Inspection on 05/02/07 for Ashwood House

This inspection was carried out on 5th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ashwood House 04/02/08

Ashwood House 14/02/06

Ashwood House 12/07/05

Ashwood House 19/10/04

Ashwood House 27/04/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Ashwood House Church Corner, Coltishall Road Buxton Norwich Norfolk NR10 5HB Lead Inspector Mrs Lella Andrews Key Unannounced 5th February 2007 10:45 Ashwood House DS0000027521.V329792.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 Ashwood House DS0000027521.V329792.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. Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashwood House Address Church Corner, Coltishall Road Buxton Norwich Norfolk NR10 5HB 01603 279851 01603 279529 a.jeesal@virgin.net www.jeesal.org Jeesal Residential Care Services Limited 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) Position Vacant Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Eight (8) Service Users with Learning Disabilities may be accommodated who are aged over 18 years. 14th February 2006 Date of last inspection Brief Description of the Service: Ashwood House is a large, detached house in the village of Buxton, near Norwich. The house has parking to the front and a large garden to the rear. The Home is a few doors along from another Care Home owned by the same organisation. The Home is owned and managed by Jeesal Residential Care Services Ltd. It provides a service for up to eight adults with a learning disability. The Home has four bedrooms on the ground floor, two of which are ensuite, and four bedrooms on the first floor. Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report contains information about the Home that has been gathered since the last Inspection which includes an unannounced visit to the Home on the5th February 2007. During the visit the Inspector was shown around the communal areas of the Home, spoke to tenants and staff, looked at records and spent time discussing issues with the manager. No comment cards were returned to the Commission from tenants, relatives or health professionals. There are currently seven tenants living at the Home and one vacancy. The registered Manager left the Home six months ago and another manager within the organisation moved to manage this Home. The manager is currently applying to be registered with the Commission. The fees for the Home are individually agreed depending on the tenants needs. Currently the fees range from £850.00 to £1,300 per week. What the service does well: What has improved since the last inspection? The tenants take part in more activities than they were previously doing The tenants views are sought on a more regular basis The records are more up to date Staff are receiving more regular supervision Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 6 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. Ashwood House DS0000027521.V329792.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 Ashwood House DS0000027521.V329792.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): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The Home has an effective assessment procedure. EVIDENCE: The Home currently has a vacancy. The organisation has procedures relating to the assessment and admission of a new tenant which the Manager is well aware of. Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The care plans are detailed and regularly reviewed and updated so that staff have clear guidance about how to meet the tenants needs. Risks are assessed and clear guidance available to staff about how to manage the risks Communication with tenants has improved and therefore the opportunities for tenants to make their own decisions has increased. EVIDENCE: Two of the care plans were looked at in detail and another one was looked at in less detail. The care plans all contain detailed assessments, care plans and risk assessments. Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 10 The care plans seen during the visit to the Home are much improved than those seen during the last inspection. The care plans and risk assessments have been regularly reviewed and updated with evidence that updates are quickly made following a change in the tenants needs. The tenants are aware of the their care plans and gave the inspector permission to look at them. The tenants are involved in monthly reviews of their care plans and one of the tenants told the inspector about action that has been taken to address some of the issues that they talked about in the monthly summaries. The Home has a key worker system and tenants know who their key worker is. Risks are recognised and assessed appropriately with clear guidance provided to staff about how to manage the risks. There have been improvements in the way in which the tenants are supported to make choices and their own decisions about a range of issues. One of the staff has taken on the role of Communication Co-ordinator and is in the process of updating communication assessments and ensuring that necessary work, such as communication boards, is being completed. The majority of staff have completed Signalong training. Staff were seen to communicate with the tenants using speech, signs and recognition of individuals body language as a form of communication. There is more emphasis within the Home on finding out the tenants views and wishes and ensuring that these are respected. A tenants meeting takes place on three evenings a week at which a variety of issues are discussed including events affecting the running of the Home as well as those affecting individuals. The tenants have a financial care plan which includes details about how their money is looked after by staff. One of the tenants daily expenditure records was checked against the receipts and cash held and were found to be accurate. Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The opportunities that the tenants have for taking part in a greater range of activities has greatly increased. The daily routines of the Home are now more focused around the individual needs of the tenants The dietary needs of the tenants are met and they are supported to make choices around meals EVIDENCE: The choice that the tenants have about how they spend their time and the range of activities that they take part in has greatly improved since the last inspection. The manager is very clear about her expectations for the tenants Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 12 to be able to take part in activities that they enjoy and are of their choosing and for staff to enable this to happen. There is now a third member of staff on duty each day for part of the day which makes it a lot easier for tenants to be supported to go out. There is also good communication and liaison between this Home and the Home a few doors away which is owned and managed by the same organisation. The two Homes share two vehicles and also “share” the services of a member of staff employed to drive the vehicles and so good