Inspection on 03/01/06 for Beechwood Residential Home

This inspection was carried out on 3rd January 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Beechwood Residential Home 30/01/07

Beechwood Residential Home 08/08/05

Beechwood Residential Home 14/01/05

Beechwood Residential Home 09/08/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Beechwood Residential Home Beechwood Residential Home 17 Ismalia Road Forest Gate London E7 Lead Inspector Sharon Lewis Unannounced Inspection 3rd January 2006 5:40 Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 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 Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 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. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Beechwood Residential Home Address Beechwood Residential Home 17 Ismalia Road Forest Gate London E7 020 8472 2771 020 8472 2771 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) Mrs Pretim Singh Post Vacant Care Home 6 Category(ies) of Learning disability (18) registration, with number of places Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2005 Brief Description of the Service: Beechwood Residential Home provides accommodation and care for six adults with learning disabilities. A private individual Mrs Pretim Singh owns the home. Service users benefit from residing in a warm, family atmosphere where 24hour care is provided. The home has four single rooms and one shared double room. All bedrooms are located upstairs. The home does not have a passenger lift; therefore it is unsuitable for service users with mobility needs. Service users have access to two lounges, which includes a dining area and a rear patio garden with garden furniture. Local amenities include a culturally diverse parade of local shops, post office and food outlets in Upton Lane. Several bus routes serve the home. The nearest underground station is Upton Park, on the District Line. The nearest British Rail station is Forest Gate. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection was undertaken on a Tuesday evening and lasted approximately four hours. The overall objective of this Inspection is to ensure service users are receiving the best possible care and their welfare is safeguarded and promoted at the care home. In addition to checking the home’s compliance with the legal requirements made at the last Inspection. The Inspector spoke to all service users currently living at the home. Individual discussions were also held with the two Support Workers on duty. Service users files, health records, daily logs, medication and medication administration records, fire safety records and other relevant documentation were examined. A tour of the premises was also undertaken. The Inspector would like to thank all service users and staff members for their assistance with this Inspection. What the service does well: All service users related they were happy living at the home. Service users interacted amiably like siblings. Observation and documentation evidenced positive staff interactions. Staff had built good relationships with service users and understood their individual needs. Service users are able to take part in age, peer and culturally appropriate activities. The home demonstrated that service users are attending relevant day centre facilities, college and social clubs. Service users engage in their local community by going shopping, to church, to the theatre, bank, on walks in the locality and accessing local amenities. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 6 The establishment was warm, clean and had a homely atmosphere. A large, brightly decorated Christmas tree was on display in the lounge and decorations throughout the home reflected the seasonal festivities. All service users were in good spirits and were very outgoing. Service users related that they had a good Christmas and showed the Inspector their presents. The home promotes service users independence and choice. Independent living skills are actively encouraged. Service users were observed during the Inspection exercising their individual choice and participating in their own daily routines which including baking. Service users responsibility for house keeping tasks is specified in their individual plan. What has improved since the last inspection? What they could do better: During this Inspection eight legal requirements were highlighted and one recommendation. Examination of healthcare files evidenced one service user had not had a recent eye test. All service users must benefit from optician appointments at regular intervals. This requirement is repeated from the last Inspection. The home must ensure service users health needs are monitored and promoted. Medication administration records must be accurately maintained. Service users must be protected by the home’s medication procedures. Refrigerated foods must be date labelled when opened. This requirement is repeated from the last Inspection. Service users health must be protected by the home’s food hygiene practices. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 7 Service users must reside in a well-maintained homely environment. The chest of drawers handles must be replaced in CA’s room. The dressing table drawer must also be fixed in MS’s room. Areas within the home must be touched up with paint and redecorated were needed. Identified areas include the hallway entrance and lounge area. The Registered Provider must ensure appoint a suitably experienced and qualified Manager. Service users must benefit from the stability of an efficiently managed home. Weekly fire alarm tests must be undertaken. Service users must be protected by the home’s fire safety procedures. Staff should ensure service users birthdays are appropriately acknowledged and recorded. Service users best interests must be safeguarded by the home’s record keeping practices. 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. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 8 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 Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 9 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&3 Beechwood Residential Home has the necessary policies and procedures, which assist prospective service users in deciding if the home can meet their needs. EVIDENCE: No new service users have moved into the home since the last Inspection. Service users’ files evidenced that service users were admitted to the home only after a full assessment had been undertaken. The assessment process involves the service user, their relatives and appropriate health and social care professionals. A pre-admission assessment is always completed by the home. The home has eligibility criteria and service users are only admitted into the home if their needs can be met. The eligibility clearly identifies the dependency levels the home can sufficiently care for. Where service users needs had increased the home evidenced that they had taken appropriate action. This included contacting Social Services for additional funding and support. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 10 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, 9 & 10 Service users individual needs and choices are promoted at Beechwood Residential Home. EVIDENCE: All service user files were examined during this Inspection. Service users assessed and changing needs are reflected in their individual care plan. The home evidenced that care plans were regularly reviewed. Staff demonstrated that assistance and support was given to service users to make decisions about their own lives. Examination of the home’s daily logs, and service users’ plans, evidenced that service users exercised choice in their daily lives. Service users’ individual choices were noted in their daily record. On the evening of the Inspection service users were seen making decisions and their wishes were being respected. Service users are supported to take risks as part of an independent lifestyle. All risk assessments have been updated as required from the last Inspection. The home has a confidentiality policy. Service users files are stored in locked cabinets in the Manager’s office. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 11 Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 12 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): 11 - 16 Service users lifestyle needs are individually promoted at Beechwood Residential Home. EVIDENCE: Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 13 Service users’ files, observation and discussions with staff evidenced the opportunities service users have to fulfil their spiritual needs and have opportunities for self advocacy, independent skills and therapeutic interventions. Service users attend church on Sundays, attend a women’s group, music therapy and their rights are promoted through advocacy involvement. Service users are able to take part in age, peer and culturally appropriate activities. Service users attend various day centres, social clubs and participate in daily leisure activities. During the Christmas period service users attended the pantomime at Stratford Theatre and various Christmas parties. On the evening of the Inspection service users were observed listening to music, doing artwork, watching television, chatting with staff and relaxing in their rooms. All service users were in good spirits and were very outgoing. Service users related that they had a good Christmas and showed the Inspector their presents. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 14 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 - 21 Service users personal and health needs are generally promoted. All service users must benefit from regular optician appointments and improved medication administration practices. EVIDENCE: Service users receive personal support in the way they prefer and require. Times for getting up/going to bed, baths, meals and other activities are flexible and dependent on service users needs and preferences. Service users choose their own clothes and their overall appearance reflects their age and individual personality. All service users had their hair cut or styled for the Christmas period. Female service users had manicured nails and all service users were dressed in a modern fashion. Documentation evidenced that service users health is monitored and potential complications and problems are identified and dealt with at an early stage, including prompt referral to an appropriate specialist. Examination of healthcare files evidenced one service user had not had a recent eye test. All service users must benefit from optician appointments at regular intervals. This requirement is repeated from the last Inspection. The home must ensure service users health needs are monitored and promoted. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 15 The home has developed a comprehensive medication folder with various policies, including medication administration, security and disposal of medication. Medication is stored in a locked cabinet, which is stored in the staff office. Each service user has a medication profile that includes their photograph, medication details and allergies. The Inspector examined medication and records and one gap was found in the medication administration record. Medication administration records must be accurately maintained. This requirement is repeated from the last Inspection. The home has a Death and dying policy. Each service user had a record of wishes relating to growing older, illness and dying. . Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 16 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 & 23 Service users safety and welfare must be better promoted to minimise risk and safeguard them from abuse or harm. EVIDENCE: The home has produced a Complaints, Adult Protection, Whistle Blowing procedure, Absence without Authority policy and Aggression towards staff policy. A Management of Service Users Money, Financial Affairs and Acceptance of Gifts policy are also in place. The complaints procedure is also available in a pictorial format. The complaints book was examined and evidenced that there had been no complaints since 2001. Documentation relating to adult protection is available in the Manager’s office. All staff interviewed however were not clear on what should happen during an adult protection allegation. The Registered Manager must ensure all staff are aware of the Adult Protection procedure. Service users must be fully protected from abuse, neglect or self-harm. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 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 - 30 Beechwood Residential Home provides service users with a homely environment. General maintenance however must be further addressed. EVIDENCE: Beechwood Residential home is located in a residential street in Forest Gate, in the London Borough of Newham. The premises is a terraced property which blends easily into the neighbourhood and presents as a family home. The home is comfortable, clean and free from offensive odours with sufficient and suitable heating and ventilation. This home is unsuitable for prospective service users with mobility needs as all bedrooms are on the first floor and second floor and a passenger lift is not available. Local amenities include a parade of local shops, post office and food outlets in Upton Lane. The home is in close proximity to the Green Street shopping area and Woodgrange Road, which has a range of culturally diverse shops, services and amenities. Stratford, Ilford and East Ham shopping areas are also easily accessible by public transport. Several bus routes serve the home. The nearest underground station is Upton Park, on the District Line. The nearest British Rail station is Forest Gate. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 18 The home has four single bedrooms and one shared bedroom. All bedrooms were inspected. Bedrooms were lockable with sufficient space for personal items. Service users can bring their own furniture and can decorate and personalise their rooms subject to fire and safety requirements. Service users’ bedrooms contained televisions, compact disc players, computers, family photographs, pictures, ornaments, collectible items, items made by service users and certificates of achievement. Service users have access to two lounges. The front communal lounge is comfortable and homely. Leather settees promote a contemporary atmosphere. Service users have access to a large television, a video and a music system. A range of compact discs, videos, books and games are also available. A large, brightly decorated Christmas tree was on display in the front lounge and wall decorations reflected the seasonal festivities. The rear lounge includes a dining area, comfortable seating, a music system and a exercise bike. Service users have their own notice board, which includes information in pictorial formats and Makaton signs. A utility room with laundry facilities adjoins the dining lounge. There is a choice of two bathrooms, one with shower facilities and the other having a deep bath. Bathrooms were attractively tiled and facilities were of a high standard. Service users have their own telephone, which is located in the ground floor hallway. Service users additionally benefit from a well-maintained patio garden with flowers and garden furniture. Service users must reside in a well-maintained homely environment. The chest of drawers handles must be replaced in CA’s room. The dressing table drawer must also be fixed in MS’s room. Areas within the home must be touched up with paint and redecorated were needed. Identified areas include the hallway entrance and lounge area. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 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): 31, 32, 33, 35 & 36 Beechwood Residential Home has sufficient staffing and service users benefit from an effective staff team. EVIDENCE: Staff evidenced that they knew and supported the main aims and values of the home. This included their ways of working, respective roles and responsibilities. Staff demonstrated an awareness of service users’ individual needs. Service users additionally evidenced staff’s ability to meet individual needs. Service users were observed interacting amiably with staff. Staff interacted in an equally, good-natured manner. Staff interviewed expressed their enjoyment in working at the home and commented on their wish to advocate and enhance service users lives. Staff National Vocational Qualification (NVQ) training is in progress. The staff members on duty reported that they were currently enrolled on respective NVQ 2 and NVQ3 training courses. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 20 Staffing rotas and observation evidenced the home had sufficient staff to meet the individual and collective needs of service users. An on-call system is in operation in the event of an emergency. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 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, 41 & 42 Service users welfare, health and safety must be better promoted through the home’s practices. EVIDENCE: A private individual Mrs Pretim Singh owns the Beechwood Residential Home. The Manager’s post is currently vacant due to the previously Acting Manager leaving. Service users and staff confirmed that the Registered Provider has been providing management cover and visits the home every day. The Registered Provider must appoint a suitably experienced and qualified Manager. Service users must benefit from the stability of an efficiently managed home. All service users files and daily record books were examined. It was noted that staff had not acknowledged a service users birthday in their daily record. Instead reference was made a week later when a party was held. Staff should ensure service users birthdays are appropriately acknowledged and recorded. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 22 Service users best interests must be safeguarded by the home’s record keeping practices. Accidents and incident records are appropriately maintained. There have been no accidents since the last Inspection. More diligence must be undertaken in regards to fire safety and food hygiene. Examination of the fire safety records evidenced that the fire risk assessment has been reviewed. Gaps were noted in the weekly fire alarm tests between 7/8/05 to 21/8/05 and 2/10/05 to 22/10/05. The home must ensure the fire alarm is tested on a weekly basis. Service users must be protected by the home’s fire safety procedures. Refrigerated foods must be date labelled when opened. This requirement is repeated from the last Inspection. Service users health must be protected by the home’s food hygiene practices. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 3 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 2 ENVIRONMENT Standard No Score 24 2 25 3 26 2 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 3 2 X X X 3 2 X Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA19 Regulation 12 (1) Requirement All service users must benefit from optician appointments at regular intervals. Timescale of 01/12/05 not met. Medication administration records must be accurately maintained. Timescale of 01/10/05 not met. The Registered Manager must ensure all staff are aware of the Adult Protection procedure. Areas within the home must be touched up with paint and redecorated were needed. Identified areas include the hallway entrance and lounge area. The chest of drawers handles must be replaced in CA’s room. The dressing table drawer must also be fixed in MS’s room. 6. YA37 8&9 The Registered Provider must e DS0000022830.V275503.R01.S.doc Timescale for action 01/03/06 2. YA20 13 (2) 01/02/06 3. YA23 13 (6) 01/04/06 4. YA24 23 (2) (e) 01/07/06 5. YA26 16 (2) (c) 01/04/06 01/04/06 Page 25 Beechwood Residential Home Version 5.1 appoint a suitably experienced and qualified Manager. 7. 8. YA42 YA42 16 (2) (g) 23 (4) Refrigerated foods must be date labelled when opened. Weekly fire alarm tests must be undertaken. 01/02/06 01/02/06 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 YA41 Good Practice Recommendations Staff should ensure service users birthdays are appropriately acknowledged and recorded. Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Beechwood Residential Home DS0000022830.V275503.R01.S.doc Version 5.1 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. 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