Inspection on 07/11/07 for Beacholme

This inspection was carried out on 7th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Beacholme 22/02/06

Beacholme 06/05/05

Beacholme 25/01/05

Beacholme 05/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Beacholme 35 Derbe Road St Annes Lancashire FY8 1NJ Lead Inspector Lesley Plant Unannounced Inspection 7th November 2007 3:45 Beacholme DS0000010015.V346996.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 Beacholme DS0000010015.V346996.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. Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beacholme Address 35 Derbe Road St Annes Lancashire FY8 1NJ 01253 723870 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 Alexander Collinge-Pearson vacant post Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th September 2006 Brief Description of the Service: Beacholme is a small care home for adults with learning disabilities, registered for three people. The house is situated close to the promenade, convenient for a range of local facilities, including St Annes town centre. Nearby there are good transport links. Accommodation is arranged over three floors and is in keeping with the local neighbourhood. Single bedrooms are provided, plus a dining kitchen, lounge and conservatory for communal use. Beacholme provides a stable environment for those living there. The ethos is very much family orientated, with members of the registered provider’s family also living at the home. No care staff are employed as the registered provider takes responsibility for meeting the support needs of those living at the home. Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and looked at all the key national minimum standards. The inspector spoke to the owner (registered provider) and the two people currently living at the home and records were viewed. One person met privately with the inspector, however the other resident declined this offer, but did join some general discussions with the registered provider and the inspector. CSCI feedback questionnaires were distributed to health and social care professionals with links to the service and also to a relative, with none being returned. The two people living at the home completed CSCI feedback questionnaires and information was also gained from the Annual Quality Assurance Assessment completed by the registered provider. What the service does well: What has improved since the last inspection? What they could do better: Both the people who live at Beacholme are able to spend short periods of time alone at the home. The accompanying risk assessment should be reviewed and strengthened, as it is important that plans are put in place whereby the registered provider can be contacted if he is away from the home and an emergency was to arise. People appear happy with their chosen lifestyles. However the registered provider should regularly review the opportunities for employment, education and promoting independence. It is important that opportunities to widen social networks continue to be made available. Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 6 Appropriate recruitment checks, including gaining a CRB disclosure, must take place prior to staff commencing duty. Failure to do this, could pose risks for the people living at the home. 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. Beacholme DS0000010015.V346996.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 Beacholme DS0000010015.V346996.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): 2 Quality in this outcome area is good. An assessment would take place prior to anyone new moving into the home, to ensure that the persons’ needs could be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no new admissions to the home. The two people currently living at Beacholme have been resident for many years, with one individual being known by the registered provider for over 20 years and the other having lived at the home for six years. The home is registered to accommodate up to three people, however there are no immediate plans to fill the remaining registered place. The registered provider confirmed that if this was to take place, there would be full consultation with the existing residents and a thorough pre admission assessment would take place. Assessment information is available for the two people living at the home and this information includes social work assessments. Both people are funded by Local Authorities, who have provided individual service agreements setting out the roles and responsibilities of the authority, the registered provider and the individual concerned. Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. A brief overview of each persons needs is in place. People are happy with their involvement in decision making at the home. Potential risks are identified but regular reviews of these risks would help to ensure that safety nets are in place. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This is a family setting, with the registered provider being the sole provider of all care support. The need for written information, as would normally be essential where a team of staff were involved, is therefore not as relevant in this setting. However the registered provider has compiled useful information regarding both people living at the home and does keep written records of daily life. There is a written overview for each person giving information about their history, likes and support needs. Areas of potential risk are also included within Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 10 this document. A daily diary type record is then maintained, giving an account of what each person has done that day. Separate records are kept of any health care issues. Both people require support with their finances and one individual requires a great deal of prompting and oversight to maintain his personal care. Within the Annual Quality Assurance Assessment, the registered provider confirms that he regularly discusses the support provided with the individuals, and would make any changes necessary should their support needs change. Both people are able to express their views. Decisions regarding daily living are made within the context of day-to-day family life. Both individuals have been involved in the refurbishment of the home and chose furnishings for their bedrooms. One person has a close relative who has been involved in certain decision-making regarding the support to be provided. Certain restrictions regarding alcohol are in place and the individual concerned confirmed that he is aware of the reasoning behind this and is in agreement to this level of control. The two people living at the home have different interests and choose to spend their time in different ways, both being able to exercise choice in this area. Both people require support with their money and the registered provider acts as benefits appointee for one person, with a relative taking on this responsibility for the other person. The registered provider clearly knows the two people very well and is aware of any individual areas of risk such as with managing money, alcohol and taking medication. Written risk assessments and agreements are in place regarding finances and spending time at the home alone. The arrangements regarding people being in the home alone were discussed. The registered provider should review these arrangements to ensure that he can be contacted, should an emergency arise and he is out of the building. Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. People appear happy with their lifestyles and chosen activities. Relationships are supported and individuals enjoy the meals provided at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The two people living at Beacholme have different interests and both are able to pursue their lifestyle choices. One person takes a regular morning walk to the local shop to buy his newspaper and then enjoys spending time in his bedroom, listening to music and doing crossword puzzles. This person described himself to the inspector as more of a ‘home person’, although he had enjoyed a recent night out and has also been socialising more of late, with the registered providers’ family and their friends. The other individual enjoys watching sport on television and likes to go out and about to local shops and cafes and generally join in whatever the registered provider is doing. Both people indicated that they are happy with their chosen lifestyles and responses from their feedback questionnaires also endorse this. Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 12 The large bedrooms allow room for hobbies, TV and music, and there are numerous local amenities, such as the swimming pool, nearby. Previous inspections have highlighted the need to continually review opportunities for increased independence and personal development and this should continue. External activities could help to further personal development and increase independence. Neither person is interested in attending college or specific services for people with learning disabilities, however the local area has a wide range of community activities on offer, suitable for all ages and interests and this should continue to be an area for discussion within the home. One person at the home has relatives living within the county and regular contact is maintained. He explained that he can phone his relatives and that they visit from time to time. The registered provider also maintains good contact with these relatives. Relatives are invited to accompany the registered provider and both people who live at the home, on occasional meals out. Friends are also able to visit and stay overnight. One person has lived with the provider for over 20 years and is very much part of the family, having built up close relationships with the other family members who live at the home. He also has a long-standing friend who lives some way away, but visits for short holidays. Beacholme is very much run as a family home, with daily routines being flexible and agreed through natural discussions. Both people have some involvement in household tasks, such as unloading shopping bags and emptying bins. People living at the home have a front door key, can come and go as they wish and following risk assessments, are able to spend short amounts of time at home alone. A member of the providers’ family carries out the majority of cooking at the home. The family type atmosphere means that meal times can be flexible. The inspector spoke to one person about the meals provided. He confirmed that he enjoyed the meals and that his preferences were known. Both people are able to help themselves to drinks and snacks. Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. Personal and health care needs are met. Self-administration of medication is supported, allowing for a degree of independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are currently two people living at the home and both require some support, guidance and prompting regarding their personal care. The two individuals are very different and have different personal styles and preferences, which are reflected in their choice of clothing and personal effects in their bedrooms. These differences are supported. No specialist equipment is required. Good records of health care appointments are maintained. All contact with health care professionals such as doctors or dentists is clearly recorded, giving the reason for the visit and the outcome. This makes it easy to ‘track’ any healthcare intervention, or highlight any changes. One person has recently had a review regarding his epilepsy, for which he is prescribed medication. This appears to be well managed, as he has had no seizures for many years. The Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 14 registered provider also has written information regarding epilepsy and it’s management, which is kept on the individuals file. One person living at the home had previously experienced extreme poor health and the registered provider has been instrumental in his return to wellbeing and the maintenance of a healthy lifestyle. A new health condition has recently been diagnosed for this person and he is being supported to attend hospital appointments to receive the necessary treatment. It also was evident that regular and routine checks such as optical checks, take place and an annual flu vaccination is arranged. One person takes regular medication and is supported to self-administer this, with some oversight from the registered provider. A three weekly dispenser is used, which is checked by the registered provider. The other person has recently been prescribed medication to take when required and he explained that the registered provider keeps this for him and he would ask if he felt he needed it. This individual also confirmed that he was happy with this arrangement and that he did not want to take responsibility for his medication. Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. People living at the home feel that any concern would be responded to. Some practical arrangements are in place to protect individuals from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No complaints have been received by the home or the CSCI since the last inspection. A formal written complaints procedure is available. However, in reality, any concern or suggestion would be addressed as part of the day-today family ethos of the home. The family type atmosphere lends itself to any issue being sorted out as it crops up. Information from the feedback questionnaires completed by the two people living at the home confirmed that people know who to speak to if unhappy and also that they are aware of the complaints procedure. During discussion one person explained that he could phone a relative if he had any problems and also that he had a telephone number for social services. He also made it clear that he was happy with his living arrangements and with the support he received. The registered provider has a copy of the locally agreed No Secrets in Lancashire adult protection guidance and would refer to this if any such situation arose. There are no issues regarding physical or verbal aggression, with the two people living at the home. Both individuals have a bank account, but require support with their finances. For one person, a relative looks after his account and sends a regular amount of spending money to the provider, who then gives the individual set amounts as agreed. Before coming to live at Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 16 the home, this person had been extremely vulnerable and had been taken advantage of financially; therefore an agreed amount of protection is now provided. During discussion this individual confirmed that he understood the reasoning behind this agreement and was happy to comply with it. The other individual has access to his spending money as and when needed. Appropriate records are maintained and were viewed. Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 17 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): 24 and 30 Quality in this outcome area is good. The home is comfortable, clean and well maintained, providing a pleasant and homely environment for those living there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Beacholme is situated near the sea front, very close to local shops and within easy walking distance of the town centre. The building is well maintained, with a good standard of furnishing and decoration. There has been an ongoing programme of redecoration during the past few years and all the refurbishment has been carried out to a good standard. Redecoration of the hall and landing has taken place since the last inspection, and a new carpet has been fitted to this area. There has also been some refurbishment to the kitchen. Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 18 Bedrooms are spacious, with room for music systems, hobby materials, easy chairs etc. Both people enjoy spending time in their bedroom and are able to have their personal possessions around them. The large dining kitchen provides a sociable place to eat and chat. The home is clean. The registered provider has recently employed a cleaner for five hours each week. This person has completed control of infection training. The people living at the home are both involved in the day-to-day tidying of the home and willingly help with a range of household tasks. Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 19 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): 32, 34 and 35 Quality in this outcome area is adequate. Recruiting staff without first carrying out the required checks could put people at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No care staff are employed, as the registered provider takes personal responsibility for meeting the support needs of those living at the home. Up until very recently there have been no staff employed at the home, with domestic staff being provided via an agency. This has recently changed and a part time cleaner is now employed for five hours each week, having commenced work in August 2007. The recruitment records for this employee were viewed. Evidence of prior training was available, relating to this persons main employment as a care worker in another setting. Certificates viewed included NVQ (National Vocational Qualification) level 2, first aid, control of infection and moving and handling. However, no written references or CRB (Criminal Records Bureau) disclosure had been obtained. A previous CRB disclosure was available on the file. Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 20 Thorough recruitment checks must take place for any staff employed at the home, regardless of their role or the number of hours worked. Recruiting staff without carrying out the necessary checks could put vulnerable people at risk. As there are no care staff employed at the home, Standards 32 and 35, which relate to the skills and training of care staff, are not applicable. Beacholme DS0000010015.V346996.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): 37, 39 and 42 Quality in this outcome area is good. The informal quality monitoring and common sense promotion of health and safety are appropriate to this family type setting. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered provider has many years experience, in a variety of settings, of working with people with learning disabilities. A number of training courses were undertaken during this time, including training regarding epilepsy. Beacholme is very much run along the lines of family living, and a number of the registered providers’ family also reside at the home. The registered provider is the sole provider of care support for the two people living at the home. Due to past experience and the fact that no care staff are employed, it has been deemed reasonable not to expect the registered provider to Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 22 undertake formal management training. This would have to be reviewed, should the number of people living at the home increase and/or more staff be employed. The need for further training would also have to be reviewed should anyone with more complex needs be admitted to the home. At present the only staff member is a domestic worker employed for just five hours each week, with the very specific role of carrying out cleaning tasks. Quality monitoring at Beacholme is carried out as part of day-to-day living. The registered provider has known one person who lives at the home, for over 20 years. Both the current residents are able to voice their opinions and express their views. One person has a relative living within the area, who would advocate on his behalf if necessary. Information from the feedback questionnaires, completed by the two people living at the home confirms that the registered provider does listen and act upon what they say. If the service were to be further developed it may be necessary to re-evaluate the importance of quality monitoring and introduce more formalised systems. The registered provider has a good basic knowledge of health and safety principles and good practice. A common sense approach is taken in ensuring that the home is a safe place to live. Risks are identified and the building is well maintained. One individual smokes, however he does not smoke inside, as he chooses to smoke outside the building. Smoke detectors are wired into the premises. There is an annual service contract with the gas supplier, which was viewed, the last check having taken place in June 2007. Both the people living at Beacholme have some degree of understanding regarding safety in the home. Within the Annual Quality Assurance Assessment, the registered provider confirms that he has discussed fire safety procedures with the people living at the home. The domestic worker has undertaken control of infection training. Beacholme DS0000010015.V346996.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 N/A 33 X 34 2 35 N/A 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 24 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 YA34 Regulation 19 and Schedule 2 Requirement Appropriate recruitment checks, including gaining a CRB disclosure, must take place prior to staff commencing duty. Timescale for action 31/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA9 Good Practice Recommendations The registered provider should review the current risk management arrangements regarding individuals spending time unsupported at the home. The registered provider should regularly review opportunities for employment, education and promoting independence. 2. YA12 Beacholme DS0000010015.V346996.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Beacholme DS0000010015.V346996.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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