Inspection on 03/10/07 for Badgers

This inspection was carried out on 3rd October 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Badgers 19/04/06

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Badgers Blackwater Lane Pound Hill Crawley West Sussex RH10 7RL Lead Inspector Mr E McLeod Unannounced Inspection 3rd October 2007 14:20 Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 1 Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 2 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 Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 3 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. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Name of service Badgers Address Blackwater Lane Pound Hill Crawley West Sussex RH10 7RL 01293 885469 01293 885469 badgers@evesleighcaregroup.co.uk 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) Evesleigh Care Homes Ltd (ILIACE Group) Miss Jane Margaret Ashby Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 5 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th April 2006 Brief Description of the Service: Badgers is a care home registered to accommodate up to four Service Users with learning disabilities. The Registered Provider is Evesleigh Care Homes Ltd (ILIACE Group), and the registered manager is Miss Jane Margaret Ashby. The current scale of monthly charges ranges from £1200 to £1300 per week. The home is a detached property, situated in a residential area close to Crawley town centre, which has access to all community facilities and is within easy reach of local rail and bus stations. Accommodation is provided over two floors. Each resident has their own bedroom, with one resident located on the ground floor, and the remaining three residents on the first floor. There is a large living room that includes a dining area, a smaller lounge and a large kitchen area. In addition the home has a garden with lawn and decking to the rear of the property. The Service Users Guide and Statement of Purpose, which incorporates inspection reports, are both located at the home and are accessible to Service Users, staff, relatives and anyone else interested in the service. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The visit was arranged to follow up requirements made at the previous inspection and to undertake a further assessment of how the home is meeting the key national minimum standards. The visit was undertaken by one inspector and lasted for 2.75 hours. Planning for the visit took into account information received on the service since the previous visit, including a CSCI annual quality assessment self-audit (AQAA) from the home which updated us on the service provided. We sent survey forms to people living in the home, their relatives and members of staff. We received back two survey forms from people living in the home, one from a relative, and three from members of staff. The information gathered contributed to our planning for this visit and some of the views given in the surveys are included in this report. During the visit we spent time talking with two people living in the home, to the manager and to two members of staff. We also looked at two sets of care plans and other records relating to the care provided and health and safety in the home. We sampled two sets of staff recruitment and training records. We observed interactions between staff and people living in the home, and visited areas of the home including two bedrooms and the main communal areas. What the service does well: There is a calm and friendly atmosphere. People living in the home have opportunities to do the things they enjoy, and to further develop their abilities and communication skills. The staff team are able and supportive. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 7 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. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 8 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 Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The person’s aspirations and needs are assessed before they are admitted to the home. EVIDENCE: People living in the home told us in the written surveys they completed with staff assistance that they had visited the home and met the staff and people living there before making a decision about moving in. We looked at two sets of admission assessments which indicated that people’s needs are being fully assessed before a person is admitted to the home. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessed and changing needs and personal goals of people living in the home are reflected in their individual plan. People make decisions about their lives with assistance as needed. People are consulted on and participate in all aspects of life in the home. Staff enable people to take responsible risks as part of an independent lifestyle. EVIDENCE: We looked at two sets of care plans. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 11 These indicated that risk assessments and care planning are in place for the person, and that plans are being updated. Care plans seen indicated that guidelines are provided on how the person wishes their care to be provided, and ways in which the person will be supported to make their own decisions. People living in the home who we spoke to said that staff had supported them to make their own choices. People gave examples of ways in which they felt included in the day to day running of the home, such as through residents’ meetings and answering the door. Care plans included advice to staff on how to support people in maximising their independence and control over their lives. Risk assessments seen indicate ways in which people are supported to take responsible risks, such as preparing food in a kitchen, which will support their independence. We discussed with the manager the longer term goals for two of the people living in the home, and found these included being supported to travel independently on public transport and developing their skills in handling money. People we talked to gave examples of the kind of things they wished to achieve in the future, and they believed staff would support them towards their goals. Discussion with staff and residents confirmed that these were things that people were working towards. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have opportunities for personal development, and to continue their education or training. People are supported to access the local community, and to make use of leisure facilities. Staff support people to maintain family links and friendships inside and outside the home. People are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 13 People living in the home told us in the written surveys they completed with staff assistance that they choose what they want to do. Each person has an activities plan, which includes educational and leisure activities, which are agreed with them and form part of the care plan. One person said in their written survey (completed with staff assistance) that “I enjoy going to college and I like going to visit my mother and speaking to her on the phone”. One person said she enjoyed receiving aromatherapy sessions and using a footbath. While the manager tells us in the AQAA that more activities and courses are being provided for people living in the home, she also identifies this as an area where they could do better. In a written survey we received, one relative had suggested more things to do could be provided at weekends. Staff we interviewed said that at weekends people usually had a lie in, but that after lunch people might go out for walks or a drive. Miss Ashby said that it was planned to introduce swimming, bowling and cinema as regular weekend activities. People we talked to said they were making use of shops and pubs in the local area, and one person said they enjoyed playing pool at a local pub. Discussion with people in the home indicated that they are being supported to maintain contact with family and their social network. In their survey responses to us, people said they enjoyed the meals provided. A person living in the home who we talked to said that specialist diets, such as low fat diets were being catered for, and Miss Ashby gave examples of the types of low fat foods which are provided. The care plans sampled indicated the arrangements in place where a particular diet was being followed. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive personal support in the way they prefer and require. The home ensures that people can access the healthcare services which they need. The arrangements for the storage of medicines do not sufficiently protect people living in the home. EVIDENCE: People living in the home told us in the written surveys they completed with staff assistance that they are receiving the support they need in the way they prefer, and that they are treated well by staff. Staff responding to our written surveys said that people living in the home have been increasing their communication and independence skills, and that Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 15 one of the strengths of the home is that the individual’s rights and choices are being respected. With one resident, staff felt the person’s verbal skills had developed, as had the ability to handle everyday situations such as shopping. With a resident who had been difficult to motivate, staff said that a consistent approach had helped the person feel safer and more encouraged to do new things including attending college and doing more cooking. Records of staff meetings which were sampled indicated that discrimination issues are being openly discussed in the home. Care records seen indicated that people are accessing medical support (including reviews of their medication) and specialist medical services (such as psychiatrists) where the need is indicated. We looked at the medication arrangements in the home. Medicines are stored in a cupboard where other items are also stored. The most recent inspection report by a pharmacist (December 2006) on medication arrangements in the home recommended that medicines should be stored separately from other items and in a lockable facility secured to an external wall. Miss Ashby said there were no plans to update the storage arrangements for medicines. The inspector took the view that the medicines held in the home warranted more secure storage arrangements. Miss Ashby said that all staff who administer medicines receive a training in this from a l pharmacist, and that two staff had passed this course during the week of the inspection visit. We sampled medication records, including records for medicines received and medicines returned. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People feel their views will be listened to and acted on. People are being protected from abuse, neglect and self harm. EVIDENCE: People living in the home told us in the written surveys they completed with staff assistance that they know how to complain. One person said “I meet with the area manager once a month so if I had a problem I would inform him”. We looked at the record of complaints and found that no complaints had been recorded for a number of years. We take the view that the recording of complaints is an important part of the home’s self-monitoring procedures, and can indicate where good practice has taken place in responding to concerns or complaints. In the AQAA provided by the home, Miss Ashby said that she felt that the recording of complaints was an area which could be improved upon in the home, and that training for staff in complaints would be useful. It is recommended that the provider give this matter consideration. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 17 Our records indicate that there have been three adult protection incidents since the previous inspection and that concerns were raised by the local authority that correct safeguarding adults procedures had not been followed after one incident in the home. During the inspection we sampled the plans in place for managing behaviour and physical interventions in the home. We found that subsequent to the incidents reported, guidelines for staff in dealing with aggressive behaviour have been put in place, and that these behaviour plans are being updated on a regular basis. Staff have also been undertaking training in physical intervention techniques, the most recent training having taken place in August 2007 and the next training being in October 2007. Ms Ashby told us that all staff will have completed training in physical interventions after the October training. We looked at the updated policy and procedures in the home for dealing with safeguarding adults incidents, and found that these provide clear guidelines for staff to follow. Miss Ashby said that as a result of the recent incidents, the managers and staff are now more aware of the correct procedures to be followed. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The provider could do more to ensure people live in a homely, comfortable environment. The person’s bedroom promotes their independence. The home is clean and hygienic. EVIDENCE: A maintenance system is in place, and records seen indicated that repair work in the home was being carried out. On the day of the visit, a maintenance worker was present who was carrying out jobs such as putting up a cabinet in the upstairs bathroom. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 19 It was noted during our visit, however, that a number of maintenance issues had not been attended to, such as replacement of carpets. This was especially noticeable outside the laundry room, where the carpet was well worn and could present a trip hazard. All bedrooms visited had been personalised by the person whose bedroom it was, and reflected their interests and tastes. One of the people living in the home said she had wanted to move to a smaller bedroom, and that this has now been arranged for her. She said she was happy with her new bedroom and staff would be helping her that evening to arrange her new bedroom. Bedrooms were not all in good decorative order. For example, in one bedroom the marks where some shelves had once been had not been made good. Bedroom carpets seen were not all in good condition. Communal space includes an area of decking in the garden. Staff told us that the decking surface can be slippery when wet at times, and the provider needs to ensure that this surface is made safe for people in the home to walk on at all times. While the manager told us that improvements to bathroom areas, carpets, replacement of mattresses and interior work were planned, there were not dates set for this and there was no timescale in place within which to achieve this. All parts of the home visited were found to be clean and fresh. