registered Manager’s Award at NVQ level 4 and is working towards NVQ level 4 in Care. Good accounting procedures are followed, with receipts and signatures being obtained for all financial transactions involving residents’ personal monies, in which the home is involved, wherever practicable. Relatives look after the Ashley House Residential Home DS0000034013.V314488.R01.S.doc Version 5.2 Page 21 personal monies of many residents. In those situations where the home helps look after residents’ monies, such as personal allowances, clear individual records are maintained. Comments received from staff and management confirmed that there are good health and safety policies and practices that promote the health, safety and welfare of residents and staff. All staff members do refresher training in Health and Safety, such as moving and handling, fire safety and food hygiene. This helps reinforce the registered provider’s written policies on Health and Safety. Health and Safety issues are also discussed at bi-monthly staff meetings and in staff supervision sessions. Residents and staff expressed satisfaction with the way the home was run and the good standards that were evident in many instances. They said they believed the home was safe and run in the best interests of residents. For example, a residents meeting is held monthly. Also, there is an annual survey of residents’ satisfaction carried out and the findings are reported within the home. One of the registered providers visits the home frequently, often several times per week, taking a keen interest in the welfare of residents and the progress of the home. The manager invites comments from service users and visitors, with forms for written comments kept in Reception. Ashley House Residential Home DS0000034013.V314488.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 2 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x 2 x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Ashley House Residential Home DS0000034013.V314488.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. 1 Standard OP1 Regulation 5, 6 Requirement In the home’s terms and conditions of residence/contract, the information about fees and complaints needs to be elaborated further, giving timescales for complaint investigation and conditions under which fees may be refunded, in line with regulations. The legislation quoted needs to be checked and amended where necessary and the details of the regulator (The Commission for Social Care Inspection) need to be further updated. Curtains are required in the ‘bottom lounge’ on the ground floor and a water thermometer is needed in the main ground floor bathroom. A couple of bedrooms still require suitable locks to be fitted. Timescale for action 01/02/07 2 OP19 23 30/11/06 3 OP19 23 01/02/07 Ashley House Residential Home DS0000034013.V314488.R01.S.doc Version 5.2 Page 24 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 OP21 Good Practice Recommendations Provision of a walk-in, level entry shower should be considered as a useful addition to the home’s bathing facilities, promoting choice and independence in some situations. At present, most bathing is carried out in one, assisted bathroom on the ground floor. Ashley House Residential Home DS0000034013.V314488.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ashley House Residential Home DS0000034013.V314488.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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