Inspection on 28/09/06 for Beech Gardens

This inspection was carried out on 28th September 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 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

Beech Gardens 05/01/06

Beech Gardens 07/07/05

Beech Gardens 12/12/04

Beech Gardens 13/07/04

Beech Gardens 26/02/04

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

CARE HOME ADULTS 18-65 Beech Gardens 1 Salmond Road Shinfield Park Reading Berkshire RG2 8QN Lead Inspector Amanda Longman Unannounced Inspection 30th September 2006 10:00 Beech Gardens DS0000011349.V305909.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 Beech Gardens DS0000011349.V305909.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. Beech Gardens DS0000011349.V305909.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beech Gardens Address 1 Salmond Road Shinfield Park Reading Berkshire RG2 8QN 0118 986 8863 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) Residential Community Care Limited Ms Alexandra Louise Mullen Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Beech Gardens DS0000011349.V305909.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: Beech Gardens is a detached house situated in a quiet residential area on the outskirts of Reading. It is on a main bus route and is close to local shops, pubs and leisure facilities. Beech Gardens is one of three homes in the local area owned by Residential Community Care. It provides accommodation and care for up to six men and women aged between 18 years and 65 years whose main need for care arises from a learning disability. The home caters for people from various cultural and religious backgrounds. It has an equal opportunities policy in place. Fees for the home vary from ……………… to ……………….. and extra charges for such things as hairdressing are …………….. (These figures are awaited from the home and will be provided in the final report.) Beech Gardens DS0000011349.V305909.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that The Commission has received about the service since the last inspection. The inspection included a visit to the service on 28 September 2006 between 11.15pm and 5.15pm when the inspector observed care practices, examined care records and staff records and spoke with service users and staff. The registered manager was present on the day of the site visit. What the service does well: What has improved since the last inspection? What they could do better: To ensure the needs of service users are competently met, the registered manager must ensure that enough care workers commence NVQ2 training to ensure that 50 will be qualified to that level. To enhance the activities and compliment the education of service users, it is recommended that the home provide a computer for the use of service users. Beech Gardens DS0000011349.V305909.R01.S.doc Version 5.2 Page 6 To ensure the home meets the needs of all its service users it is recommended that the manager arranges for an occupational therapist to undertake an assessment of 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. Beech Gardens DS0000011349.V305909.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 Beech Gardens DS0000011349.V305909.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. People who use the service and their representatives have the information needed to choose whether or not the home will meet their needs. This judgement has been made using available evidence including a site visit to the service. EVIDENCE: The Statement of Purpose has been updated to include the new registered manager, deputy manager and the extension to the home. All service users who answered the questionnaire had enough information about the home and were asked if they wanted to move in to it. Records of pre-admission assessments and meetings held with a recently admitted service user were reviewed and the service user was spoken with. Assessments were detailed and appropriate and the service user had visited the home on several occasions and had an opportunity to input in to the design and decoration of their room. Beech Gardens DS0000011349.V305909.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is excellent. Individuals are fully involved in decisions about their lives, and play an active role in planning the care and support they receive. This judgement has been made using available evidence including a site visit to the service. EVIDENCE: Two service users files were reviewed in detail. Both showed very detailed personal plans, including goals which were seen to have been compiled with the service user, and with an advocate where the service user chose to have one. These assessments and plans were seen to be regularly reviewed. Pre inspection questionnaires received showed 2/3rds of service users usually made a decision about what wanted to do each day. All who answered said they could do what they wanted to do during the day. Both files reviewed contained full and up to date risk assessments. All three service users spoken with said they could make choices about their daily activities including getting up and going to bed, to spend time alone or with others and whether or not to join in planned activities. Two service users regularly go out of the home unsupported to work, or other activities. Risk assessments were in place for these activities. Beech Gardens DS0000011349.V305909.R01.S.doc Version 5.2 Page 10 A full program of activities is drawn up by the home and its service users in conjunction with the two other homes within the group. This gives a wide range of activities and venues, and means service users can choose what to do. Service users continue to be involved with the running of the home, including recruitment of staff. The service users occupying the two recently built bedrooms confirmed they were fully involved in the choice of furniture, fittings and decoration for their rooms. A third bedroom had been extended and decorated and that service user also confirmed he was involved in the choice of décor and fittings. The focus groups have started meeting on a monthly basis and the group discusses two policies at each meeting to review appropriateness and implications. Service users spoken with were very happy at the home, spoke with and visited friends and family and received visitors as and when they wished. This was confirmed in personal plans. One service user has an advocate, the others choose not to. Staff were observed treating service users with dignity and respect, for example not entering their rooms without permission, respecting their privacy and talking with them about their views and opinions. Beech Gardens DS0000011349.V305909.