Inspection on 04/06/08 for Ashley Lodge

This inspection was carried out on 4th June 2008.

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 Lodge 05/06/07

Ashley Lodge 24/07/06

Ashley Lodge 16/02/06

Ashley Lodge 20/09/05

Ashley Lodge 10/03/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Ashley Lodge Colmore Crescent Moseley Birmingham West Midlands B13 9SJ Lead Inspector Kulwant Ghuman Key Unannounced Inspection 4th June 2008 09:30 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 Lodge DS0000063042.V365972.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 Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashley Lodge Address Colmore Crescent Moseley Birmingham West Midlands B13 9SJ 0121 449 1503 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) Ashley Lodge RH Ltd Mrs Linda Joy Phillips Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That the registration category is 26 older people not falling within any other category. 26 (OP) In addition to the manager and ancillary staff maintain minimum staffing levels of three care staff throughout the waking day and two care staff on night duty one of whom should be designated senior. 5th June 2007 Date of last inspection Brief Description of the Service: Ashley Lodge is a care home providing care and accommodation for 26 older people. The home is located about a mile from the centre of Moseley in Colmore Crescent, which surrounds St Agnes Church. There is a bus service that runs regularly into Birmingham and in the other direction to Hall Green that can be accessed by a ten-minute walk to the Wake Green Road. The area where the home is situated has a village feel and is about 5 miles from the centre of Birmingham. The home itself is situated in a grade 2 listed building and many of its original features remain. The home has well maintained grounds that can be viewed by the people living there from the lounge areas. There is some car parking facility in the driveway of the home as well as the facility to park in the street, which had no restriction at the time of writing. The home has one double bedroom the rest of the people living in the home having single bedrooms. All but two of the bedrooms have an en-suite toilet and wash hand basin. Some rooms have en-suite showers. The home has two showers and one assisted bathroom. The home is on two floors with a shaft lift or spacious staircase to the first floor. The fees charged in the home were not recorded in the statement of purpose. Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good outcomes. One inspector carried out this key inspection over one day in June 2008. During the course of the inspection the care for three of the people living in the home was tracked. This included sampling their care files, daily records and health care notes, observations of care practice and talking to the people living in the home. We also sampled staff records, health and safety records and other applicable records. A tour of the premises was undertaken. We had lunch with the people living in the home and were able to talk to five of them. We also spoke to the manager, one staff member and two visitors to the home. Prior to the inspection the manager had completed and returned the Annual Quality Assurance Assessment (AQAA) for the home which gave some good additional information about the home. No complaints have been lodged with us since the last inspection. The complaints log for the home showed that no complaints had been recorded. What the service does well: The home provides very good care to the people living in the home. The care plans have continued to be improved and the pre-admission process ensures that people are assessed before they are admitted to the home. The health care needs of the people living in the home are met by liaising with health care professionals. People living in the home were encouraged to make choices and retain as much independence as possible. The care staff were caring and there were good relationships between the staff and the people living in the home. The food provided in the home was of good quality and nutritious. The home was maintained to a good standard. The manager ensured the smooth running of the home. Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ashley Lodge DS0000063042.V365972.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 Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process enables people to visit the home and decide if it will meet their needs. The home ensured that the needs of the people moving into the home were determined before they moved. This ensured that no one moved into the home whose needs would not be met at the home. EVIDENCE: The AQAA stated that people were invited for an assessment day so that they could assess the quality facilities and suitability of the home. They are given written information about the home and any queries discussed. Overnight assessments are offered so that they can have an overview of the services provided. We looked at the files of two people who had moved into the home recently. There was evidence that pre-admission assessments were carried out and assessments were received from the placing social workers ensuring the home Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 9 was aware of the individuals needs and the individual was re-assured that their needs could be met at the home. Pre-admission assessments covered areas such as chiropody needs, dental care, appetite, allergies and toileting. On occasions the assessment was carried out at the hospital. We were told that reviews were being carried out to determine if the placements were suitable after the trial period. Terms and conditions of residence at the home were available. The statement of purpose had not been updated with the room sizes, range of fees and numbers of staff on duty. This was raised at the last inspection. Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and health care needs of people living in the home were being met to their satisfaction. The management of medicines in the home was good ensuring that people living in the home received their medicines as prescribed. Staff respected the privacy and dignity of the people living in the home. EVIDENCE: The AQAA told us that the people living in the home had access to health care services. Staff who gave out medicines have achieved an accredited safe handling of medicines certificate. Care plans are regularly reviewed and any equipment needed to promote tissue viability was accessed. Meetings have been held with the continence advisor team to ensure all aids and equipment is provided. Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 11 We looked at the file of one person who had been living in the home for some time and the files of two people who had lived there for a short time. The files showed that risks assessments had been carried out in the home for moving and handling, falls, nutrition, pressure area care and mental health. Care plans had been improved since the last inspection so that there was more detail on how the needs of the people living in the home were to be met. Care plans identified tasks that the individuals could do for themselves such as wash their hands and face with prompting. Further improvements could be made. Care plans identified the need, the goal to be achieved and instructions for staff on how to assist the individual. A relative told us ‘ she has almost no communication. We rely on staff to anticipate what she wants – or rather doesn’t want.’ During a tour of the building it was noted that in some bedrooms instructions for staff on the care needed in respect of application of creams were put up on the walls. Staff should have this information available to them in the care plans and the notices should be removed. Monthly reviews were being carried out and weights were being recorded. Medical visits were recorded separately making it easier to track the visits made. The medical needs of people living in the home were being well met. Some daily records were good others were not so informative. It was important to record refusals for being involved in activities, or food or assistance with personal care and more detail needed to be kept for people who were unable to communicate verbally so that their care could be monitored. Relatives spoken to during the day made comments such as; “care given is excellent”. “Delighted with the care. She has hair and feet attended to regularly. The home are good at calling out services as needed”. The home used a monitored dosage system in the home. There were photographs with the medicine administration records (MAR) and a list of signatures of people who were able to administer medicines. At the time of the inspection a new medication cycle had been started. The audit of medicines carried out during the inspection was satisfactory. Medicines had been appropriately recorded on their receipt into the home. Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 12 There was one as and when required medicine that needed to have a protocol to assist staff when to give the medicine. This would ensure there was consistency of when the medicine was given between staff. We spoke to five people who lived in the home and they all said they were happy with the home. All bedrooms could be locked if people wanted to lock their doors. There were privacy screens in place in shared rooms. There was nothing seen or heard that indicated that the privacy and dignity of people living in the home was not observed. Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were a variety of activities available in the home. Individuals could join in if they wanted. The people living in the home were provided with choices and a nutritious menu that met their needs. EVIDENCE: The AQAA told us that the routines of daily living were relaxed and flexible. Visitors were welcome at any time. A choice of very good varied, appealing and nutritious meals are offered daily, with drinks and snacks available at any time. Mealtimes are relaxed and unhurried with assistance given where necessary. There are daily in-house activities such as sing-a-longs, games, group chats, nail painting and hobbies such as knitting. Clothes can be bought by the people living in the home from a visiting boutique. Fetes are organised twice a year to raise funds for trips and treats throughout the year. Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 14 Records seen during the inspection evidenced that the above activities did take place along with others such as visiting entertainers, skittles, mobility and exercise and cooking and discussions about newspaper articles. People living in the home were seen to get up and go to bed at various times and visitors were made welcome at all times. Visitors confirmed they could visit whenever they wanted. One person spent a lot of time in the bedroom. The relative said ‘ he was used to living alone. Spends a lot of time in the bedroom. Goes into the lounge when he wants. People could choose which clothes to wear and had a choice of when to have a bath or shower and how often. Another person said ‘family is made welcome’. We were able to eat lunch with the people in the home. There were choices available and people were shown plated up meals so that they could choose what they wanted. Everyone appeared to enjoy the meal and second portions were offered along with drinks being encouraged. Relatives told us; ‘the food is excellent’ ‘special meals are provided, vegetarian and diabetic. The meals are substantial’ Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was an appropriate complaints procedure at the home and the people living in the home had all been issued with a copy. Staff had undertaken training in adult protection awareness ensuring they were equipped with the necessary skills and knowledge to be able to recognise and report appropriately any incidents or suspicions of abuse. EVIDENCE: The AQAA told us that every room had a service user guide in it that included a copy of the complaints procedure. Staff are trained with the necessary skills and knowledge to enable them to recognise and report any incidents or suspicions of abuse. No complaints had been lodged with the CSCI about the service and none had been recorded in the home. There was a grumbles book available in the home. Staff appeared to be very caring and receptive to the needs of the people living in the home. The adult protection procedures were available, including the multi-agency guidelines. There was a suitable whistle blowing policy in place. Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offered the people living there clean, comfortable and generally spacious accommodation. Improvements to the environment were ongoing to ensure all the appropriate facilities were available to them. EVIDENCE: The AQAA told us that the residents lived in a safe, clean, well maintained, pleasant, comfortable environment. The building complies with requirements of the local fire service and environmental health departments. All of the twenty-four bedrooms have been refurbished. The downstairs bathroom has been completely refurbished and is now a walk-in shower room with toilet and washbasin. A downstairs toilet has been installed closer to the lounge area. All bedrooms now have new beds and bedroom furniture in situ. A new sluicing washing machine and tumble dryer is also in situ. Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 17 A tour of the building confirmed the above. All bedrooms except one had ensuite toilet facilities. The bedroom without en-suite facilities had a toilet accessible just outside. Bedrooms were of a variety sizes. Some were quite some and others were very large. Some bedrooms were seen to be locked. There was a movable ramp into home and one into the garden. The home had experienced difficulties in getting planning permission to get fixed ramps put in place. There was equipment available to enable people living in the home to access all areas of the home. Some of the corridors were in need of decoration and the stair carpets were becoming worn. We were told that these were part of the refurbishment plan. These improvements were not identified in the improvement plans for the next 12 months identified in the AQAA. Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The recruitment procedures in the home were adequate but induction training needed to be improved. Staff were competent and could safely meet the needs of the people living in the home. EVIDENCE: The AQAA told us that the staffing levels were always appropriate with additional staff on duty at peak times of activity. Staff are well trained to meet the needs of the residents. The majority of staff are trained to NVQ 2 and above with ongoing mandatory training. People living in the home are protected by the homes recruitment policies and practices, 2 references and POVA/CRB checks. A copy of the General Social Care Codes of Conduct is given to all staff members. The majority of the staff have worked at the home for many years which gives good continuity of care for the people living in the home. The staffing rota showed that there was always a senior and two care staff on duty during the day and two staff during the night. In addition there were ancillary staff to undertake domestic and catering tasks. Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 19 The recruitment files of two staff were sampled. Both files had two references in place and CRB clearance in place. Application forms had been completed. Neither of the files had had an induction equivalent to the skills for care foundation standards completed although they had been in post for several months. One of the individuals had already achieved NVQ level 2 but the other had never worked in the care sector before. The manager stated that both people were good workers, worked only weekends at the home and had other jobs during the week and felt that the period to complete the induction should be increased. This issue had been raised at the previous inspection. There was no evidence that the individual had received any formal supervision since being employed. It is the inspector’s view that the induction training should be completed within the 12-week timeframe and it is their responsibility to make themselves available. They had attended some training such as fire safety, health and safety and first aid. The majority of staff had worked at the home for a long time and this was good for the continuity of care for the people living in the home. Only two staff had left employment at the home in the last twelve months. There were a staff employed at the home from a variety of cultural backgrounds and age groups. All the staff have received training in safe food handling. Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensured the smooth running of the home in a competent manner that was to the benefit of the people living in the home. EVIDENCE: The AQAA told us that the manager had 20 years experience in the care field and had achieved all relevant qualifications. Views of the people living in the home and their families are identified through meetings, reviews and questionnaires. The manager showed a good knowledge of the needs of the people living in the home. The staff team had continued to work hard since the last inspection to meet the requirements from previous inspections. Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 21 The staff team appeared to work very well together and relationships within the team and with the manager appeared to be very good. The home was being managed so as to safeguard the people living there. The documents were being developed as needed. The views of the people living in the home were being canvasses by send out questionnaires. There had been some good feedback from the questionnaires but the manager had not yet collated the feedback to inform any development plan for the home. A system to formalise the quality assurance system had been recently acquired but had not yet been set up. There were some meetings with the people living in the home and with the staff however, the minutes of these were not readily available and it appeared that they were taking place occasionally rather than on a regular basis. There were adequate records for the monies being handled by the home on behalf of the people living in the home. Health and safety was being managed well in the home. All the in house checks on the fire system were up to date, there had been fire training for staff and a fire drill had been undertaken. There was evidence on site that the majority of the equipment had been serviced. There was a fire risk assessment that had been carried out by an outside agency. Accident and incident recording and reporting were seen to be appropriate. Ashley Lodge DS0000063042.V365972.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 NCHOICE OF HOME Standard No 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 Score X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? 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 OP30 Regulation 12(1)(a) Requirement The manager must ensure that the induction training offered in the home covers all the topics and is completed within the time scales laid down by Skills for Care and that a record of the training is maintained. Previous time scales of 31/12/05, 01/04/06 and 01/09/06 not met. This will ensure that the staff are appropriately trained to carry out their roles. Timescale for action 01/08/08 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 OP1 Good Practice Recommendations The statement of purpose for the home must include the numbers of staff and the room sizes and range of fees charged Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 24 This will ensure people thinking about moving into the home are given full information on which to base any decisions they make. 2. OP3 A 28-day review should be carried out to determine whether the home can meet the individual’s needs on a long-term basis and that the person is happy with the service being provided. Not assessed at this inspection. Daily records should give an overview of how the people living in the home have spent the day and the assistance given or refused. This will ensure that the care provided can be measured against the care plans and ensure that the needs of the people living in the home are met. Instructions for staff put on bedroom or en-suite walls should be removed. This will ensure that the dignity of the people living in the home is maintained. The manager should access the multi-agency guidelines on adult protection from the local offices of Health and Social Care. Areas identified as needing decoration and carpets needing replacing should be attended to. The manager should develop a plan of improvement actions to be taken following the gathering of views on the service from the people using the service. This will ensure that a homely environment is maintained for the people living in the home. The staff needed to be supervised on a regular basis. This will ensure that staff are working in accordance with the home’s policies and procedures. 3. OP7 4. OP10 5. 6. 7. OP16 OP19 OP33 8. OP36 Ashley Lodge DS0000063042.V365972.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Ashley Lodge DS0000063042.V365972.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. 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