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Inspection on 15/01/07 for Beechwood House Care Home

Also see our care home review for Beechwood House Care Home for more information

This inspection was carried out on 15th January 2007.

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

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

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

What the care home does well

What has improved since the last inspection?

There were no recommendations or requirements following the last inspection. Improvements to the premises sine the last inspection include the reciting of the en suite provision in one room to improve accessibility, this room has also been redecorated and refurbished. Other changes to the home include new lighting in hallways.

What the care home could do better:

Staff are described as `kindly`, `discreet`, `respectful` and `helpful`, however it was observed during this visit that although staff knock on residents doors, not all wait for an answer before entering. In keeping with best practice, this should be addressed. Surveys are carried out with residents every six months. Mr Rogers confirmed that where issues are raised, these are followed up with the resident. To meet best practice, and to further demonstrate that the views of residents are sought and taken into consideration in matters that affect their daily lives, records of follow up discussions should be developed which include any action taken in response to issues raised.Beechwood house has a Registered manager, Mrs Barclay. a proprietor, Mrs Gibb and two directors Mr and Mrs Rogers. Mr and Mrs Rogers are involved on a daily basis in the running of the home. This is positive for the residents as they have the opportunity to make a relationship with the directors as well as the manager. Conversely, some staff felt unsure about who they should respond to primarily in carrying out their daily tasks. Although the home has written guidance, which details lines of management accountability, it is suggested that additional steps are taken to address this issue. The promotion of this homely environment would be further enhanced by the removal of notices around the home, which act as prompts for staff. To promote best practice it is recommended that all staff undertake certificated first aid training.