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported by competent and qualified staff, and an effective staff team. The home’s recruitment policy and practices help protect the people living in the home. There is a staff training programme which ensures staff fulfil the aims of the home and meet the changing needs of the people living there. Staff receive the support and supervision they need to carry out their jobs. EVIDENCE: Staff working in the home told us in the written surveys they completed that training is updated regularly and one to one supervision and appraisals are taking place. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 21 In the AQAA the manager has told us that no temporary staff cover has been required during the previous three months. On the day of the visit, staff numbers were sufficient to meet the needs of the people accommodated, including the provision of outings and one to one support. Interactions observed between staff and people living in the home indicated that people find staff approachable and responsive to them. Staff were noted to have good communication skills and people in the home felt valued as a result of their interactions with staff. We looked at two sets of recruitment records for staff who have come to work in the home since the previous inspection. We found that required references and checks had been carried out. The AQAA tells us that of 10 staff members, 2 have achieved the national vocational qualification (NVQ) in care at level 2 or above, and 4 staff are working towards this. We sampled training records for staff, and found that most staff had undertaken required trainings. One member of staff said that the managers let the care staff know if they needed to update their training in a topic, and said she had recently updated her training in epilepsy. We looked at two sets of supervision records, which indicated that staff were receiving regular sit down supervision which is recorded, and which covers practise and training issues. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from a well run home, and from there being an open, positive and inclusive atmosphere. A quality monitoring system based on seeking the views of people living in the home, their relatives and others with an interest in their care is not being implemented. Policies and procedures in the home are being monitored and reviewed. The health, safety and welfare of people living in the home is being promoted and protected. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 23 EVIDENCE: Since the previous inspection, Miss Jane Ashby has been registered as manager for the service. The previous requirement made concerning the need to appoint a manager is now assessed as met. Ms Ashby continues to update her training, has achieved NVQ in care at level 4, and is presently undertaking the registered manager’s award. There is a good atmosphere in the home, and one member of staff told us in a written survey that “it’s a great home to work in. The staff and manager are very caring”. Two people living in the home who we talked to had a very high regard for the manager, and found her easy to talk to. We sampled records of the monthly visits made by the provider. The reports sampled failed to highlight or address some of the shortfalls in the accommodation provided which we found at both this visit and the previous inspection visit. We looked at what arrangements were in place for the views of people living in the home, their relatives and other people with an interest in their care to influence the service provided. We looked at the records of residents’ meetings, where people had the opportunity to suggest improvements and the next meeting would report back what changes had been made. Miss Ashby told us the views of relatives were not presently being canvassed, although some relatives had been involved in care plan reviews. We found that there was not an annual development plan in place for the home which would assist the home is setting goals and making improvements. The AQAA has told us that policies and procedures in the home were most recently reviewed in February 2007. We sampled policies and procedures during our visit, such as the adult protection procedure, and found some of these had also been reviewed in May 2007. Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 24 The Safer Food system for checks on food hygiene is in place. The manager has told us in the AQAA of the most recent equipment services and tests which have been carried out. We sampled the records for fire equipment servicing, and found these to be up to date. One person we talked to told us about the evacuation that had taken place when a fire alarm recently was activated. Staff training records sampled indicated that staff are receiving training in health and safety topics such as safe food handling, manual handling, and physical intervention. Badgers DS0000066060.V347664.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 2 25 X 26 2 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 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 2 x 3 3 2 3 X 3 x Badgers DS0000066060.V347664.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. 2. 3. Standard YA20 YA24 YA24 Regulation 13.2 23.2 (b) 23.4 (a) Requirement Arrangements for the storage of medicines should ensure the safety of people accommodated The premises must be kept in a good state of repair – to include carpets and decoration The provider shall ensure that all parts of the home to which people living there have access are so far as reasonably practical free from hazards to their safety – to include the condition of carpets and the exterior decking There shall be an annual development plan for the home, based on a systematic cycle planning-action-review, reflecting aims and outcomes for people living in the home The registered person shall establish and maintain a system for evaluating the quality of the services provided which shall include consultation with people living in the home and their representatives Timescale for action 31/01/08 31/01/08 21/12/07 4. YA39 24.1 21/12/07 5. YA39 24.5 31/01/08 Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 27 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 YA22 Good Practice Recommendations That the provider arrange training for staff in the recording and handling of complaints Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Badgers DS0000066060.V347664.R01.S.doc Version 5.2 Page 29 - 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!