Inspection on 28/06/05 for Badgers Wood

This inspection was carried out on 28th June 2005.

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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Badgers Wood 19/12/06

Badgers Wood 15/12/05

Badgers Wood 12/08/04

Badgers Wood 18/05/04

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

CARE HOME ADULTS 18-65 Badgers Wood Slade Road Ottershaw Surrey KT16 0JN Lead Inspector Cathy Clarke Announced 28 June 2005 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 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 Stationary 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 Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Badgers Wood Address Badgerswood, Slade Road, Ottershaw, Surrey, KT16 0JN Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8541 8800 Surrey County Council - Adults & Community Care Phoenix House, Guildford Road, Chertsey, Mr Christopher John Mahoney Care Home (CRH) 20 Category(ies) of Learning disability over 65 years of age (LD(E)) registration, with number Sensory impairment (SI) 2 of places Sensory Impairment over 65 years of age (SI(E)) 1 Learning disability (LD) 15 Dementia (DE) 1 Female Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Accommodation and services may be provided to named persons aged 65 years and over with the prior written agreement of the NCSC. 2 Respite care may be provided to a maximum of two persons at any one time 3 The matters detailed in the attached schedule of requirements, must be completed within the given timescales. 4 Accomodation and services may be provided to named persons aged under 65 years with the prior written agreement of the CSCI within the category of Dementia Date of last inspection 12 August 2005 Brief Description of the Service: Badgers Wood is a large detached care home situated in the village of Ottershaw in Surrey. The home is owned and managed by Surrey County Council. Accommodation is arranged over two floors and there are two respite rooms one on the ground floor and one upstairs. There is a communal lounge with separate dining area and a large kitchen. The home has a computer suite on the ground floor. There is a large well-maintained garden with a barbecue area and ample garden furniture. Ample car parking is available to the front of the premises. Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 6 hours and was the first inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. Cathy Clarke, Regulation Inspector carried out this inspection and Assistant Team Managers Lesley Williams and Jenny Mein were present as the representatives for the establishment. The registered manager was not on duty on the day of inspection. A full tour of the premises took place and documents inspected included care plans, medication records, menu plans, staff records, and policies and procedures. Four service users were spoken to during the inspection and their comments will be included in the report. Further comments will be included in this report from talking to service users relatives and replies received from service users, relatives, visitors, and general practitioners surveys. This was a positive inspection. The inspector would like to thank the staff and service users for their time, assistance and hospitality during this inspection What the service does well: What has improved since the last inspection? The respite bedrooms have been redecorated and look bright and inviting. Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 6 Ivy has been removed from encroaching on the downstairs ground floor bedroom. Most carpets have been replaced in the bedrooms. Staff recruitment records contain all of the relevant checks in Schedule 2 of the National Minimum Standards. Electronic door closures have been serviced and made good. A food hazard analysis has been conducted as required by the Environmental Health department. New sockets have been fitted in room 106 addressing the issue of extensive use of extension leads. The door to the upstairs toilet is now a sliding fixture giving more space and a basin has been added. 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 Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 7 contacting your local CSCI office. Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,4,5 Information relating to the service is available in the form of a statement of purpose and a copy of an outdated brochure. Prospective service users are assessed prior to admission and a trial period is offered. EVIDENCE: The statement of purpose developed in August 2004 states that copies of all complaints should be forwarded to the Commission for Social Care Inspection. The brochure refers to the Inspection and Registration Unit of the local authority and is therefore outdated. It is recommended that both of these documents be reviewed. There is one vacancy in the home and a referral has been made on behalf of a service user. Staff have arranged a meeting with the registered manager to discuss whether the proposed service user is suitable for admission to Badgers Wood. Risk is assessed prior to confirmation of admission and the proposed service user would be invited for tea visit, or overnight stay. Staff confirmed that lots of assessments take place prior to admission to avoid possible error. Correspondence was seen on file for service users from the local authority outlining the annual, monthly and weekly contributions for service delivery. The manager and service user sign a letter of agreement/contract. Please see requirements section of this report. Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9 There is a proactive approach to promoting the independence and life skills of the service users through careful care planning and risk assessment. EVIDENCE: Care plans sampled during the inspection were comprehensive and easy to follow they acknowledged the goals achieved by the service users. Reasons for not achieving aims are also recorded in the care plan. For example one service user wanted to attend a football match but this was not achieved because of ticket availability. Risk assessments are in place and have been reviewed in 2005. The assessor and manager sign risk assessments. Each service user has a monthly report on file, which the service user and key worker sign. All service users have a recent photograph and description on file, which would be used in the event of reporting a missing person. Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 11 Two of the service users were in the kitchen assisting with meal preparation under close supervision of staff. Most of the service users had gone out to Day care centres. One of the service users works in a local school. Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,15,17, Service users have opportunities for personal development, to take part in appropriate activities within the home and in the local community. They are supported and enabled to maintain and develop appropriate personal and family relationships. Staff need to improve their communication skills in particular when using the telephone and greeting respite service users and their families. EVIDENCE: Service users attend day centres during the week and each individual has a tailored activity and recreational programme. Monthly activities meetings are held and minutes circulated. There is a computer suite on the ground floor that service users can use. Service user files sampled showed that service users go to stay with family and that they have regular contact with friends. One of the service users works in a local school. One service user has a couple of guinea pigs as pets and staff informed the inspector that the service user had held a party for the guinea pigs. During the inspection the inspector visited the service user in her flat, which is Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 13 attached to the home. Staff assist the service user with trips to the local shops and cleaning. The service user said she was very happy with her accommodation and independence. Badgers Wood is in the heart of Ottershaw and service users are well known in the local community. The home was preparing for a barbecue in the garden in memory of a close member of one of the service users family who had died recently. The service user informed the inspector that he was going to say a few words at the barbecue commemorating the life of his family member. Respite care is offered at the home and most people who have responded to surveys have commended the service and said that it gives them a vital break. Other comments include that staff are always friendly and caring and willing to solve any minor problems or concerns. Another family member has written a letter commenting that in recent years things have improved greatly and that their family member is very happy in the home. The mother of one of the respite service users has commented that her daughter looks forward to every visit and that she is always warmly welcomed and treated like a friend. One services users family have said that when they arrive at the home with their family member for respite care that the staff are not always aware of which room she is to stay in and when they have arrived to pick her up after her stay have found that she has been sitting in the hallway waiting for them for some time even though they have informed the home of the time that they are to pick her up. Other relatives spoken to during the inspection have said that they have had communication difficulties with staff particularly over the telephone. All of the service users responded to a questionnaire and all bar one have said that they are happy at the home. The other service user commented that sometimes they are happy at the home. Overall most comments received were positive. Meals are prepared at lunchtime and during the inspection the staff had cooked steamed fish and boiled potatoes, which was made into a fish pie for the evening meal. Most service users are out at day centres or activities during the day. One of the service users told the inspector that she likes the food. The service users on the upstairs floor were having salad and quiche for supper and two of the service users were observing staff preparing the salad. One service user prefers a beige meal for example Chicken, fish, butter beans and this needs to be a soft diet. Menus are planned weekly with the service users and two members of staff. There are always alternatives on offer. Meat is probed and records were seen. The kitchen is clean and tidy and the fridge and freezer temperatures are recorded. The fridge has reached 14 degrees and staff informed the inspector Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 14 that this is because the door has been open for two long. The chest freezer had been recorded as being –30 degrees. Please see requirements section of this report. Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 15 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 standard(s) 18,19,20 Personal care and healthcare support and assistance is planned where required, in a respectful and sensitive manner. Sound policies and practices are in place for the administration and management of medication. EVIDENCE: One of the care plans sampled identified that the service user had been diagnosed with early onset dementia and this had necessitated a move from an upstairs bedroom to one on the ground floor. The transition has gone well and the team are liaising with the speech and language therapists to keep the service users communication skills going. Care plans showed that Opticians, GPs, Psychologists, Audiologists, and Care Managers had seen service users for regular check ups and review visits. One of the service users produced her own report for her review with the care manager. Monthly reports show evidence of health appointments, activities and financial transactions. Medication cabinets are kept in each room, two service users self medicate. Medication administration records were correctly completed. Signatures are audited daily to ensure medication is correctly administered. There are no controlled drugs and a separate blue bag is used for medication returns. A Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 16 General Practitioner has commented that staff always seem very aware of service user needs and medication. Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 17 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 standard(s) 22, All required policies and procedures are in place to ensure that service users feel their views will be listened to. EVIDENCE: There are complaints policies and procedures in place. The service has not received any formal complaints since the last inspection. During the inspection one family member asked about some issues, which had been raised with the registered manager regarding a breakdown in communication between a member of staff and his relative, together with other issues, which he felt needed to be clarified. The issues raised were discussed with the staff members on duty following this meeting and it was agreed that a letter would be sent to the family in response and that a copy would be forwarded to the Commission for Social Care Inspection. Service users have commented that they know who to contact if they are unhappy. Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,27,28,30 The location and layout of the home is suitable for it’s stated purpose. It is accessible, safe and well maintained. The home although large was found to meet service users’ individual and collective needs in a comfortable and homely way. EVIDENCE: The home has a homely atmosphere and one of the service users took the inspector to see her bedroom. All bedrooms were appropriately decorated and furnished to the service users taste. One of the service users on the upstairs floor likes football and has decorated his room accordingly. During the inspection there was no running hot water in room 105, this was discussed with a member of staff and it was confirmed that this had been shut down because it is due for repair within the next 48 hours. There is damage to the wall next to the door in room 66, which needs repairing and the vacant room number 84 requires redecorating before use. Bathrooms offer privacy and are sufficient in number. The upstairs toilet has had the door changed to a sliding door since the last inspection. The door to the walk in bath in the downstairs bathroom needs attention. Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 19 The fridge and chest freezer should be checked to ensure that the reason for extreme temperature recordings is not a maintenance problem. New burner bars have been replaced within the boiler. The garden is well maintained and has a large barbecue area for entertaining visitors, friends and relatives. There is lots of parking available to the front of the property. The home was very clean and the member of staff who is responsible for this has worked at the home for many years. Please see requirements section of this report. Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,34,35,36 All interactions observed between staff and service users evidenced a high degree of respect and skill in working with the individual service users at the home. Staffing is kept under review and provided to meet the needs of the service users at all times. EVIDENCE: Staff interviewed during the inspection confirmed that they had received job descriptions and job profiles were seen on file. A week long induction programme with a further week shadowing an experienced member of staff is provided. Staff confirmed that they have been introduced to the policies and procedures of the service and are aware that they can access these on the ‘s’ net. There are twenty-four staff in total including management and eighteen of these have achieved NVQ level 2 or above, making a total of 75 qualified within the service. The registered manager has undertaken a number of management programmes and achieved his NVQ Registered Managers Award at Level 4 in April this year. The two assistant team managers have also gained level 4 registered managers award. The Admin and Finance Coordinator is an associate member of the Chartered Institute of Bankers. There are four staff that hold a current first aid certificate, and all full time care staff Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 21 are trained to administer medication. Staff commented that they had received lots of training including subjects relating to, manual handling, principles of care, communication and autism. Most recruitment files sampled during the inspection contained photographic identification, two references, health questionnaire, interview records, copy of passport and enhanced criminal records bureau disclosures were seen. One file contained only one reference and another was missing the medical clearance questionnaire. The staff in question have been in employment for some time and it may not be appropriate to seek further references at this stage. The centre of excellence processes recruitment applications and the recruitment system and records are now much improved. Staff have received regular supervision and appraisal interviews have been booked. One member of staff has changed her line manager and her appraisal is to be conducted with both the previous and new manager. Supervision agreements and supervision notes were recorded and stored in staff files. Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 40,41,42 Service users benefit from the management approach at the home providing an open, positive and inclusive atmosphere. The policies and procedures of Surrey County Council are regularly reviewed and updated providing a sound basis for care provision. EVIDENCE: The registered manager was not present during the inspection but his team responded well to the inspection process and demonstrated an open approach to the management of the home. The home has a comprehensive set of policies and procedures in place. These are regularly reviewed and updated. A manual copy is held and staff can also access them on the Surrey County Council ‘S’ net. A meeting was held with the business and finance co-ordinator to inspect the systems used for monitoring service users finances. The administrator deals Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 23 with personal allowances for six service users and the standing order accounts to the local authority for accommodation costs. Service users are given a rebate if absent from the home for holidays etc. A new finance system is to be implemented. There are very clear systems in place to manage finances. Reconciliation of balances is undertaken quarterly and signed off by the registered manager. A spreadsheet is kept showing the total balances and this is sent to the Area Management Team. The business and finance co-ordinator is a health and safety representative for the service and is part of the Surrey County Council Health and Safety Committee. Records are held for the maintenance of the building, electrical testing, food hygiene, fire safety checks and a list of the appointed first aid staff. Gas safety checks are carried out annually and certificates were seen during the inspection. A risk assessment is held for the water supply within the home. Water runs brown if the water is not run on a regular basis. The nurse call system was tested in June of this year, batteries were upgraded and the maintenance plan was completed. Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 24 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x 2 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x 2 x 3 Standard No 31 32 33 34 35 36 Score 3 3 x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Badgers Wood Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x 3 3 3 x H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 25 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 YA1 Regulation 6 (a) Requirement The statement of purpose and brochure must be reviewed and updated in line with current information. Service users and their relatives who are accessing respite services must receive a more informed approach from staff and ensure that all staff within the home are aware of the plan of care. The hot water tap in room 105 must be fixed as per maintenance plan The damage to the wall near to the door in room 66 must be repaired. Room 84 must be redecorated prior to occupancy. The door to the walk in bath in the downstairs bathroom must be maintained. The fridge and freezer must be checked to ensure that the extreme temperatures recorded are not due to a fault. Timescale for action 30/09/05 2. YA15 12 (1) (a) 31/08/05 3. 4. 5. 6. 7. YA24 YA24 YA24 YA27 YA24 23 (2) (b) 23 (2) (b) 23 (2) (b) 23 (2) (b) 23 (2) (c) 31/08/05 30/09/05 30/09/05 30/09/05t 31/08/05 Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 26 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 Good Practice Recommendations Badgers Wood H58 S34871 Badgers Wood V224744 280605 Stage 4.doc Version 1.30 Page 27 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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. 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