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. People who use the service make choices about their life style, and are supported to develop their life skills. Social, educational, cultural and recreational activities are extensive, offer choice and meet individuals’ expectations. This judgement has been made using available evidence including a site visit to the service. EVIDENCE: The home has a varied activity program both within the home and in the wider community. It provides education in terms of literacy and numeracy, skills in terms of cookery, independent living, exercise; leisure activities in terms of relaxation, flower arranging, jewellery making and arts and crafts; sport in terms of volleyball and badminton. One service user is currently studying maths, literacy and computing at college. The inspector discussed with the manager the idea of the home providing a computer for service users. Service user records examined all had activity plans which were reviewed on an ongoing basis with a six monthly formal review. Service users are assessed Beech Gardens DS0000011349.V305909.R01.S.doc Version 5.2 Page 12 as to what level of support they require to attend activities and as a result, two service users attend clubs or activities unsupported. The home rents a hall twice per week to put on activities in conjunction with the other two homes in the group. These include numeracy, cooking, sensory games, flower arranging, model, literacy jewellery and craft making, woodwork, exercise, reflexology and a women’s group. Service users spoken with enjoy the variety of activities on offer within the home, in conjunction with the other two homes and in the wider community. In the wider community activities include college activities, PHAB club, fishing, swimming, carriage driving, library, cinema and shopping. Lifestyle and activity plans reviewed showed integration in the local community in terms of educational and leisure activities such as college, pubs shops, leisure centre, buses. There is an up to date policy encouraging relationships with family and friends as part of all service users lifestyle plans. Family and friendship contact is enabled where service users choose it. Several service users have phone calls and visits to and from family and friends. Where this is not desired this is respected. The housekeeping rota was seen and service users were seen participating in household chores. All service users are registered to vote. Evidence was seen of the service users’ charter, which records evidence of how service users are encouraged to maintain quality of life by choosing their own limits of freedom, habits and liberty. The manager explained this document will be a working document between the home and the service user. It addresses all aspects of privacy, dignity, rights and fulfilment and looks for each individual how all standards could be met. This was a very comprehensive document but is not yet fully completed for all service users. Two weeks menus were supplied which were varied and nutritious, alternatives are provided where service users have particular likes or dislikes. No special diets are currently required but the manager stated these would be catered for. Meal times appear flexible to meet service users’ needs. The manager explained menu planning meetings are held every Tuesday evening for shopping on Wednesday, various service users assist in shopping or putting away. Beech Gardens DS0000011349.V305909.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Service users are protected by the home’s policies and procedures for dealing with medication. This judgement has been made using available evidence including a site visit to the service. EVIDENCE: All service users have an allocated key worker. Those service users who answered the questionnaire said carers usually or always listen and act on what service users say. Nursing care is not provided. The policies on Moving and Handling, Dignity and Privacy, and Medication were all reviewed in April 2006. The two service user files examined contained detailed and up to date lifestyle plans and healthcare records. Service users spoken with stated they were treated with dignity and respect. Staff spoken with had understanding of these values, had received training and were observed treating service users with dignity and respect, for example in the way they spoke with them, in not entering their rooms uninvited and in valuing their views and choices. (for example what they had bought at the shops.) The manager had not followed the previous recommendation to have the home reviewed by an OT because of the building work which has been going on this year. This was discussed again and the manager will pursue it. Generally the Beech Gardens DS0000011349.V305909.R01.S.doc Version 5.2 Page 14 building appears suitable for those that live there. However one of the new ensuites does not have an appropriate handrail. The service user and the manager explained a suitable one is on order. The policies and procedures for dealing with medication were examined and found to be appropriate. No service users in the home control their own medication. The medication cupboard was kept locked in the manager’s office. Only the manager and shift leader hold keys. Medication records were inspected and found to be in order. Administration of medication is counter signed and records of medication received in to the home were up to date and accurate. Medication training procedures for each member of staff were seen. Beech Gardens DS0000011349.V305909.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. This judgement has been made using available evidence including a site visit to the service. EVIDENCE: No complaints have been received by the home since the previous inspection. No information concerning complaints made by service users or their representatives to the service has been received by the commission since the last inspection. The Complaints procedure was up to date and was contained in Service User Guide. All the service users who returned questionnaires said they knew who to speak to if they were not happy and knew how to make a complaint. Service users spoken with understood their right to complain and said they would take up things with the manager if they were not happy. Staff spoken with understood the complaints procedure. Adult protection and whistle blowing policies were reviewed in April 2006. The procedures were appropriate and up to date. Training records confirmed that training in the protection of vulnerable adults is provided to all staff. Two service users handle their own finances. The remainder have personal allowances paid directly in to bank accounts. Service user financial records were reviewed. Petty cash is used for expenses and a personal allowance form is signed. Personal bank accounts are held for those service users who do not control their own money and these were seen to be independently audited every three months. Beech Gardens DS0000011349.V305909.R01.S.doc Version 5.2 Page 16 Other measures contributing to the protection of service users include the new service user charter which is currently being compiled with each service user in the home. This working document notes evidence of how, for example, the service user is encouraged to maximise independence and quality of life, choose own freedoms, habits and lifestyles, how risk is managed between the service user and the home and, amongst others, how issues of privacy and fulfilment will be optimised. This was seen to be a very valuable working document. Beech Gardens DS0000011349.V305909.