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Inspection on 28/06/07 for Barnabas Care Home

Also see our care home review for Barnabas Care Home for more information

This inspection was carried out on 28th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

It is commendable to note that only one requirement made at the last inspection, in regard to quality assurance. The owner has undertaken a review of the service with one of the residents, but information was not seen from those who use the service for respite care.

What the care home could do better:

There was nothing identified at this inspection that the owner is required to do to improve the service available. It is however recommended that the owner finds a way to demonstrate how the opinions and ideas of the people who live there are used when reviewing the service provided, and that their input in reviewing documents such as the `Users Guide` is recorded.

CARE HOME ADULTS 18-65 Barnabas Care Home 7 Cole Green Shirley Solihull West Midlands B90 1AD Lead Inspector Jackie Howe Key Unannounced Inspection 28th June 2007 13:45 Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Barnabas Care Home Address 7 Cole Green Shirley Solihull West Midlands B90 1AD 0121 243 6954 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) Mr Matthew Chapman Mr Matthew Chapman Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th March 2006 Brief Description of the Service: Barnabas Care Home is a small home catering for up to three younger adults who require support and care to enable them to reach their potential within their lives and within society. The home offers warm and friendly care that is provided in a domestic setting. The residents are encouraged to be independent. Two of the residents live at the home on a permanent basis and the home offers a respite facility for one other person for some weeks of the year. The home is situated in a residential area, close to the local railway station and local amenities. The home is suitable for the needs of the residents currently there, one room is laid out like an independent flat with an en-suite bathroom and patio doors to the garden. Parking is provided at the front of the home. The rear garden is well laid out. The home has two dogs, rabbits and guinea pigs that all residents accept. In practice the residents live in Mr and Mrs Chapman’s family home, which is managed more in line with an Adult Placement\scheme. In view of Solihull Social Services not having an Adult Placement Scheme, this provision, by default, falls under the more robust National Minimum Standards for Care Homes for Younger Adults 2001. In order not to detract from the small homely service the Commission has made the decision to inspect the home with a lighter touch. The home has information about the home, which is available in a ‘User Guide’ / information book. Fees are in line with Solihull Social services agreed payments. Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection of the inspection year 2007/08 and was undertaken with prior arrangement with the owner. It was undertaken over a period of one afternoon, between the hours of 13:45 am and 18:15 pm. The inspection focused on the outcome for residents of life in the home. The inspection process reviews the home’s ability to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision where improvements may be required. During the inspection, the care of the two residents who live in the home was examined in detail. This included reading their care plans and other documentation, and observing care offered to them and the relationship between them and their carers. There was no one receiving respite care on the day of the inspection. Records including staff files, policies and procedures, health and safety / environmental checks and risk assessments were also read. The owner was present through out the afternoon, and the inspector was able to tour the home, and spend time speaking with residents and relatives. The inspector would like to thank Mr and Mrs Chapman and the residents for their co-operation and hospitality. What the service does well: The home is a domestic house in a residential area, and as such provides what it sets out to provide: a home from home. The house is suitable for the needs of the people living there. It is well maintained and comfortable, some areas have been recently decorated with new carpeting. All the residents have their own room, which they are able to make their own by personal possessions, ornaments and posters and by putting their own personal touches to the rooms. The home has a well-maintained garden, which is safe to use. There are pots of flowers as well as large grassed areas. There are a number of animals – rabbits and guinea pigs, as well as some fish and wild life in the small pond and the two dogs. Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 6 Residents are encouraged and supported to live independently, to take positive risks and to make their own decisions. Residents are offered many opportunities to maintain a good level of social activity by attending work, college and by going on a number of outings and at least one annual holiday. The relationship between the owner and the people who live there is good, and appeared warm and comfortable and within appropriate boundaries. 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. Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 1 and 2 Quality in this outcome area is good. Prospective residents are provided with information, which allows them to make an opinion of the home. All prospective residents are assessed, and their personal needs and aspirations are taken into consideration. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A ‘Users Guide’ and information book is available and a copy is given to each resident and their representatives and is made personal, with their own photograph taken at the front of the house displayed on the front cover. This document has been reviewed over the past two years, but now needs some updating. In the last few weeks a new resident has moved in permanently, and some documents need to reflect this. The most recent permanent resident moved into the home a few weeks ago. He had used the home for respite care prior to moving in permanently, but an assessment had been undertaken to assess his current needs and his personal aspirations for living in the home. Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 9 The owner undertakes assessments of all new people coming to stay at the home, to see if their needs can be met. They also have a number of ‘tea visits’ and an overnight stay. The thoughts of the two people who live permanently at the home are also taken into consideration when accepting new people to the home. The owner said that the impact of any new people into the home was always taken seriously and that the people who live there were always asked as to how they felt new people had settled in. The respite room is currently used for approximately 30 weeks of the year. Many of the people using the home for respite, are known to the permanent residents, from attending college and other social activities. Photographs of some are in the home and one of the residents named them to the inspector and obviously knew them personally. Barnabas Care Home DS0000004538.V344137.