planning is needed. The Home is situated in a small rural village and the tenants are supported to use the local shop and pub. Some tenants also take part in adult education classes that take place in the village hall. The rural location of the Home means that it is important that staff are able to drive as otherwise this can limit the opportunities for the tenants. Tenants told the Inspector about activities that they take part in such as art classes, sailing, bowling and going to the pub as well as planning holidays for this year such as a fishing trip. The care plans contain information about the tenants activities and the support that they need at these times. On the day of the visit to the Home some tenants were out at day services, two were at home but had been offered the opportunity to go out, two tenants went bowling and one went for a walk around the village. Activities within the Home are also much more available to the tenants with staff spending more time with tenants on a 1:1 basis. The tenants know the tenants living at the other Homes within the organisation and any friendships that they have are encouraged by the staff with arrangements in place for tenants to meet up socially. The care plans include information about the arrangements in place for tenants to maintain contact with relatives. A Christmas meal took place which included tenants, staff and relatives and the which tenants and the manager said was very enjoyable. The routines of the Home are now more focused on the individual needs of tenants. Staff were heard to chat to tenants more about what they would like to do and when. Alternative forms of communication, such as offering objects of reference, were used when offering choices to tenants. Staff said that tenants are able to go to bed and get up when they like but that they are encouraged to go to bed earlier in the week when they have a busy day the next day. One of the senior support workers is responsible for planning menus with the tenants. The menus were seen and show a real mix of meals available to the tenants. Tenants confirmed that they are involved in choosing meals. Staff Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 13 offered tenants choices on the day of the visit. Staff are aware of healthy eating options and the needs of two of the tenants who are diabetic. One of the tenants has issues with drinks and there are safety issues for some of the tenants with regard to open access to the kitchen. These are clearly documented within the care plans and staff are aware of the guidance in place. However, wherever safely possible, the tenants are now able to have more access to the kitchen. Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The health and personal care needs of the tenants are met Medication is managed in a safe way EVIDENCE: The care plans contain details of the personal and health care needs of the tenants. There is evidence of tenants having regular appointments such as dentist, opticians and chiropody as well as appointments with other health care professionals as required. The care plans contain advice provided by health care professionals. The support that the tenants require with personal care varies but the staff are aware of the tenants individual needs. The additional staffing enables staff to have more time to spend with tenants on a 1:1 basis as needed. One of the tenants needs support with mobility needs and the Home has the equipment to Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 15 assist with this. Staff receive appropriate training and the moving and handling risk assessments have been recently reviewed. The Home uses a monitored dosage system for the medication. Medication is stored securely, although it is recommended that a controlled drug cupboard is used for the storage of the controlled drug that is administered. Appropriate records are kept for the receipt of medication into the Home and its administration. Staff receive training with regard to medication and the Homes policy is for two staff to be involved in the administration of medication. Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are systems in place for tenants and relatives to make complaints Staff receive training about the rights of the tenants and the procedure to follow if concerned about possible abuse EVIDENCE: The Home has a complaints procedure which is also available in symbol format. Tenants told the Inspector that they would tell the staff if they were not happy about something. The minutes of the tenants meetings show that tenants feel able to raise issues during the meetings and there is evidence of staff addressing some of these concerns. The tenants are also encouraged to raise any concerns during meetings with their key workers when putting together the monthly summaries of their care plans. The work that staff are undertaking with regard to communication will enable tenants to be able to raise concerns more easily. The Commission has not received any complaints about the Home since the last Inspection. The Manager said that the Home have not receive any complaints either. Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 17 The staff all receive training with regard to Safeguarding Adults. The three staff who spoke to the Inspector were all clear about the action they would take if concerned about the possibility of abuse taking place and were confident that the Manager would deal with this appropriately. The Manager is aware of the correct procedure to follow in the event of an allegation of abuse being made and of the whistle blowing policy for the organisation. Ashwood House DS0000027521.V329792.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): 24 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The Home provides good accommodation for the tenants but would benefit from redecoration and updating in some areas. EVIDENCE: The Manager has completed an audit of the maintenance and redecoration that needs to be completed to update the Home. This list reflects the views of the Inspector following the visit to the Home. In general, the Home provides good accommodation for the tenants. Each tenant has their own bedroom which is personalised and decorated in a way which reflects the tenants choice and interests. The office has been relocated to an upstairs bedroom and one of the tenants has moved into the room downstairs previously used as an office due to his Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 19 mobility difficulties. This bedroom is quite small and does not have a hand basin. The Manager said that this move had to take place due to the risks associated with the stairs for the tenant. The room has lighting in that was appropriate when it was an office but not so appropriate now it is used as a bedroom. It is recommended that the lighting is changed in this room to make it more homely. The Home has a bathroom on the first floor with a bath and a shower room on the ground floor which has a level access shower. Both bathrooms would benefit from being redecorated and made more homely. A recommendation is made about this. Some of the carpets in the Home are in need of deep cleaning or replacement, particularly that in the conservatory. A recommendation is made about this. One of the bedrooms has a slight odour but the Manager is already addressing this situation. The Home has one large lounge/diner and a large conservatory. These areas would benefit from being redecorated and the suite being replaced. The staff have access to cleaning materials and there are gloves and hand washing facilities available in the Home. Ashwood House DS0000027521.V329792.