CARE HOMES FOR OLDER PEOPLE Beechwood House Retirement Home 60 West Coker Road Yeovil Somerset BA20 2JA Lead Inspector Lesley Jones Unannounced Inspection 15th January 2007 10:00 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 Beechwood House Retirement Home DS0000064801.V326565.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. Beechwood House Retirement Home DS0000064801.V326565.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beechwood House Retirement Home Address 60 West Coker Road Yeovil Somerset BA20 2JA 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) 01935 472793 01935 425723 beechwood@homecall.co.uk Beechwood House Ltd Mrs Sandra Jean Barclay Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Beechwood House Retirement Home DS0000064801.V326565.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Old Age, not falling within any other category (28) Date of last inspection 28th February 2006 Brief Description of the Service: Beechwood House provides care and accommodation for up to 28 older people. The home is set back on a main road on the outskirts of Yeovil. Residents living accommodation is arranged on the ground floor with easy access throughout, including access to the formal and natural gardens. All bedrooms have toilet and hand basin en-suite facilities, and there are ample shared bathing and toilet facilities throughout the home. The home has two dining rooms, two lounges and two conservatories. The home has a No Smoking policy. There is ample dedicated parking at the front of the home. Beechwood House Retirement Home DS0000064801.V326565.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place as part of the normal programme of inspection. It started at 10.00am and finished at approximately 5.00pm. During that time the inspector saw the majority of the home, spoke with a selection of the residents, some visitors one of the directors Mr Rogers, the manager, four members of staff, and had comments from surveys that had been sent to residents and staff. Records in relation to care planning, safe working practices, recruitment and medication were inspected. During the inspection the normal routines of the residents carried on. Some residents were going out and visitors were coming and going. Staff, owners and management were very helpful and efficient at providing all the information requested by the inspector. What the service does well: Residents who wish to move into Beechwood can be assured that preadmission assessments are comprehensive ensuring that the home and staff can meet their needs. Assessments are continuous and provide the basis for sound care planning. Plans are ‘person centred’ and well understood by staff. Residents are treated as individuals, with respect and dignity. Staff try not to make assumptions and ask questions such as ‘would you like me to put your laundry away’ and ‘would you like me to help you to bed?’ Until recently(last September ) and the loss of the activities organiser, there were regular activities in the home . These took place three times weekly and included quizzes, guess the object and flower arranging. The manager has maintained some activities for residents and at the time of this inspection was in the process of recruiting a replacement activities organiser. Residents said that they enjoyed these regular activities and looked forward to their recommencement. They particularly enjoyed going out for outings or coffee.. The food at Beechwood is described as ‘excellent’. Meals are prepared on site and there is ample variety and choice. One resident noted the setting is very relaxing and sociable and that the tablecloth and napkins are changed between every meal. This is in keeping with the high standards of décor, decoration, furnishing and ambience of Beechwood. The home is clean, bright and airy throughout. There is a variety of seating areas and this includes areas with ‘comfy sofas’. Beechwood House Retirement Home DS0000064801.V326565.R01.S.doc Version 5.2 Page 6 Sufficient and well trained staff are on duty at all times. They are described as ‘kindly’, ‘discreet’, ‘respectful’ and ‘helpful’. The home is described by residents as ‘spotless’, ‘smashing’ and as a ‘lovely place’. Some residents commented that they are encouraged to maintain their abilities and independence but that staff are always ready to help when needed. The manager was described as ‘helpful’ and approachable and the home as ‘top notch’. It is commendable that the home has an active residents committee. The management team are welcome to attend this meeting. A resident chairs this committee. What has improved since the last inspection? What they could do better: Staff are described as ‘kindly’, ‘discreet’, ‘respectful’ and ‘helpful’, however it was observed during this visit that although staff knock on residents doors, not all wait for an answer before entering. In keeping with best practice, this should be addressed. Surveys are carried out with residents every six months. Mr Rogers confirmed that where issues are raised, these are followed up with the resident. To meet best practice, and to further demonstrate that the views of residents are sought and taken into consideration in matters that affect their daily lives, records of follow up discussions should be developed which include any action taken in response to issues raised. Beechwood House Retirement Home DS0000064801.V326565.R01.S.doc Version 5.2 Page 7 Beechwood house has a Registered manager, Mrs Barclay. a proprietor, Mrs Gibb and two directors Mr and Mrs Rogers. Mr and Mrs Rogers are involved on a daily basis in the running of the home. This is positive for the residents as they have the opportunity to make a relationship with the directors as well as the manager. Conversely, some staff felt unsure about who they should respond to primarily in carrying out their daily tasks. Although the home has written guidance, which details lines of management accountability, it is suggested that additional steps are taken to address this issue. The promotion of this homely environment would be further enhanced by the removal of notices around the home, which act as prompts for staff. To promote best practice it is recommended that all staff undertake certificated first aid training. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Beechwood House Retirement Home DS0000064801.V326565.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 Beechwood House Retirement Home DS0000064801.V326565.