Inspection on 10/10/06 for Badger`s Croft

This inspection was carried out on 10th 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Badger`s Croft 13/03/08

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Badger`s Croft Pear Tree Close Chipping Campden Glos GL55 6DB Lead Inspector Richard Leech Key Unannounced Inspection 14:00 & 10 & 11th October 2006 th 09:30 Badger`s Croft DS0000066768.V301656.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 Badger`s Croft DS0000066768.V301656.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. Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Badger`s Croft Address Pear Tree Close Chipping Campden Glos GL55 6DB 01386 841219 01386 841219 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) www.brandontrust.org The Brandon Trust Ms Pamela Ann Harridine Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6), Physical disability (2), of places Physical disability over 65 years of age (2) Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10/03/06 Brief Description of the Service: Badger’s Croft is a detached home in a quiet, residential area of Chipping Campden. Care and accommodation is provided for up to six people with a learning disability, some of whom may also have physical disabilities. Accommodation is provided on the ground and first floors. Each person has their own bedroom. There is a spacious lounge and kitchen/dining area. The home has a large garden. The home is next to a day centre which some of the people living in the home attend. The home is operated by the Brandon Trust, which also runs a number of other care services in the county and other parts of the region. Up to date information about fees was not obtained during this inspection. Prospective service users and their supporters are provided with information about the home including copies of the Statement of Purpose and Service Users Guide. Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection began on a Tuesday afternoon, lasting until about 6pm, and continued on the following Wednesday from 10:30am to 3pm. The manager was present on the second day. A number of the staff and all of the service users were met. A visiting healthcare professional was also spoken with during the inspection. In addition, some comment cards were sent out to people involved with service users’ care. A pre-inspection questionnaire was returned before the visit. During the site visit several members of the staff and the manager were spoken with. Various records were sampled including care plans, daily notes, medication charts and staffing files. General observation of life in the home took place over the two days. What the service does well: What has improved since the last inspection? Some work has been done around care planning as required at the last inspection. A problem with the hot water system has also been resolved. Progress has been made with many of the recommendations from the last inspection. Badger`s Croft DS0000066768.V301656.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. Badger`s Croft DS0000066768.V301656.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 Badger`s Croft DS0000066768.V301656.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The lack of an up to date policy framework and of an assessment tool may compromise a fundamentally sound approach to referrals and admissions. EVIDENCE: The Trust has an admissions policy dating from 2000. This was marked as pending review. This should be done as soon as possible in order to fully take into account changes since then including the introduction of the National Minimum Standards. The manager talked through how the admission process worked in the home. This included obtaining assessment and other background material and offering introductory visits. Very detailed notes were seen in respect of the visits that prospective service users had made to the home. Some assessment material was also viewed. The Statement of Purpose requires review and update since there are references to the former service provider and to some of their policies and procedures, such as for complaints. The Service Users Guide also needs review and update to fully conform to the requirements of the Care Homes Regulations (Regulation 5). Badger`s Croft DS0000066768.V301656.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care planning systems in the home provide a basis for consistent support to meet service users’ needs. People living in the home are supported to express their wishes and to make choices as far as possible. Systems are in place for the assessment and management of risk, promoting service users’ safety. EVIDENCE: Selected care plans covered appropriate areas and provided clear guidance for staff. They were seen to have been recently reviewed. However, a few documents in the care planning files were undated/had not been reviewed and it was not clear whether they were current or not. Some work had taken place on essential life planning, although some of this material had no date and it was not clear what work had taken place around action plans and working towards identified goals. Some recent training had been given about person centred planning and it was expected that new Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 10 person-centred planning formats would be introduced by the Trust in the near future. The manager said that two staff had also completed a distance-learning course about care planning. Separate guidance has been produced for staff working at night. Care plans referred to offered service users choice as far as possible. Staff spoken with described how they aimed to do this, using communication methods appropriate for each individual, giving examples. Service users were observed being offered choices during the inspection. Some staff said that further work was planned on updating communication guidance in conjunction with professionals from the Community Learning Disability Team, and that this would further promote service users’ expression and decision-making. Risk issues were seen to be identified and assessed in care plans, specific guidelines such as for moving & handling, and through formal risk assessments. Badger`s Croft DS0000066768.V301656.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from activity programmes which reflect their needs and interests. Service users are supported to maintain and develop relationships with important people in their lives. Service users’ rights are respected, promoting their self-esteem and sense of individuality. A healthy, varied diet is provided, promoting service users’ wellbeing. EVIDENCE: Two service users’ activity plans were checked. These included attending a day centre, meeting family, music sessions, going to the pub and having lunch out. Daily records provided evidence of these and other activities taking place. Staff spoken with felt that the people living in the home had activity programmes which met their needs, with time also given for people to relax if necessary. They described going for trips out and also using facilities in the village. Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 12 The team had recently started scrapbooks for each person, which included photos and commentary about different activities. Staff said that where possible the service users were involved in putting them together and that they enjoyed looking at them. The manager described some recent changes to one person’s activity programme, with efforts being made to introduce a more individual personcentred programme. Some staff felt that there could be more use of sensory equipment in the home. This idea could be explored. Staff described service users staying in contact with family. An example of this was observed during the visit. Daily notes and observation provided evidence of flexible routines operating in the home. Service users were seen accessing different areas of the home freely. Staff were seen responding to people’s wishes, and in discussion expressed a commitment to respecting Badger’s Croft as being the service users’ home. Food records showed that a varied and balanced diet was provided for service users. Fresh fruit and vegetables were available in the home and were also recorded on the records. The records indicated that people sometimes had different foods to others, providing evidence that choice was offered. Staff were observed offering choices about food and drink. Three meals (including breakfast) were observed. Food was seen to be freshly prepared and appropriate support was offered to people. The atmosphere was relaxed. Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ personal and healthcare needs are met, promoting their dignity and wellbeing. Appropriate arrangements are in place for the management of medication, helping to keep service users safe and well. EVIDENCE: Care plans gave guidelines for the personal care support that people required. Staff described how they offered this support in a flexible way, respecting people’s choices and preferences. Staff demonstrated awareness of issues around privacy and dignity. Service users were seen to be dressed individually. Staff described supporting people to choose their own clothing as much as possible. Daily records provided evidence of people accessing hairdressing services in the community. Discussion with staff and checking healthcare notes indicated that staff were receiving all necessary routine and specialist healthcare. It was agreed that healthcare notes would benefit from being better organised. For example, dental visits were being recorded in different places. One oral healthcare plan appeared not to have been reviewed since December 2004. Some staff have Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 14 been trained in health facilitation and it was reported that health action planning was getting underway in the home. Examples were seen. This should help with the points made above. Records provided evidence of input from a variety of specialists. Some members of the Community Learning Disability Team visited on the second day of the inspection. Positive feedback was received about how the team put recommendations into practice. Records indicated that one person had been most recently weighed in May 05 and June 06. The manager agreed that this should be more frequent and should be followed up with keyworkers. Medication storage and records appeared to be in order. The home uses a monitored dosage system. Discussion with the manager and staff, along with checking records, indicated that members of the team have had in-house training as well as external training from the supplying pharmacy and, in some cases, a distance-learning college course. The allergy section of the MAR charts was not completed. This should be done, even if it is to record ‘none known’. The Trust’s medication policy in the home dated from 2000, and was shown as pending review. This should be reviewed as soon as possible to take into account the National Minimum Standards as well as guidance from the Royal Pharmaceutical Society. Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place for managing complaints, although aspects of policy need review in order that people have the information that they need. Systems are in place which help to protect service users from harm and abuse. EVIDENCE: The Trust’s complaints procedure dates from 2003 and consists of a text and symbol version. It is understood that this is going to be reviewed to make it more accessible. The procedure also requires review since there are no contact details for CSCI included. Staff described how different people living in the home expressed dissatisfaction and how they responded to this. Systems for managing service users’ finances were checked. Staff explained that the arrangements were about to change, with each person having their own bank account and with their money no longer being pooled. This is a welcome development. The Trust has policies covering whistle blowing and safeguarding adults. Staff spoken with demonstrated a good understanding of adult protection issues and expressed confidence in systems for reporting and investigating any concerns. The manager said that all staff would be attending training about adult protection in the near future. A copy of the handbook for the local adult protection team was available in the home. Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A clean, homely and pleasant environment with suitable aids and adaptations is provided, promoting service users’ comfort and safety. EVIDENCE: All areas of the building were checked and were found to be pleasantly decorated and comfortable. Service users’ rooms have basins and are personalised. Aids and adaptations are in use around the home, including an adapted bath. There was a missing tile in one bathroom. The manager said that this had been reported. Comments have been made in previous inspections about the doors having glass panes. These have been coated to make the pane opaque, and net curtains have been fitted. Although not ideal, it was agreed that this arrangement did protect service users’ privacy. Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 17 The home has a large garden. However, the manager and staff said that it was not very accessible for some people living in the home. It was suggested that it would benefit from being levelled off in some areas, and from having a larger patio. Some people also thought that the service users would appreciate a conservatory. The home appeared to be clean and fresh throughout. Records were seen of a daily check for out of date food. Staff described infection control measures in place. Some people had completed a course about infection control. Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Support is provided by a skilled and appropriately trained staff team, helping to ensure that service users’ needs are consistently met. A shortage of permanent staff may begin to compromise aspects of the running of the home. Appropriate recruitment and selection procedures help to protect service users. EVIDENCE: Staff were observed to be warm, respectful and professional in their interactions with service users, who in turn appeared relaxed and comfortable around the staff. Staff spoken with demonstrated a good understanding of service users’ needs and conditions, although there was some uncertainty about one condition experienced by a service user. The manager said that a psychologist from the CLDT was being going to produce some user-friendly guidance about this condition and its implications. External feedback provided evidence of good communication in the team. The communication book was seen to be well used. At the start of the inspection staff were having a team meeting. Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 19 It was reported that, excluding the manager, three staff out of six had NVQ level 3 and that another person was working towards this. Another member of the team is a qualified nurse. The manager and staff reported that there were three vacancies (full-time) and that there was some difficulty recruiting. In the meantime the hours were being covered by bank and agency workers, or by existing staff working overtime. The manager also indicated that she was undertaking more direct care work and that as a result some management functions had slipped. Whilst this may be sustainable in the short-term, clearly this issue must be addressed. The manager felt that it was essential to resolve the staffing shortage before another service user moved in to fill the vacancy. Selected staffing files included required information. The manager described the recruitment process and provided a flowchart illustrating the different stages and roles. Training records provided evidence of core training being up to date or booked for the near future. There was also evidence of a wide variety of specialist training appropriate to service users’ needs. The manager and staff expressed satisfaction with the Trust’s training arrangements. It was suggested that the team look into training about the forthcoming Mental Capacity Act. Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 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 run, promoting positive outcomes for service users. Measures are in place which help to monitor and improve the quality of the service provided. Health and safety is well managed, helping to make the home a safe place to live and work. EVIDENCE: The manager is a qualified nurse specialising in learning disability, and has obtained the Registered Manager’s Award. Staff spoken with were positive about the management and the running of the home. Quality assurance in the service was discussed. Reports of monthly visits made under Regulation 26 are being forwarded to CSCI. The Trust has a series of Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 21 quality standards and home managers have been asked to audit their service against these. Their line manager will in turn check this. It is understood that these standards are due to be reviewed to give more of a service user perspective, along with there being changes to the overall quality assurance strategy. The manager cited staff meetings and care plan reviews as other forms of monitoring and improving the quality of the service. Some recent Regulation 26 reports have questioned how service users’ views could be obtained in alternative ways to ‘house meetings’, these being judged as inappropriate for the setting. Although this standard is assessed as met, there is scope for developing quality assurance in the service including finding other ways of obtaining feedback from people living in the home. Progress in this area will be considered during future inspections. The home has a good record of compliance with CSCI requirements, and of taking forward recommendations. Staff reported receiving training in health and safety, and felt that it was well managed in the home. The Trust has a health and safety manual, which includes a policy on health and safety, dated September 2005. Records provided evidence that routine checks were being done at suitable intervals (although fire alarms testing appeared not to have been done for a fortnight. The manager said that she would check whether this had been overlooked). Household chemicals were seen to be locked away. Badger`s Croft DS0000066768.V301656.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 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 2 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 2 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 x 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 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA1 Regulation 4&5 Requirement Review and update the Statement of Purpose and Service Users Guide to ensure that they fully conform to the Care Homes Regulations. Review and update the complaints procedure to include contact details for CSCI. Timescale for action 31/01/07 2 YA22 22 (7) 31/01/07 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 Refer to Standard YA2 YA6 Good Practice Recommendations The Trust should review the admission policy dating from 2000 as soon as possible. Tidy up care planning files so that all documents are dated and reviewed, and anything which is not current is archived if appropriate. Further develop person centred care planning in the home. Consider whether some service users would benefit from greater use of sensory equipment in the home. Reorganise healthcare records so that they are clearer. 3 4 YA12 YA19 Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 24 Introduce health action plans for all service users as early as possible. 5 YA20 Ensure that service users are weighed at suitable intervals. The allergy section of the MAR charts should be completed, even if to record ‘none known’. The Trust’s medication policy dated 2000 should be reviewed as soon as possible to take into account the National Minimum Standards as well as guidance from the Royal Pharmaceutical Society. Consider ways of making the garden more accessible for all of the service users. Intensify efforts to fill the three staff vacancies. Consider accessing training about the forthcoming Mental Capacity Act. Continue to consider different ways of monitoring and improving the quality of the service, in particular how to obtain, record and act upon feedback from service users. 6 7 8 9 YA24 YA33 YA35 YA39 Badger`s Croft DS0000066768.V301656.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Badger`s Croft DS0000066768.V301656.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. 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