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): Standards 6, 7 and 9 Quality in this outcome area is excellent. People who live in this home are confident that they are supported to live their lives as they choose, within a mutually agreed care plan and risk management assessment of needs and abilities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents have individual care plans, which are kept in a folder along with other information. Residents are aware of their care plans and are involved in writing them depending on their individual ability and in the review process. One resident has written his own review of his care and has set targets for what he would like to achieve in the future. Care planning documents also identify potential risks and each resident has their own risk assessment in place, which is also regularly reviewed as skills and confidence develop. Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 11 Risk assessments are predominately around them living an independent life style, particularly travelling alone on public transport and attending events such as football matches. Risk assessments also look at general household activities such as washing and ironing, cooking / making drinks, using the bath and shower, using and working in the garden and being at home unsupervised. Both residents have keys to their individual rooms and to the front door. Residents spoken with were aware of the risk assessments and are used to discussing what they are able and confident to do with the owner. Comments made included: ‘I like living with carers when its homely like this and with this standard of living. They look after me the way I want’. ‘Its like living at home but living with another family, probably get more freedom!’ Barnabas Care Home DS0000004538.V344137.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): Standards 12, 13, 14, 15, 16 and 17. Quality in this outcome area is excellent. People living in this home are given opportunities to lead a lifestyle both in the home, and in the community, which is appropriate to their needs, age and abilities. Meals and meal times are homely, with residents involved in choice and preparation of meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Both of the residents who live permanently at the home were spoken with as part of this inspection. They had just returned from a holiday to Cornwall and were both excited by the week and had clearly enjoyed the time away and the activities undertaken, sharing with the inspector souvenirs and pamphlets of places visited. Previous holidays have also been spent in Portugal and Australia. Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 13 Both residents also described their social lives with enthusiasm. One resident is more independent and plans many of his own trips out and plans his own routes on public transport. Sometimes they all go out together to a local café, shopping or to church and restaurants or on day trips. One resident said. ‘ I have never been anything but happy here, I enjoy the life – we do social events, bowling, holidays. Its homely but I have my own freedom’. Both residents are involved in work placements or educational placements during the week. One of the residents was recently instrumental in arranging his own placement with Birmingham Industrial Therapy (BIT) which he now attends five days per week. He spoke very enthusiastically about this placement, which is clearly meeting his needs. The other resident attends college where he is able to take part in a number of classes and also visits a farm and is involved with the animals, which he enjoys. Contact with friends and family where appropriate is also supported and one resident has regular visits from his family and goes out with them at the weekend. Both residents said that they were happy with the food provided and enjoyed eating together. They have packed lunches in the week, but eat the evening meal as a family unless they are going out. One resident said that he liked going out to the local café for a cooked breakfast on a Saturday morning. Both are involved in planning what they are going to eat and go shopping with the owner for the food. One resident said how he helped to wash the potatoes for the cottage pie. Both residents normally get their own breakfast each day and help themselves to drinks and snacks. Barnabas Care Home DS0000004538.V344137.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): Standards 18,19 and 20. Quality in this outcome area is excellent. People who live in this home are supported in their personal care and health needs, and where appropriate retain and administer their own medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents spoken with said that they felt they were given the right level of support with their personal care needs. Care plans reflect where residents are given encouragement and support to maintain an acceptable level of personal hygiene, where intervention is required and where some residents require more input. Health care professionals are used where appropriate with regular reviews of medication with the GP as required. Residents have also attended the ‘well mans clinic’. Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 15 The owner organises visits for regular check ups for example one to the dentist is arranged for the following week and is currently organising an optician’s appointment. Only one of the residents are currently taking regular medication and he is supported to manage this himself. He is given a weekly supply, which he keeps securely in his room. This is supplied in a blister system and tablets are clearly identifiable. Residents are aware of what healthcare needs they have and one said he was comfortable to discuss these needs with the owner or his wife who works as a nurse. It was clear during the inspection that the relationship that the residents have with the owner is very positive and that they are offered emotional support in way that is appropriate to their particular needs and with compassion to them as individuals. Barnabas Care Home DS0000004538.V344137.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): Standards 22 and 23. Quality in this outcome area is good. Residents’ views on the service are listened to and the home’s systems protect them from abuse and neglect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s users guide contains a copy of the complaints procedure and also contains a policy for ‘Prevention of Abuse and Bullying’. The owner said that these policies are explained to residents who may not be able to read or understand them easily. The complaints procedure includes all the necessary information on how to make a complaint and also includes information on how to contact Social services and the Commission for Social care Inspection (CSCI). The commission has not received any complaints about this service. One of the relatives spoken with said that they had no concerns or reasons to complain, but felt confident to speak with the social worker should it be necessary. One of the residents said that if felt unhappy about anything he would bring it to the attention of the owner –‘I feel confident to do that’. Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 17 ‘Nothing has ever happened to worry me or make me feel unsafe’. The owner and his wife have attended training on how to respond to violence and aggression, and a course on adult protection and the prevention of abuse in February this year. Barnabas Care Home DS0000004538.V344137.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): Standards 24, 25 and 30. Quality in this outcome area is good. The people who live in this home are provided with an environment, which is comfortable and safe to live in. Individual rooms are personal to their chosen lifestyle and the home is clean. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home was undertaken with the owner and one of the residents who then showed the inspector his own room, which he had begun to personalise in his own style. Each room is furnished with a bed, bedside table, desk, easy chair and this room has a large built in wardrobe. The room was clean and tidied to his own standards. He has his own TV, video and DVD player, music systems and personal books/magazines. Residents and their relatives spoken with, said that they are happy with the home and the environment provided. Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 19 ‘Nice house and nice garden’. The bedroom on the ground floor is laid out more like a small flat with a large airy room, patio doors on to the garden and an en suite bathroom. This room has been recently redecorated and has a new carpet. The resident who has recently moved into this room requested to move when the previous occupant moved out. He is particularly happy with this room and refers to it as his ‘flat’. The room has all his personal belongings, and items adorning the walls of his personal hobbies and interests. He is particularly happy as the room is slightly away from the main house and said that the can play music and watch TV without disturbing the other occupants or neighbours. The bedroom that is used for the respite residents is well furnished and clean and bright. A television, DVD player and music system is available for their use. On the day of the inspection the home was clean and free from unpleasant odours. It was at an appropriate temperature, but residents are able to alter this in their own room to suit their needs. The home is obviously a domestic family home and furnished and decorated as such. The home is suitable for the residents using this service. Barnabas Care Home DS0000004538.V344137.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): Standards 32, 34 and 35. Quality in this outcome area is good. The people who use this service are supported by staff who are competent and trained to undertake the role. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The owners of the home provide the majority of the care to the people who live and stay there. The owners are experienced in providing this level of care and Mrs Chapman still works as a nurse and receives training to update her skills as part of this role. Respite care to allow the owners to take some leave is provided by other respite services or by residents staying with their relatives. The owners ensure that they undertake regular training sessions to update their skills via the Solihull social services training partnership. Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 21 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): Standards 37, 39 and 42 Quality in this outcome area is good. People who live in this home benefit from a service that is well run and where their health and safety is protected. Residents feel that their views are taken seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home as previously reported, is owned and managed by the same people who are also predominately responsible as care givers. Mr Chapman has achieved the Registered Managers Award (RMA) and also has a National Vocational Qualification (NVQ) at level 3 in promoting independence. Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 22 Mr Chapman has been running Barnabas originally as an Adult Placement scheme, but then as a home, since 1995 and also has experience working in care provision by working as an administrator at a respite care facility. Mrs Chapman is a qualified nurse and works at the local hospital. Consultation with the residents about the running of the home is mainly done informally by one to one conversations with individual residents or collectively at a mealtime. More formal consultation has taken place as part of care plan and risk assessment reviews. A requirement was made at the last inspection that the home introduce a more formal ‘Quality Assurance’ process to be able to demonstrate that the resident’s views are underpinning the development of the home. The owner has adopted a consultation document used by Solihull to begin to seek the views of people using the home, creating a slightly simpler version for people who use the respite service. An example of this was read during the inspection. Residents are asked their opinion on their lifestyle, the support they receive, what they have achieved and what they would like the home to do to achieve more. The owners should develop this more to show what actions are being undertaken in response to these documents and to demonstrate how the opinions and ideas of the people who live there are used when reviewing the service provided. Their input into reviewing documents such as the ‘Users Guide’ could also be recorded. The owner was able to demonstrate that systems are in place to ensure that the home is a safe place to live. Tests have been undertaken on electrical appliances. Fire safety is taken seriously, a fire risk assessment has been completed and the fire brigade came out in an advisory capacity to check the home. The owner said that no requirements were made. One of the residents confirmed that fire tests are undertaken regularly and that he took part in regular drills. Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 23 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 2 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 4 x LIFESTYLES Standard No Score 11 x 12 4 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 3 x 2 x x 3 x Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 YA39 Good Practice Recommendations The quality assurance systems should be developed more to show what actions are being undertaken in response to opinions and ideas of the people who live there, and how these are used when reviewing the service provided. Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Barnabas Care Home DS0000004538.V344137.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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