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3,and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from comprehensive pre-admission assessments and ongoing assessments which ensure the home and staff can meet their needs. . . EVIDENCE: The manager prior to admission comprehensively assesses all residents. She also collects information from other professionals and family who have been involved in the care of the resident. The manager has an excellent understanding of the strengths and limitations of the service and as such makes sound decisions about who should live at Beechwood. Beechwood House Retirement Home DS0000064801.V326565.R01.S.doc Version 5.2 Page 10 Residents said that they or a relative had visited the home prior to admission and had met and talked with the manager. They were clear that the first four weeks living at the home was a trial period during which they are able to decide if this was the right move for them. Beechwood House Retirement Home DS0000064801.V326565.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8, and 9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from well planned care that meets their health and personal care needs, which is delivered in a way that promotes their individuality and uniqueness and which protects their privacy and dignity. The systems for the administration of medication are good with clear and comprehensive arrangements being in place to ensure residents medication needs are met safely. EVIDENCE: Care plans documenting the care to be given to residents are clear, comprehensive and easily accessible. There is evidence of the involvement of healthcare professionals where appropriate. This has included a speech and language therapist for one resident in the past who staff had noticed was Beechwood House Retirement Home DS0000064801.V326565.R01.S.doc Version 5.2 Page 12 having difficulty swallowing. Other referrals have been made to doctors and district nurses. Speaking with staff demonstrated that they are all involved in care planning, which is clearly ‘person centred’. That is, staff treat residents as individuals and plan and deliver care to suit that individual. Residents are very complimentary about the care they receive and say that their needs are well met. One resident said that whilst help is always available residents are encouraged to maintain their abilities. They say that all staff (‘including the boss’) always knock on doors ( see summary for further comments) and all residents are referred to by their preferred name. One resident said that staff are ‘most kindly and discreet’ with a resident who tends to wander. Another said that staff ‘treat residents as individuals who have the right to make their own choices’. The management of medication was observed during this visit, and was found to be in good order. One resident who self medicates has a clear understanding of the importance of keeping medications safely. Staff demonstrated an excellent understanding of the procedures in relation to medications and reference materials (such as the British National Formulary) are available and referred to. Beechwood House Retirement Home DS0000064801.V326565.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a lifestyle, which suits their individual preferences and supports their choices. EVIDENCE: Residents said that the routines within the home are minimal and suit them. They make choices about when they get up, when they go to bed and what to wear. Staff try not to make assumptions and ask questions such as ‘would you like me to put your clean laundry away?’ and ‘would you like me to help you to bed now?’ The majority of residents have bought many personal possessions and furniture into the home. One resident reports ‘I bought my garden with me’. Beechwood House Retirement Home DS0000064801.V326565.R01.S.doc Version 5.2 Page 14 Until recently(last September and due to the loss of the activities organiser), there were regular activities in the home . These took place three times weekly and included quizzes, guess the object and flower arranging. The manager has maintained some activities for residents and at the time of this inspection was in the process of recruiting a replacement activities organiser. Residents said that they enjoyed these regular activities and looked forward to their recommencement. They particularly enjoyed going out for outings or coffee. Residents were very complimentary about the food at Beechwood. Meals are served in both of the dining rooms or in bedrooms. Residents said ‘Tablecloths are changed between every meal’, ‘meals are always very appetising’ and ‘we can always have something different’. Teatime meals can be hot or cold and supper is prepared as requested. Beechwood House Retirement Home DS0000064801.V326565.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. , Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are well protected by the homes policies and procedures regarding complaints. EVIDENCE: The owner reports that all staff receive training and information on the protection of vulnerable adults during induction training. Staff confirmed that they watch a video and some have undertaken further training. All staff demonstrate a sound knowledge of the issues relevant to protection and abuse and know what to do if they witness or are suspicious of abuse. They are very clear that Beechwood House has a ‘zero tolerance’ to abuse of any kind. Residents say they feel safe and well cared for. They said they could speak to any of the staff or to the manager if they needed to or had any concerns. Residents said that they have no complaints but that any little issues are always dealt with promptly. A resident has made one formal complaint to the home, and this has been appropriate recorded and responded to. No formal complaints have been Beechwood House Retirement Home DS0000064801.V326565.R01.S.doc Version 5.2 Page 16 received by the home or by CSCI. There is a suggestion book in the hall where suggestions have been made. Beechwood House Retirement Home DS0000064801.V326565.