Inspection on 28/09/05 for Beech Dene Residential Care Home

This inspection was carried out on 28th September 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Beech Dene Residential Care Home 30/01/08

Beech Dene Residential Care Home 29/11/06

Beech Dene Residential Care Home 11/01/06

Beech Dene Residential Care Home 24/02/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Beech Dene Residential Care Home Westwood Road Leek Staffordshire ST13 8DL Lead Inspector Lynne Gammon Announced 28 September 2005 9:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Beech Dene Residential Care Home Address Westwood Road Leek Staffordshire ST13 8DL 01538 388087 01538 384046 beechdene@oldfieldcare.co.uk Mr Simon Badland & Mr Anastasis Kayiatou Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Joanne Boyle CRH 31 Category(ies) of DE(E) - 8 registration, with number OP - 31 of places PD(E) - 3 Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 8 DE(E) - 1 of whom may be 60 on admission Date of last inspection 24/02/05 Brief Description of the Service: Beech Dene is a large, detached property set in mature gardens, in close proximity to the market town of Leek. The extended part of the home is two storey but the original building has three floors and a large basement, which is used as the laundry room. Currently, there are plans to utilise what was formerly the manager’s flat to create an extra six single en-suite bedrooms, subject to CSCI approval. The home is registered for 31 but in an effort to remove shared bedrooms, the home provides for a maximum of 29. Care needs vary, ranging from dementia care to residents who experience physical incapacities including, visual and hearing impairment. There are currently 19 single bedrooms, 10 with en-suite. The home has four bathrooms, one of which is equipped with a Parker bath. The home has a spacious, well equipped dining room and three main lounges/ conservatories. In addition, there is also a designated smoking room. There are a further two quieter lounges which provide an opportunity for complete privacy when receiving visitors or visiting professionals. There is a large, well-kept garden to the rear of the property that can be safely accessed and has adequate seating. In fine weather many residents prefer sitting at the front of Beech Dene as they can observe passersby and this involves them in the daily activities of the local community. The front of the property is safe and secure, provides adequate parking space, and is monitored with CCTV cameras. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. On the day of the inspection, there were 27 residents. The registered manager, Joanne Boyle, and the home co-ordinator, Kathleen Plant, were on duty all day with four care assistants until 2.00 pm, three care workers from 2.00 pm to 8.00 pm and three care workers on waking night duty. Other ancillary staff on duty that day included: a cook, a kitchen assistant, a domestic and a laundry assistant. The home also employed another cook, a domestic and a handyman/gardener. These staffing levels were deemed satisfactory to meet the needs of the residents living in the home at that time. The inspection included a tour of the home, inspection of records, observation and discussions with residents, relatives and staff. Since the last inspection on 24th February 2005, no formal complaints or any incidents or reports of abuse of any kind had been received by the Commission for Social Care Inspection or the home, and no requirements or recommendations, against the regulations or the minimum standards, were outstanding from the last inspection report. The pre-admission assessments were carried out by the registered care manager or the home co-ordinator and residents and their families were involved in the whole process of deciding if the home was right for them, being sure that it could meet their needs and once in the home, having those needs met very well. All aspects of health, personal and social care needs were addressed to a very good standard and recorded accordingly. Residents spoke highly of the quality of care provided by the staff within the home and confirmed that they were treated with dignity and respect. Both externally and internally, the home was well maintained and fit for purpose. It was a safe and homely environment for the residents and was very clean, warm and tidy. The fixtures and fittings were of a high standard and the decorating within the home was tasteful and carried out professionally. The bedrooms contained a variety of resident’s personal possessions and were homely and bright. The lounges, conservatories and dining room had also been re-decorated to a very high standard and provided a comfortable and pleasant environment for the benefit of the residents. The home was well managed and organised, and the residents were supported to have their say and to make decisions about the day-to-day activities within the home. Good robust systems were in place for the protection of residents and all staff had received training in the protection of vulnerable adults. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 6 What the service does well: 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. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 5 The registered care manager or the home co-ordinator met with all prospective residents to carry out pre-admission assessments to identify their needs and assured them that those needs could be met. Trial visits were offered to enable residents and relatives to make an informed choice about the home. EVIDENCE: The registered care manager or the home co-ordinator carried out preadmission assessments for all potential residents. Inspection of records evidenced a thorough, detailed assessment of needs including personal care, social history etc. Documentation and discussion with the care manager confirmed that prospective residents were able to visit the home for a meal, or to stay for an afternoon before moving in and trial periods were offered for the first two weeks. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10. The care planning processes were clear and detailed to enable staff to have a full understanding of resident’s needs. All health care needs were met and residents had access to a range of health professionals. Medication policies and procedures were satisfactory but stringent recording must take place at all times for the protection of the residents. Residents were treated with dignity and respect. EVIDENCE: Individual care plans were examined and seen to include all aspects of health, personal and social care. They were detailed and informative enabling staff to have a clear understanding of resident’s needs and how those needs should be met. Each care plan contained a photograph of the resident, and were set out to include all aspects of daily living including social, spiritual and cultural needs. Also included were nutritional risk assessments, continence assessments etc. All care plans were reviewed monthly. Risk assessments were completed but it is a recommendation of this report that these are reviewed each month. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 10 Records showed that the health care needs of residents were met very well and residents had access to a range of health care specialists including the GP, dentist, chiropodist etc, whose visits were recorded accordingly. On inspection, there was, overall, a safe and well-organised system for the receipt, storage, administration and disposal of medicines. All documentation was checked and each medication administration record (MAR) sheet included a photograph of the resident. Unusually, in terms of past history, a few gaps were identified on the medication administration records in regard to the recording of administered medicines. Discussions with the home co-ordinator took place for the need to reiterate to staff the importance for stringent recording and it is a requirement of this report that all administered and nonadministered medicines are recorded at all times on the MAR sheets. The Controlled Drugs Register was examined and no controlled drugs had been prescribed at that time. Medicines were stored securely and the NOMAD system was managed by a local pharmacy. Staff were observed knocking on bedroom and bathroom doors before entering and residents confirmed that they were treated politely and respectfully, and their privacy was upheld. The inspector was impressed to read in one care plan, under ‘Factors to maximise contentment’, the following statement: ‘To give help without making an issue about it, make it feel like it’s routine for all residents’ which was a good example of staff efforts to maintain dignity and respect whilst maintaining the safety of the resident. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. There were a range of social, religious and recreational opportunities available to meet the expectations of the residents within the home. Relatives and visitors were welcomed in an open and friendly manner and residents were supported and encouraged to maintain contact with family and friends. Residents were able to exercise their rights to have control over their own lives and to fulfill their individual wishes and choices. Dietary needs of the residents were well catered for and menus were varied and nutritious. EVIDENCE: A wide selection of recreational activities was available for the residents, both in the home and in the local community. These included: bingo, cards, dominoes, music, chair aerobics, games, a fashion show, coffee and cake afternoons, quizzes, crosswords, newspapers, hairdressing, visits by various entertainers, walking, visits to Bank House Day Centre to maintain friendships, trips to town, pantomime put on in the home at Christmas time, celebration of key events such as Bonfire night, etc. In addition to these, local school children visited the home at Harvest Festival time and sang at other times for the pleasure of the residents. The registered care manager stated that the home hoped to have its own mini bus next year which would enable residents Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 12 to have more opportunities for outings further a field. On the day of the inspection, some of the residents were playing musical instruments; singing and dancing with staff and one resident told the inspector how much she enjoyed it and asked her to join in! Religious needs were also catered for and visits to the home by the local clergy took place regularly and a Holy Communion service was held regularly. The care manager and residents confirmed that there was an open visiting policy at the home for relatives and friends and residents told the inspector that they were able to see them in their own rooms if they so wished. The Commission received a number of completed questionnaires from relatives prior to the inspection and one commented ‘The staff are warm and friendly, not only to my mother (and my father who passed away last year), but to the relatives and friends that come to see her at Beech Dene’. Residents confirmed that they were able to get up and retire to bed at times to suit them and were observed making their own choices throughout the inspection. During the inspection, a number of residents told the inspector how much they liked the food with comments ‘the food is so tasty – especially the puddings’ and ‘we have so much to eat, the food is really good’. The kitchen was in the process of being refurbished, however, inspection of the kitchen evidenced a very clean and tidy environment with fridge, freezer and food temperatures correct and recorded accordingly. The cleaning schedule was checked and up to date and foodstuffs stored appropriately. Four weekly menus were in place and seen to provide a varied and nutritious selection. The home employs two cooks and the cook on duty on the day of the inspection was very knowledgeable about the needs of the residents and confirmed that fresh food was used daily and home made cakes and puddings were also made each day. A list of resident’s likes and dislikes was located on the wall of the kitchen and the cook confirmed that ‘we aim to please all of the residents’. The dining room with a conservatory was laid for lunch during the inspection and each table had flowers at its centre. The dining room was beautifully decorated and overlooked the garden which provided a most pleasant place for residents to enjoy their meals. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The home had a satisfactory complaints procedure and residents were listened to and their comments acted upon. Residents were protected from abuse by the home’s Adult Protection procedure and training on abuse awareness and the protection of vulnerable adults. EVIDENCE: The home had a comprehensive complaints procedure, on full view in the hallway. This was easy to understand and clearly showed residents and relatives how to complain directly to the Commission for Social Care Inspection if required. Both the Commission and the home had not received any formal complaints during the last twelve months. Residents confirmed that they did not have any complaints, and the inspector observed a positive and supportive relationship between the staff and the residents in the home. It was clear that if any complaints were raised, the manager and the staff would make every attempt to resolve them as far as possible. The home had an Adult Protection procedure and all staff had recently received training in how to protect residents from abuse. There had been no incidents or allegations of abuse received by the home or the Commission for Social Care Inspection. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 22, 24 and 26. The home provided a well-maintained environment throughout and recent redecoration, both inside and out, had been carried out to a high standard for the benefit of the residents. There were accessible, safe and pleasant communal areas and specialist equipment used to support residents to promote their independence. Resident’s bedrooms were homely, personalised and well maintained. The home was spotlessly clean throughout which contributed to the overall control of infection and had a comfortable, homely atmosphere. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 15 EVIDENCE: The location and layout of the home was well suited for the residents. The property was a large, detached building, set in mature gardens, located in a quiet residential area, and easily accessible to the market town of Leek. Some of the building had two floors; the original building had three floors and a large basement, which housed the laundry room. There were plans in progress to extend the home using what was formerly the manager’s flat to create six additional single en-suite bedrooms, subject to CSCI approval. The grounds were very well maintained, tidy and safe and accessible to the residents. Although there was adequate seating at the rear of the home, the care manager informed the inspector that most residents liked to sit at the front of the home to ‘watch the world go by’. The front of the property provided car-parking facilities and was safe and secure. The home was very well maintained both externally and internally. The home had been redecorated throughout and five new windows had been put in. The communal areas included a dining room with conservatory, three main lounges/conservatories and a designated smoking room. There were two further quieter lounges, used by some residents to receive their visitors or just to have privacy with visiting professionals. The standard of decoration and the quality of the furnishings and fittings were very high throughout the home. The whole ambience of the home was one of comfort and homeliness and the communal rooms in particular presented a very pleasant environment for the residents. The home was also exceptionally clean throughout. During the inspection it was noted that environmental adaptations and equipment had been provided to meet the assessed need of the residents. These included handrails fitted along the corridor, grab handles in the toilets, access ramps and also hoists, pressure mattresses, assisted bathrooms and a nurse call system for the benefit of the residents. A new bed had also been purchased for each resident. Individual bedrooms were decorated and maintained to a high standard. Each room contained a variety of personal items belonging to the individual resident. Some rooms had en-suite facilities and all were clean, homely and bright. It was observed that radiators were protected, adequate numbers of sockets were available and smoke detectors were fitted. A good standard of furnishings and fittings were witnessed. Laundry facilities were inspected and found to be well organised, clean and hygienic. Soiled linen was contained and held separately from other laundry. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 16 Foul laundry was washed at the appropriate temperatures to ensure it was thoroughly clean and to control the risk of infection. Hand washing facilities were available in the laundry and the storage area for laundered linen and clothes was extremely tidy, orderly and clean. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 29. Staffing levels were satisfactory to meet the needs of the residents. There was on-going commitment to staff training and the NVQ achievements ensured that residents were in safe hands at all times. The home’s recruitment and selection procedures were robust for the protection of the residents. EVIDENCE: On the day of the inspection, there were 27 residents. The registered manager and the home co-ordinator were on duty all day with four care assistants until 2.00 pm, three care workers from 2.00 pm to 8.00 pm and three care workers on waking night duty. Other ancillary staff on duty that day included: a cook, a kitchen assistant, a domestic and a laundry assistant. The home also employed another cook, domestic and a handyman/gardener. These staffing levels were deemed satisfactory to meet the needs of the residents living in the home at that time. Discussion with the registered manager and home co-ordinator confirmed the home currently had six care staff that had achieved NVQ Level 2. Five more staff were in the process of completing it and once this training was completed, the home would have more than the required 50 of trained members of care staff NVQ level 2 or above working in the home. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 18 Two staff files were examined and each contained a recent staff photograph, an application form, CRB clearances, contracts of employment, two references and details of qualifications and some training. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33 and 37. The culture within the home was open and transparent and residents and staff were encouraged to provide feedback on the service to ensure that the home was run in the best interests of the residents. Records were stored safely, kept up to date and accurate to safeguard the rights of the residents. EVIDENCE: The manager was a competent and experienced person who was ably supported by the home co-ordinator, who acted as her deputy. Between them, they had developed an open and positive approach creating a relaxed and inclusive atmosphere within the home. This ethos was supported by robust procedures and policies, developed and communicated to staff. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 20 Bi-monthly staff meetings took place to enable staff to contribute to the way in which the service was delivered and feedback was actively sought from residents on a regular basis about the services provided. Records showed that views were taken into account and used accordingly. Records for the protection of residents, individual records and home records were seen to be secure, up to date and in good order. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 4 COMPLAINTS AND PROTECTION 4 4 x 3 x 3 x 4 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 4 3 x x x 3 x Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 22 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 OP 9 Regulation 13.2 Requirement For all instances of administered medication to be recorded at all times on the appropriate MAR sheet. Timescale for action Immediate 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 OP 7 Good Practice Recommendations To review residents risk assessments each month. Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Beech Dene Residential Care Home E51-E09 S59648 Beechdene V240845 280705 Stage 4.doc Version 1.40 Page 24 - 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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