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. The physical design and layout of the home enables service users to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a site visit to the service. EVIDENCE: An extension has been built to the home, providing a new office, new staff sleep-in room and bathroom and two new bedrooms with en-suite facilities. A previous bedroom has been converted to a dining room. The changes have resulted in the homes registered capacity rising from six to seven. The inspector was invited by the service users to view these new rooms. They are homely and furnished and decorated to the service users’ choice and both encourage independence. One new room also has a sitting room, which is furnished to the service user’s choice and a small area for a kitchenette, which is not currently fitted. However the service user has access to their own tea making facilities and this has been suitably risk assessed. One service user with an original room, which has now been slightly extended, invited the inspector to view their room. It was again pleasantly furnished in line with the choices of the service users. The inspector toured the communal areas and bathrooms. All were clean, Beech Gardens DS0000011349.V305909.R01.S.doc Version 5.2 Page 18 hygienic and safe and homely with domestic style fittings and furnishings. A second sitting room enables choice of where to sit and a venue for small groups and activities. All maintenance and safety checks are up to date. Those service users who answered the questionnaire said the home was usually or always fresh and clean. This was seen to be the case on the day of the site visit. A previous requirement to ensure the light pull cords in the bathrooms were kept clean has been actioned. A previous recommendation for the home to arrange for an occupational therapist’s assessment has not undertaken due to building work this year. One of the new en-suite bathrooms requires a handrail for safe use and the inspector understands this is on order. Beech Gardens DS0000011349.V305909.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. Staff in the home are trained and present in sufficient numbers to support the people who use the service and the recruitment procedures protect service users. The home must strive to increase the number of care workers qualified to NVQ level 2 and above. This judgement has been made using available evidence including a site visit to the service. EVIDENCE: At the time of the site visit the home had six service users. The home currently has two staff working on every shift, plus the manager in the daytime. One person sleeps in at night. Evidence was seen that this had been reviewed and risk assessed on 24 September 2006, including plans for nighttime evacuation. Currently 37.5 of staff hold NVQ level 2 or above, against The Commission’s target of 50 . The previous requirement to enrol 2 planned workers on NVQ to meet the 50 target has therefore not been met. The organisation needs to strive to achieve 50 of its care staff qualified to NVQ level 2 or equivalent, alongside its good annual training plan. The requirement has therefore been repeated. Recruitment procedures were reviewed in April 2006. Five staff have started since the last inspection, all of whom started before their Criminal Bureau Beech Gardens DS0000011349.V305909.R01.S.doc Version 5.2 Page 20 records checks were returned. Recruitment records were examined for two care workers. All procedures had been followed and appropriate checks recorded. The manager clarified that where a start date is recorded in advance of the criminal records bureau check being returned, that care worker will be undergoing a program of induction training with no unsupervised access to service users. A full training program for 2006 was seen to be in place covering all mandatory training plus the organisation’s graduate training program. Detailed records of induction training, which cover all required areas, were seen. Beech Gardens DS0000011349.V305909.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is excellent. Service users benefit from a well run home and may be confident that their views underpin the developments of the home. The health and safety of service users is promoted and protected. This judgement has been made using available evidence including a site visit to the service. EVIDENCE: The manager is registered with The Commission. Key management responsibilities are allocated between the manager, deputy manager and senior staff, these are detailed in their job descriptions. All necessary policies and procedures are in place and all were reviewed by the manager in April 2006. Policies are provided are in formats for service users in the lounge of the home and Service user forums are held monthly where policies are debated and agreed. The manager has introduced a new Service user charter which provides an effective method for ensuring people’s diversity is central to their care as it is about their individual values and recording evidence to ensure these are adhered to. Staff and service users spoken with Beech Gardens DS0000011349.V305909.R01.S.doc Version 5.2 Page 22 feel the home is well run and provides a very good level of support to service users. Staff spoken with appreciate the diversity and individual values of service users. Quality Assurance procedures are appropriate. An annual development plan for the home is in place. The home is registered under the Data Protection Act and appropriate and up to date confidentiality procedures are in place. Quality Assurance processes include questionnaires for service users, relatives and visitors. Quality assurance information is analysed and used to form development plans to improve the home in line with its aims and objectives. The 2006 development plan was seen and has been actioned. All required health and safety checks and training are in place. These include a daily cleaning rota agreed with and participated in by service users. A staff sleep-in checklist, which includes security and ensuring appliances are switched off. In addition the manager does a weekly visual check of possible hazards such as sockets, plugs, water temps, first aid equip, radiator temperatures and a medication audit. Beech Gardens DS0000011349.V305909.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 4 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 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 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 4 X 3 X X 3 X Beech Gardens DS0000011349.V305909.R01.S.doc Version 5.2 Page 24 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 YA32 Regulation 19 (5)(b) Requirement To ensure the needs of service users are competently met, the registered manager must ensure that enough care workers commence NVQ2 training to ensure that eventually 50 will be qualified to that level. Timescale for action 28/01/07 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. 2. Refer to Standard YA12 YA29 Good Practice Recommendations To enhance the activities and compliment the education of service users, it is recommended that the home provide a computer for the use of service users. To ensure the home meets the needs of all its service users it is recommended that the manager arranges for an occupational therapist to undertake an assessment of the home. Beech Gardens DS0000011349.V305909.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 Gardens DS0000011349.V305909.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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