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is good providing residents with an attractive, homely, clean and safe place to live. The promotion of this homely environment would be further enhanced by the removal of notices around the home, which act as prompts for staff. EVIDENCE: Beechwood is furnished, decorated and maintained to a very high standard. Corridors are wide and clutter free allowing residents with walking aids easy access to all areas of the home. The home is bright and clean throughout. There is a range of seating in varied seating areas including two ‘comfy’ sofas. Beechwood House Retirement Home DS0000064801.V326565.R01.S.doc Version 5.2 Page 18 Other chairs have been purchased recently which are of a high quality and are suitable for people with mobility problems. Residents say that their laundry is very well cared for and that staff do not assume to put it away but ask if they would like it put away. The home have a washing machine with a sluicing system and a system, which controls for MRSA. In addition the home has installed a new boiler. Beechwood House Retirement Home DS0000064801.V326565.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29, and 30. Quality in this outcome area is, good. This judgement has been made using available evidence including a visit to this service. The arrangements for staffing and training are good with staff demonstrating a clear understanding of their roles and working in numbers that meet residents needs. Overall, procedures for vetting and recruiting staff are sound ensuring the protection of residents. EVIDENCE: The duty roster shows that staff are on duty in sufficient numbers to meet residents needs. Staff also confirmed that this was the case. Residents say that staff always come quickly and are always helpful. Comments from residents and observations confirm that the staff team work well together and enjoy a relaxed atmosphere. Comments include ‘the staff are very discreet’ and the staff are ‘kindly’. Staff, records show that staff are trained to a good standard covering many topics, all appropriate to the needs of residents. Training has included Emergency First Aid training, manual handling, food hygiene, medication administration and health and safety. Beechwood House Retirement Home DS0000064801.V326565.R01.S.doc Version 5.2 Page 20 The manager ensures that there is always a member of staff on duty who has had training in first aid. To promote best practice, it is a recommendation of this report that all staff receive certificated training in this area. A number of staff have achieved an NVQ in level 2. Others are currently working towards this qualification. Records show that eighteen staff have left the home since last April 2006, out of a total staff group of 24. Beechwood House Retirement Home DS0000064801.V326565.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from an ethos and efficient management systems that place them at the centre of everything that happens at Beechwood. The informal systems for resident consultation developed by the manager and staff group are good with a variety of evidence indicating that residents’ views are sought and acted upon. Their monies are well managed EVIDENCE: Beechwood House Retirement Home DS0000064801.V326565.R01.S.doc Version 5.2 Page 22 The directors carry out surveys with the residents every six months. Mr Rogers confirmed that where issues are raised, these are followed up with the resident. To meet best practice, and to further demonstrate that the views of residents are sought and taken into consideration in matters that affect their daily lives, written records of follow up discussions should be developed which include any action taken in response to issues raised. Beechwood house has a Registered manager, Mrs Barclay, a proprietor, Mrs Gibb and two directors Mr and Mrs Rogers. Mr and Mrs Rogers are involved on a daily basis in the running of the home. This is positive for the residents as they have the opportunity to make a relationship with the directors as well as the proprietor and manager. Conversely, some staff felt unsure about who they should respond to primarily in carrying out their daily tasks. It is suggested that written guidance, which details lines of management accountability, is developed to address this issue. Beechwood is well managed and staff have a good understanding of the home ethos and of their role in maintaining and promoting that ethos. Residents describe management as ‘helpful’ and ‘co-operative’. Residents’ comments during the inspection were very positive including ‘the are always open to suggestions’ and ‘the staff are very respectful’. The home has an active residents committee that meets regularly. Here residents have a chance to talk about plans for the home to and make their contributions to those plans. One of the roles of the chair is to meet with new residents because ‘its never nice being the new person’. The home holds small amounts of monies for some residents. The system used ensures that monies are kept securely and is easily audited. Health and safety procedures are sound. Beechwood House Retirement Home DS0000064801.V326565.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 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 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 3 Beechwood House Retirement Home DS0000064801.V326565.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP33 Good Practice Recommendations Surveys are carried out with residents every six months. Mr Rogers confirmed that where issues are raised, these are followed up with the resident. To meet best practice, and to further demonstrate that the views of residents are sought and taken into consideration in matters that affect their daily lives, records of follow up discussions should be developed which include any action taken in response to issues raised. 2 OP31 Beechwood house has a registered manager, Mrs Barclay. a ‘Responsible Individual’ and proprietor, Mrs Gibb and two directors Mr and Mrs Rogers. Mr and Mrs Rogers are involved on a daily basis in the running of the home. This is positive for the residents as they have the DS0000064801.V326565.R01.S.doc Version 5.2 Page 25 Beechwood House Retirement Home opportunity to make a relationship with the directors as well as the manager. Conversely, some staff felt unsure about who they should respond to primarily in carrying out their daily tasks. Although there is written guidance, which details lines of management accountability, it is suggested that additional steps are taken to address this issue. 3 OP19 The promotion of this homely environment would be further enhanced by the removal of notices around the home, which act as prompts for staff. To promote best practice it is recommended that all staff undertake certificated first aid training. 4 OP27 Beechwood House Retirement Home DS0000064801.V326565.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Beechwood House Retirement Home DS0000064801.V326565.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!