Inspection on 05/07/06 for Bankwood Care Home ( Ashbourne Senior Living)

This inspection was carried out on 5th July 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Bankwood Care Home ( Ashbourne... 03/02/06

Bankwood Care Home ( Ashbourne... 19/08/05

Bankwood Care Home ( Ashbourne... 10/03/05

Bankwood Care Home ( Ashbourne... 20/10/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Bankwood Care Home t/a Ashbourne Senior Living Duffield Bank Belper Derbyshire DE56 4BG Lead Inspector Ivan Barker Unannounced Inspection 5th July 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bankwood Care Home t/a Ashbourne Senior Living Duffield Bank Belper Derbyshire DE56 4BG Address 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) 01332 841373 01332 841724 bankwood@highfield-care.com None Southern Cross Care Homes No 2 Limited Mrs Izeta Hamza Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That included in the numbers are provision for two people with physical disabilities aged 50 years and over. 3rd February 2006 Date of last inspection Brief Description of the Service: The home is located in the Derbyshire countryside close to the town of Belper. The home has 40 places - all of which are in single rooms; half of these have en-suite facilities. The home consists of an older building with a larger extension, which has been built into the embankment. The lounge and dining rooms are situated in the older part of the home, and include a conservatory that is used every day by residents and is a popular meeting place. The size and shape of the bedrooms are varied and dependent on the location within the home. Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on the ‘key standards’), and the previous requirements. The person present at the inspection was: Mrs I Hamza, manager. Within this inspection, which occurred over a four-hour period, the inspector toured the building, examined requirements relating to the previous inspection, spoke with service users, relatives and staff and examined some documentation. What the service does well: The service has been recognised as a home that was achieving most of the standards consistently over several years. It should be recognised that this inspection was unannounced. Throughout the inspection process, the inspector observed practices and overheard and received comments, which indicated that a ‘team ethos’ had been achieved, and that staff were working together for the benefit of the service users. The manager and staff had explored and put into place things, which would enhanced the quality of life for the service users. Examples of this were; The introduction and continued practice of ‘care reviews’ not lead by the Care Manager and Social Services, which also occurred, but by the staff of the home, meeting on a regular basis with the service user and their family to ensure that the needs of the service user were being met, the wishes of the service user and family were taken into consideration, and that information relating to care and service provision was exchanged. The holiday to Blackpool which was organised for the service users, and their relatives. The inspector is aware of the difficult and complex planning and organisation and commitment from staff that is required for such an exercise to be a success. The inspector would commend the staff on achieving such an exercise, as clearly the positive comments received by the inspector from the service users and relatives indicated that the holiday had enhanced the service users’ quality of life. A summary of the service user and relative comments are that: Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 6 The home should be awarded 5 stars, and that it was ‘very nice’ here at the home. The care could not be faulted, and that the service users were well looked after. The activities were very good and kept the service users busy. Specific comments were given relating to the holiday to Blackpool The service users are offered a choice of meal and the meals are excellent. Commendations were given to the inspector regarding all the staff, and the manager and head cook were commended by name. 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. Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Accurate assessments will ensure that the home has sufficient information to be aware of the service user’s needs prior to admission. EVIDENCE: The home received service user’s assessments from the Social Services Care managers or the hospital staff prior to admission. The manager or deputy manager prior to the admission to the home assessed the service users. The inspector was shown evidence of the assessments of the service users, who he case-tracked. The assessment documents were available within the care plans. Also care reviews were also included within the plans. Regarding Standard 6, the manager advised the inspector that the home did not provide intermediate care. Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9, and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Accurate care plans and care reviews with service users and relatives enabling them to offer their input, will contribute to the delivery of care. Service users were satisfied with the care they received. The good practices within storage and administration of medications should provide protection for the service users. EVIDENCE: On examination of the care plans, from the service users who were being case tracked, the inspector established that all 3 plans were up to date, and had been evaluated on a monthly basis. The inspector discussed the service users’ care needs with care staff, who were knowledgeable about the service users’ needs. Risk assessment were included within the documentation and included moving and handling, pressure area, and nutritional risk assessments. Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 10 The inspector spoke with the service users who were being case tracked, other service users and relatives. They informed the inspector that regarding the care, their opinions were; ‘If I was awarding stars, this home would be given 5 stars’. ‘It’s very nice here’. ‘They look after us well’ ‘I cannot fault the care’. The manager informed the inspector that the manager or senior staff held regular care reviews, with the service user and family, in addition to the care reviews led by the Care manager. She identified that these reviews had proved to be very productive they had improved communication, and allowed all parties to have an input into any decision making process. These reviews were recorded within the care plan. On examination of the storage of medications, and the medication administration the inspector observed that the storage was satisfactory, and the medication administration records were up to date with all the records signed as appropriate. The manager informed the inspector that as the dependency of the service users had increased and the amount of medication each service user was taking had increased then the one medication trolley had become ‘over crowded’. However a second trolley was on order and was expected to be delivered by tomorrow. Visitors were allowed to visit the service user in the communal areas or in the privacy of their own room. Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14, and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Various activities and outings were organised within the home, which would provide stimulation to service users and enhance their quality of life. Service users were given the opportunity to exercise their right of choice regarding the provision of meals. EVIDENCE: The manager informed the inspector that an Activities co-ordinator was employed and worked a total of 30 hours per week. This was normally Monday to Friday, but also flexible to meet the social needs of the service users. The inspector was able to speak with the activities co-ordinator who was an enthusiastic individual, who was clearly interested in providing activities and outing, which would enhance the service users’ quality of life. The activities programme was displayed, and followed, as the activity indicated on the programme was taking place, during the inspection. The activity co-ordinators produced her records for inspection. These records indicated what activities had occurred and who participated in the activity. Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 12 The entries indicated a variety of group activities and if service users had been offered the opportunity of one to one sessions. The activities co-ordinator and manager informed the inspector that a group of service users, relatives and staff had been away for a holiday to Blackpool, at The Bond Hotel, which specifically catered for disabled clients. The manager explained that the staff undertook different roles whilst on the holiday. Examples given were that; if the wife wished to take care of her husband then the staff provided a supporting role as necessary, and if full care (personal or nursing) was required then that was provided. The manager went on to inform the inspector that a lady thought she would never again go away on holiday with her husband, because of his complex care needs. However she had been away on the holiday and wrote to the manager thanking her. A copy of the letter had been sent to the inspector, prior to the inspection visit. The inspector was shown several photographs of the holiday. These clearly showed that people were enjoying the break. During the inspection, the inspector observed an entertainer who was singing into a microphone to a backing track. The service users were also merrily participating and singing along with the entertainer. On discussing the activities with the service users, the inspector was informed that ‘the activities are very good and keep us busy’. The inspector established that the service users were generally happy with the activities and outings, and he received many positive comments regarding the holiday to Blackpool. One quote from a service user was ‘ It rained all the time, but we had a good time’. Regarding the meals, the manager and head cook advised the inspector that the service users were able to order their meals in advance, the head cook showed the inspector copies of completed daily meal order sheets that were given out to service users to place their orders. Menu cards were also available on the dining room tables. Both the order sheets and menus indicated a choice of meal. An eight-week ‘rolling menu’ was shown to the inspector. When visiting the kitchen the inspector observed trays set out for meals to be taken to the service users who wished to take their meals in their room. The provision and presentation of these ‘trays’ rather than just taking the meal to the service users within their room was another indicator of the homes provision of quality. The inspector received positive comments from the service users regarding the food. The general comments were that ‘A choice of food was available’. ‘The meals are excellent and we get a choice’. ‘Wendy (the head cook) is very good’. Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. As far as could be established the home had a complaints procedure in place, which was operating according to the company policy and complaints were resolved within the expected timescales. The home was able to evidence that the staff had received Adult Protection training. Therefore staff would be aware of their responsibility regarding the protection of vulnerable adults. EVIDENCE: The complaints procedure was displayed and available to the service users and relatives. On discussing complaints with the service users, they informed the inspector that they were satisfied with their care. No complaints were addressed to the inspector, at the time of this visit. The Commission had received no complaints since the last inspection. Regarding Adult Protection training, the manager was able to evidence that the staff had attended the training, over the past 3 years. (The Derbyshire County Council Adult Protection Unit had set the 3 yearly timescale.) Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The environment, monitored at this inspection, had not been maintained to the required standard to provide a safe, well-maintained environment for services users. EVIDENCE: The home was clean and odour free, and generally well maintained. The home has small communal lounges, including the conservatory. The space was restricted in this area, as most service users chose to sit in the conservatory. Some service users resided within their rooms. The inspectors established that this was by their choice. On examination of the dining room, it was established that the room size would be restrictive when providing meals to the 40 service users. The manager advised the inspector that at present the number of service users who wished to take meals in the dining room was sufficient for one sitting, and ‘trays’ were provided to service users who wished to remain within their Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 15 rooms. She also advised that should the number of service users who wished to use the dining room increase then a ‘two sitting’ scenario would be created. Whilst touring the building the inspector found the following areas, which were within the older section of the home, required attention: Toilet 1 had floor covering, which had shrunken and was away from the walls, and the room was generally tired and well worn. Bathroom 1 had a large split in the floor covering, which was a tripping hazard. Bathroom 2 had a toilet basin, which was cracked in several places and unsafe for use. The maintenance man agreed that the basin needed to be replaced, and at the time of the inspector, the maintenance man locked the bathroom door to temporally restrict access to the service users, so as to ensure their safety. Within Room 6, the walls were covered in wallpaper; however there had been a considerable amount of damage to one wall. The damage had been repaired with filler but the wall required redecoration. The manager informed the inspector that the areas identified and other areas of the older section of the home were part of the upgrading of Bankwood Care Centre. The manager was unable to offer a specific date for the work, but following the inspection visit, the inspector spoke with A Bailey Regional Director, who informed him that the budget monies had been allocated and that the work would be started within a month, and completed within two months. Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The robust staff recruitment process should provide protection for the service users. EVIDENCE: On examination of the rota the following was indicated. Am shift. 2 qualified nurse plus 6 care staff. Pm shift. 2 qualified nurse plus 5 care staff. Night shift. 1 qualified nurse plus 3 care staff. Plus, the manager and activities co-ordinator. Caring for 40 service users. A full assessment of the dependency levels of the service users was not undertaken by the inspector and compared with the indicated staffing levels. On examination of the 3 staff files, all 3 contained the required documentation, including Criminal Records Bureau checks. In relation to training, the manager showed the inspector the training records that indicated Moving and Handling and Fire training and other specific clinical training had occurred. Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 17 Throughout the home on all areas, which the inspector examined, from the provision of care from the qualified nurses and care staff to the delivery of service i.e. the provision of food, the maintenance of the building, the provision of housekeeping and laundry services, the inspector observed practices and heard comments from and to staff to be able to establish that there was a clear ethos of team-working and staff ‘wanting to provide the best care and service that we can’. The inspector would commend this. Regarding the previous requirement relating to NVQ training the inspector was advised and shown evidence that 50 of the staff had achieved level 2 NVQ training, and NVQ training for other staff was ongoing. The inspector received positive comments from the service users and relatives, the comments included: ‘The manager is very organised, always polite, and has the interests of her residents and staff at the heart’. ‘The staff are very good’. The inspector also received commendations from the service users and relatives regarding the planning, organisation and facilitation of the holiday to Blackpool. Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35, and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The management of the home does comply with the requirements of the Care Homes Act. Extensive quality assurance systems were in place that should assist the manager and operation manager to measure the home against expected outcomes. EVIDENCE: Within the management structure of the company there was a registered manager who was supported by a regional operations manager. The registered manager informed the inspector that she was undertaking the NVQ 4 management course at Derby College and had completed all her assignments for her NVQ 4 qualification and expected validation to occur in the Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 19 near future and expected to finish the course and obtain the NVQ 4 qualification by September 2006. As the course is not completed and the qualification attained, the requirement is repeated. The company had quality assurance systems, which were implemented by the manager and validated by the operations manager. The quality assurance monitoring system was extensive and monitored areas such as care plans, risk assessments, complaints, and service provision. On examination of the staff supervision records, the inspector established that staff had received supervision. The standard required supervision to occur six times a year. The home was on course to achieve this number of supervisions. Regulation 26 visit occurred and reports produced. These were shown to the inspector. Regarding the service users’ personal monies the home operated a basic credit and debit system, which involved the storage of monies in separate envelopes. On examination of the system, examining the accounts of the service users who were being case-tracked, the inspector observed that the money in the envelopes was correct to the accounting record. Regarding Standard 38, Health and Safety issues have been raised in other sections of the report. Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? YES 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 OP19 Regulation 23 Requirement The registered person must ensure that the environmental repairs as listed in the report are undertaken to achieve the required standard. This also refers to Standards 26 and 38 The registered person must ensure that the manager must complete a training course that leads to a qualification at NVQ level 4 or its equivalent. Timescale for action 30/09/06 2. OP31 9 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Bankwood Care Home t/a Ashbourne Senior Living DS0000058023.V302585.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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