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): 32, 34, 35 and 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff receive good training and support to enable them to carry out their roles effectively. Appropriate recruitment procedures are followed EVIDENCE: There have been some changes within the staff team, including a new Manager, over the last six months. There are currently three vacancies, including that of deputy manager, which the Manager is in the process of recruiting for. Discussions with the Manager and a look at a sample of staff files show that appropriate recruitment procedures are followed. The staff who spoke to the Inspector have worked at the Home for several years each and know the tenants well. They said that they enjoy working at the Home and supporting the tenants. They all said that the recent changes at the Home are positive for the tenants. There was relaxed and friendly Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 21 communication between tenants and staff with staff being respectful and kind towards tenants. Records show that staff receive good induction and training from the organisations own training department. Staff confirmed that the training is relevant and appropriate to their roles. The training plan for the Home shows that staff are booked to attend a range of courses over the coming months. This includes mandatory training such as medication administration, first aid, fire safety and moving and handling. It also contains additional training such as epilepsy, autism, eating/drinking, person centred planning. Records show that three staff have completed NVQ Level 3, or equivalent, with another three currently working towards this therefore the Home is well on its way to meeting the standard of 50 of staff having completed NVQ Level 2. The Manager has implemented a schedule of supervision sessions for all staff. The notes of the sessions were not available for all staff as the Manager has not finished typing these up but staff confirmed that they receive regular supervision from the Manager. It is expected that senior support workers will take on some of the supervisions once they have received training to do so. Ashwood House DS0000027521.V329792.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): 37,38, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The Home is well managed in an open and transparent way which puts the needs of the tenants first. There are a variety of ways in which the quality of the service is measured and these all now need to be brought together into an annual quality assurance report. The health and safety needs of the tenants and staff are met Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 23 EVIDENCE: The Manager moved to this Home in August 2006 having managed another Home within the organisation. She is currently going through the registration process with the Commission. The Manager previously worked at this Home and so knows the tenants well. The Manager has completed NVQ Level 3 and has recently started the Registered Managers Award. She also attends other relevant training provided by the organisation. The Manager receives regular formal supervision from the General Manager. The Manager is very focused on the needs of the tenants and is clear about the quality of the service that the Home needs to be providing. This report includes lots of examples of the improvements that have been made since the Manager came to the Home. She has undertaken a thorough review of all aspects of the Home and has prioritised areas for immediate action. She has plans for further improvements. The staff said that they receive good support from the Manager and that she is approachable. The work that the Manager has achieved is commendable, particularly as she only works part time. The organisation provides an on call system with one of the managers within the organisation being available on a 24 hour basis. The staff said that this system works well. This report has already mentioned different ways in which the views of the tenants are sought about the quality of the service that they receive as well as other systems in place to monitor quality. Last year quality assurance questionnaires were sent to relatives for their comments. The Home has an annual development plan. There is now a need for all of these processes to be put together into an annual quality assurance report. A requirement is made about this. The health and safety of tenants and staff are given a high priority. Monthly health and safety checks are carried out for the environment with records of action taken. The Home has a fire risk assessment and a moving and handling assessment for the environment. There are clear guidelines in place to reduce risks associated with one of the tenants, and some staff, smoking. Staff receive training with regard to fire safety and records show that regular fire drills and servicing of the fire equipment take place. Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 24 The hot water is regulated and checks have identified that there is a problem with one of the hot water outlets which is currently being addressed. Regular temperature checks are carried out for the fridge and freezer. Staff receive training with regard to Food Hygiene and to Health and Safety. Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 2 X X 3 X Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 26 no 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 YA39 Regulation 24 Requirement It is required that the various ways in which the quality of the service is measured are brought together into an annual quality assurance report and that a copy is sent to the Commission Timescale for action 31/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard YA20 YA24 YA24 YA24 Good Practice Recommendations It is recommended that a controlled drugs cupboard is used for the controlled drug that is prescribed for one of the tenants It is recommended that the lighting in the bedroom that was the office is changed to be more homely It is recommended that the bathrooms are redecorated and made to look more homely It is recommended that the conservatory carpet is replaced and that the other carpets which are stained are deep cleaned or replaced Ashwood House DS0000027521.V329792.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Ashwood House DS0000027521.V329792.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!