Inspection on 28/06/06 for Beauvale Court Care Home

This inspection was carried out on 28th June 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

Beauvale Court Care Home 06/12/07

Beauvale Court Care Home 02/11/05

Beauvale Court Care Home 13/07/05

Beauvale Court Care Home 07/03/05

Beauvale Court Care Home 04/05/04

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 Beauvale Court Care Home Wellington Place Eastwood Nottingham NG16 3GD Lead Inspector Richard Ramsden Unannounced Inspection 28th June 2006 09:15 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 Beauvale Court Care Home DS0000058980.V299863.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. Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beauvale Court Care Home Address Wellington Place Eastwood Nottingham NG16 3GD 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) 01773 768183 01773 913143 Nottinghamshire County Council Mrs Angela Christine McNally Care Home 44 Category(ies) of Dementia (28), Dementia - over 65 years of age registration, with number (28), Old age, not falling within any other of places category (44), Physical disability (5) Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Out of the total number of beds (44), there will be 28 beds for DE 55 and over and/or DE(E) Out of the total number of beds (44), 5 may be used for PD 55 and over Service users shall be within category OP Date of last inspection 2nd November 2005 Brief Description of the Service: Beauvale Court is owned and run by Nottinghamshire County Council Social Services and is a purpose-built care home for up to 44 for older people. The home was built in the 1980s and is situated within 150 yards of the town centre of Eastwood, which has a good range of services and facilities. The accommodation is cited on two floors with a shaft lift assisting independent access. All of the bedrooms are for single occupancy and are fitted with wash hand basins; there are no ensuite facilities. There is a well-maintained enclosed rear garden that is accessible to all residents. The monthly accommodation charges for those residents who are self funding would be £1508 per calendar month. A copy of the most recent inspection report is available in the home. Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector completed this unannounced visit over one day it took approximately 8 hours. It included the inspection of care and other records, a discussion with the registered manager, two team leaders, two members of care staff and the cook. The inspector spoke with five residents and one visitor to the home. A partial tour of the building was also completed. Prior to completing this visit the inspector assessed the homes previous inspection reports, the service history and 33 satisfaction questionnaires which had been completed by the residents. Unfortunately people who attend the day centre at Beauvale Court, which is a service that is not inspected by the Commission for Social Care Inspection, had completed a number of the questionnaires. What the service does well: The resident spoken with during this inspection said that they are very happy with the services provided by the home they said that staffs are always friendly and respectful. They confirmed that staff ensures that residents privacy and dignity is maintained an all times. The home provides an impressive range of activities and entertainment to provide social stimulation for the residents. Five residents said that they are very happy with their bedrooms and confirmed that they had been encouraged to personalise them with small items of furniture, photographs ornaments etc. All of the resident spoken with said that they can use their bedroom at any time. The home has generally been maintained to a good standard and was appropriately clean at the time of this inspection. Several residents said that they enjoy sitting out in the enclosed rear garden when the weather permits. The homes manager is competent and experienced and ensures that the home runs in the best interests of the residents. The residents’ staff and the visitor stated that the manager is very approachable and that she seeks their views about the way in which the home operates. Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 6 The majority of staff have worked at the home for some considerable time and this helps to provide stability and consistency for the residents. A considerable amount of staff training has been provided since the last inspection. Staff are ensuring that they can meet the assessed needs of prospective residents prior to their admission to the home. Individual residents care plans are comprehensive and being reviewed on a regular basis, to ensure that staff always has up-to-date information detailing what assistance and support each resident requires. There were some aspects of good practice highlighted in the main body of this report. What has improved since the last inspection? What they could do better: One additional piece of information needs to be included in the literature provided to prospective residents. Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 7 Staff must be made aware of what procedures they should follow if the residents or their representatives asked us to see a residents confidential files. Some files may contain third-party information, which may breach the data protection act 1998 if people had immediate access. Minor repairs must be completed to the laundry room walls and the homes emergency lighting systems must be tested at least once each month. 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. Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 8 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 Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 9 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): 1,2,3,6. The literature supplied prospective residents contains most of the information required to enable people to make an informed choice as to whether the home will be able to meet their assessed needs. Not all residents have been provided with written contracts/terms and conditions of residence The homes staff ensure that they can meet the assessed needs of prospective residents by obtaining full written assessments prior to their admission to the home. Beauvale Court does not provide intermediate care. “Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to the service. EVIDENCE: The literature supplied to prospective residents has been updated and now contains the majority of required information to enable residents to make an Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 10 informed choice as to whether the home will meet their assessed needs. This literature still needs to include information on the resident’s views of the home. The senior staff have started to issue Terms and Conditions of Residence documents to all residents, however this information had not been provided for two of the three residents whose records were viewed as part of this visit. All residents must be made aware of the terms and conditions under which they are being admitted to the home and where possible they should sign to confirm that they have read and agree with this information The three residents care plans, which were assessed during this visit each contained pre-admission assessments, which had been completed by a social worker. The manager was advised that the registered person must confirm in writing to the service user, that having regard to the assessment, the care home is suitable for the purpose of meeting their needs, in respect of health and welfare. Beauvale Court does not provide intermediate care. Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10. Residents individual care plans contain sufficient information and are updated frequently enough to ensure that staff are always aware of what support and assistance each resident requires. Residents health care needs are generally being met, however all residents must be offered a bath at least once each week. The medication systems are well managed and provide a safe system for the residents. Residents feel they are treated with respect and their rights to privacy is upheld. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service.” EVIDENCE: There has been a significant improvement in the quality of the residents individual care plans since the last inspection. The plans now contain sufficient Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 12 information to ensure that staff are aware of what support and assistance each resident requires. Two of the three care plans viewed during this visit had been reviewed and where necessary updated every month to ensure that the staff always have up-to-date information. It was noted that one resident’s pre admission assessment stated that because he did not have any teeth he sometimes had difficulty eating large pieces of food and may need assistance from staff. This issue had not been dealt with in the care plan. The resident confirmed that although he has no teeth he does not experience any problems eating his food. The residents spoken with during this inspection said that they believe that their health care needs are being appropriately met. The records viewed as part of this visit generally confirm this. However the records of one resident indicated that he had not been offered a bath for 16 days. The senior staff stated that this residents Key worker had been on annual leave and that this may be why he had not been offered a bath. The inspector stated that all residents must be offered a bath at least once each week; if the resident refuses a bath this should be recorded. The homes medication systems were well maintained at the time of this visit. An air-conditioning unit has been provided in the room in which medication is stored to ensure that the temperature does not rise above 25°C. (This is good practice). One resident has chosen to administer his own medication. An appropriate risk assessment has been completed and the resident is ensuring that is medication is stored safely at all times. (This is good practice). All of the residents spoken with during the inspection said that the staff are always friendly and respectful and ensure that their privacy and dignity is maintained at all times. Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 13 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): 12,13,14,15. The home is providing a good variety of activities and entertainment. People are encouraged to maintain contact with family and friends. Where possible residents are encouraged to make decisions about their individual lifestyles. Staff need to be aware of the procedures they must follow if a resident, or their representative, asks to view the residents personal records. The residents are satisfied with the food provided by the home, but the home must keep more comprehensive records. “Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to the service”. EVIDENCE: The home is providing a good variety of activities and entertainment. On the day of this visit a large number of residents were participating in a music and movement session. One resident told the inspector that he had thoroughly enjoyed the singers who had visited the home the previous evening to entertain the residents. Three people said that they were looking forward to the summer fete, which was being organised for the weekend after this visit. All of the residents spoken with said that they are very satisfied with the level of activities and entertainment provided by the home. Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 14 People are encouraged to maintain contact with family and friends. The residents spoken with said that they can have visitors at any time and that their visitors are always made very welcome. One person believed their visitor could have a meal with them, in the home, as long as they booked it in advance. The visitors spoken with said that he has always found the staff to be friendly and welcoming. All residents have been given information on how to access their personal files and how to contact an advocate, who will be able to provide independent support and advice. One resident had been using the services of an independent advocate at the time of this visit. When one member of care staff and one team leader were asked about the procedures they would need to follow if the resident or their representative asked to see the residents personal records, they were unclear what records could be made immediately available. It is important that staff are aware of the procedures they must follow if a resident or their representatives wish to see the residents confidential records. All of the residents who were asked said that they were satisfied with the way their finances were managed. The meal on the day of this inspection appeared wholesome and nutritious. All of the residents spoken with during this visit said that they were very satisfied with the food provided by the home and confirmed that there is always a choice of food and that alternatives will be provided if they do not want the food suggested on the menu. The home is not keeping a record of the food actually provided for residents and consequently it could be difficult to judge whether the diet is always satisfactory. A number of people who completed satisfaction questionnaires said that they did not like fish fingers and would prefer to have portions of fish. The residents who made these comments were people using the day care facilities, which are not regulated by the Commission for Social Care Inspection. The inspector did however discuss these comments with the manager who agreed to have a meeting with the day centre clients. Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 15 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): 16,18. Residents believe that their complaints would be taken seriously and that appropriate action would be taken. The homes complaints records support this view. Informal complaints must be recorded in a central book or file to provide an overview of the nature and frequency of complaints received. The registered person is taking appropriate action to protect residents from abuse. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. EVIDENCE: The homes complaints records show that no complaints have been received since the last inspection. The manager has updated the information on the previous complaints records to show what action has been taken as a result of her investigation. The manager was reminded that the home must keep a record of all complaints, formal and informal, detailing the investigation and where appropriate any action taken. On the service user questionnaires five people said that they were unsure how to make a formal complaint. The inspector recommended that residents are regularly reminded of the procedure they should follow if they wish to make a complaint. Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 16 The home has a copy of the local Vulnerable Adults Procedure and an appropriate Whistle Blowing Procedure. The staff spoken with were clear about their responsibilities under the Whistle Blowing Procedure. The inspector was informed that there have been no allegations of abuse in the home in the last 12 months. Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 17 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): 19,26. The accommodation, which is purpose-built, has been maintained to a good standard. At the time of inspection the home was clean and there were no offensive odours. The wall in the laundry is damaged and will need to be repaired. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service”. EVIDENCE: A partial tour of the premises was completed as part of this visit. The accommodation is comfortably furnished and reasonably decorated. All of the residents spoken with during this inspection said that they like their bedrooms and confirmed that they could use them at any time. One person said that he chooses to spend most of his time in his bedroom as they require constant oxygen and feel more comfortable in their room. Residents said that Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 18 they had been encouraged to personalise their rooms with small items of furniture photographs and ornaments. The residents and the visitor confirmed that the home is always kept very clean. The laundry is small but well equipped with washable wall and floor coverings. However it was noted that there is a large hole in the laundry wall and that several tiles are missing. These will need to be repaired/replaced for safety reasons. Appropriate cosh data sheets and the relevant sections of the homes infection control policies were available in the laundry to ensure that staff can have easy access to them. Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 19 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): 27,28,29,30. The rota provided for the week of this inspection showed that adequate staffing levels are being maintained. The homes recruitment policies and practices are supporting and protecting residents. The manager was able to demonstrate the homes commitment to staff training and development. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. EVIDENCE: The rota provided for the week of this inspection showed that sufficient staff are being provided to comply with previously agreed staffing levels. At the time of this visit the home was only accommodating 40 residents if this number increases and some of the residents are high dependency, the staffing levels in the afternoon will have to be reviewed. The residents spoken with during the inspection said that the staff work very hard but always find time for social interaction. The personal records of two members of staff were assessed as part of this visit. The records contain all the required information. A total of 18 members of care staff have completed NVQ level 2 or above, and a number of staff were completing the training at the time of this inspection. Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 20 One of the members of staff who was interviewed as part of the visit said that she had recently enrolled to commence their NVQ level 2 training. (This is good practice.) The staff training records showed that a considerable amount of training had been provided since last inspection. Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 21 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): 31,33,35,38. The homes manager is well qualified and experienced. The home is run in the best interests of the residents. Resident’s financial interests are safeguarded. Where checked the health and safety of residents and staff are promoted and protected. Quality in this outcome area is good. This judgment has been made using available evidence including a visits to the service. EVIDENCE: The manager is well qualified and experienced. She is currently completing her NVQ level 4 in care and once this is completed will begin the remaining units necessary to obtain the Registered Managers Award. Residents and staff Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 22 said that the manager is very approachable and that she seeks their views about the way in which the home is run. Quality monitoring systems are in place, which show that residents and stakeholders in the community are being encouraged to express their views about the services provided by the home. The manager was able to demonstrate how the social services corporate business plan will be used to monitor and improve the individual services within the home. The resident’s financial records and the records of items handed in for safekeeping were checked at random and all were well maintained. The aspects of health and safety, assessed as part of this inspection, had been satisfactorily maintained. However the homes emergency lighting must be tested at least once each month and the results of the tests accurately recorded in the homes of Fire records. Beauvale Court Care Home DS0000058980.V299863.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 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 2 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 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 3 X 3 X 3 X X 2 Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 24 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 OP1 Regulation 5 Requirement It is required that the literature supplied to prospective residents/their representatives includes the residents of views of the home. (Previous timescale of 02/01/06 not met) It is required that all residents are offered a bath at least once each week. If the resident declines the offer of a bath this must be recorded. Timescale for action 31/07/06 2. OP8 12 (1) 28/06/06 3. OP15 Schedule 4 (13) It is required that the registered 28/06/06 Person keep a record of the food provided for residents in sufficient detail for anyone inspecting the records to judge whether the diet is satisfactory. The records must contain details of any special diets or alternative meals provided. It is required that staff are made aware of the procedure they must follow if a resident or their representative asks to see a DS0000058980.V299863.R01.S.doc 4. OP14 Data Protection Act 1998. 28/06/06 Beauvale Court Care Home Version 5.2 Page 25 residents personal records. 5. 6. OP26 OP38 13 24 (4) It is required that the Laundry 14/08/06 room walls are repaired. It is required that the homes 28/06/06 emergency lighting system is checked each month and that the results of the tests are accurately recorded in the homes fire records. 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 OP2 Good Practice Recommendations It is recommended that all residents be provided with a document detailing Terms & Conditions of Residence. Where possible residents or their representatives should be encouraged to sign to confirm that they have read & agree with the Terms & Conditions of Residence. It is recommended That the Registered Person confirm in writing to all prospective residents that, having regard to the assessment the home is suitable to meet their health & welfare needs. It is recommended that residents are regularly reminded how they can make a complaint if they are dissatisfied with any aspects of the services provided. 2. OP3 3. OP16 Beauvale Court Care Home DS0000058980.V299863.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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