Inspection on 23/01/07 for Belmont Court

This inspection was carried out on 23rd January 2007.

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

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

Other inspections for this house

Belmont Court 22/03/06

Belmont Court 24/08/05

Belmont Court 20/01/05

Belmont Court 30/06/04

Similar services:

Chirnside House

Sunny Bank (P.R.S.) Ltd

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Belmont Court Basil Street Heaton Norris Stockport Cheshire SK4 1QL Lead Inspector Janet Ranson Unannounced Inspection 23rd January 2007 09:30 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 Belmont Court DS0000008540.V326188.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. Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Belmont Court Address Basil Street Heaton Norris Stockport Cheshire SK4 1QL 0161-477 1282 0161 480 6887 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) Borough Care Limited Care Home 34 Category(ies) of Dementia - over 65 years of age (34), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (4) Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 34 service users to include: *up to 34 service users in the category of DE(E) (Dementia over 65 years of age); *up to 4 service users in the category of MD(E) (Mental disorder excluding learning disability or dementia over 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 25th July 2006 2. Date of last inspection Brief Description of the Service: Belmont Court is a residential care home that is registered to provide specialist care for up to 34 service users who have dementia, including four service users with a diagnosed mental illness. Belmont Court provides permanent residential care, respite care and day care facilities for up to eight service users, available Monday to Friday. Day care facilities are located on the first floor with two members of staff being specifically employed for the day care unit. Belmont Court is one of 12 care homes owned by Borough Care Limited. Accommodation comprises of thirty single rooms, seven of which are located on the first floor, and two double bedrooms located on the ground floor. There are four lounge areas and one large dining room. The home is suitable for wheelchair users. A visitors kitchen is situated on the ground floor. A full passenger lift is in place. There are pleasant enclosed garden areas. The home is situated in Heaton Norris, close to Stockport town centre and motorway network. Public transport is easily accessible. Fees for accommodation and care at the home are £373 per week. It should be noted there may be a top-up required from a third party, dependent on personal circumstances. Additional charges are also made for hairdressing, private chiropody services, newspapers and personal toiletries. There is also a voluntary charge of £5 per month that goes towards a social fund. Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the key inspection, which included an unannounced site visit. The site visit took place on 23rd January 2007 and covered a period of seven and a quarter hours from 9:30am until 4:45pm. A random inspection had been carried out in July 2006 in response to concerns identified by two relatives. The random inspection was also undertaken on an unannounced basis. During this inspection, time was spent talking with relatives and staff and observing staff interaction with the residents. Due to their levels of dementia, the majority of residents were unable to comment in detail on the quality of care they received. The inspector therefore spent time observing the staff and resident interaction to see how the staff cared for residents, and to see how residents responded to them. A total of four residents’ identified needs were looked in detail. Individual details of their experiences and care were examined from the point of admission to their current care. The inspector looked around the building and a selection of staff and residents’ records was examined, including records of care, medication records, employment and training records. Questionnaires were left at the home for use by residents, their relatives and the staff to comment on the service. Since the last inspection there has been a change of manager. Mrs Martin has previously managed Belmont Court and has extensive experience in the care of elderly people with dementia. What the service does well: Belmont Court provides a good quality of life and service to the residents, many of whom are extremely dependent. Three visitors said their relatives were well cared for. They also spoke highly of the staff and management of the home. Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 6 Belmont Court is a large home that offers comfortable accommodation; it has a relaxed and welcoming atmosphere. There is a structured daily programme of activities. The residents have the choice of joining in or choosing to spend their time as they wish. This may include using one of several lounges situated on the ground floor or spending time in their bedrooms. The visitors said the home was always clean and usually well maintained. All the residents are fully assessed before an admission is arranged into Belmont Court. This to ensure that the home will be able to meet their needs. Three visitors said they had enough information during the assessment process for them to be able to make decisions on behalf of their relatives. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 3 (standard 6 intermediate care is not provided at Belmont Court) Quality in this outcome area is good. The home’s system of assessment reflected individual preferences and social requirements. This meant that the home could be certain they could meet the prospective resident’s diverse needs. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The residents admitted to the home had a written contract which detailed the terms and conditions of their stay and details of the charges. Two close relatives who spoke with the inspector were aware of the contract and had their own copies. They also confirmed they had information concerning Belmont Court before they made contact with the home. Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 9 Individual care needs assessments were contained within the four care files examined as part of the inspection. The home also has a process of assessing potential residents’ needs carried out by a senior member of staff. This is the “key working together” document. No residents were admitted to the home without their care needs having been assessed. Prospective residents and their relatives are also invited to visit the home so that they can meet other people and see the accommodation for themselves. By completing such an assessment, the home can be sure that individual needs can be met. Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 10 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, 9 & 10 Quality in this outcome area is good. Residents’ health and personal care needs are well met. The care planning process clearly identifies the residents’ individual health and social requirements. This provides the carers with action to be taken to provide appropriate care on a day-to-day basis, enabling the residents to benefit from the individual care. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Four care plans were examined as part of the inspection process. They clearly set out the residents’ individual personal care needs. The care plans document the action to be taken by the carers to ensure all aspects of personal and health care, as well as spiritual and social care, are met and reviewed. Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 11 Risk assessments were in place to address the risk of falls, the use of bed rails and service users’ moving and handling needs. Risk assessments were reviewed monthly or sooner if required. The home operates a key worker system. This means that each resident has a named carer who is responsible for liaising with the family and maintaining individual care. The carers who spoke with the inspector were all key workers and aware of their additional responsibilities. The residents’ representatives were also aware of the key workers and one person said they thought it was a good idea, although he said he would speak to any carer in the absence of his relative’s key worker. Out of the four care files examined during the inspection; only one contained a brief social history that had been drawn up by the carer. A further social history had been compiled by the close family. It is considered to be very important for the carers to have this information so that they can offer care appropriately. It is recommended that a social history be documented for all the residents where this is possible. Where identified, the resident’s health is monitored and addressed by the appropriate health care professionals. The district nurses are involved on a regular basis, as are the chiropodist, audiologist, dietician and speech therapist. A private chiropodist and the district nurse were both attending to residents’ various health needs during the inspection. The senior staff are responsible for the administration of medication. There was evidence to show they had received training to correctly administer medications. Records are retained to show changes to medications and medical interventions. There is a policy and procedure in place to ensure all medications are administered in the correct manner. Requirements concerning the administration of medications identified at the previous inspection have been fully met. A close relative told the inspector that, in his opinion, the residents of Belmont Court are treated with the “utmost respect and dignity at all times.” Two relatives told the inspector that they were very satisfied with the care provided, that their relatives’ health needs were always addressed and that the home kept them informed at all times. One visitor said that he continued to support his relative during out-patients appointments with the assistance of a carer from the home. Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 12 A large number of residents were unable to comment on the quality of care provided due to levels of dementia and short-term memory loss. The inspector observed however that the residents looked physically well cared for, clean and comfortable. Also based on direct observation, the residents benefited from relaxed informal contact with the staff. Belmont Court DS0000008540.V326188.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 & 15 Quality in this outcome area is good. The choices offered to the residents meet with their requirements and needs and enable them to exercise elements of control over their lives. Visitors are made to feel welcome and remain in contact with their relatives’ care. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Carers confirmed they encouraged the residents to make choices as to how they spent their time, whether they wished to join in activities or not, what they ate and what clothes they chose to wear. It was evident that some residents preferred to spend time in their rooms and others to use one of the four lounge areas. Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 14 There is a planned programme of activities for the residents to enjoy. It is clearly displayed within the home. The activities are such that the residents can participate at a level that meets with their differing needs. At the time of the inspection a small group of people were enjoying participating in a game of Connect Four, whilst others were watching the activity. A visitor said his relative did not take part in the activities, mainly because she “never liked that kind of thing”. Belmont Court is a home located within a close community. Many of the residents formerly lived within the locality. Social activities are arranged to include the neighbours, who are also supportive of the fund raising events. Two relatives said they were always invited to the social evenings and one described the Christmas party as “packed out”. He also mentioned the buffet meals available during the functions as being “excellent spreads.” Three visitors said they arrived at the home at any time during the day. They said they were always made to feel very welcome and had been invited to stay for meals. One visitor described the surprise wedding anniversary party the staff had put on for him and his close relative in addition to the Christmas dinner he had recently had at the home. He said the consideration shown to him and his relative at all times was very much appreciated. The inspector spoke with the cook and examined the weekly menus. It was confirmed that meals were served at regular intervals; a hot meal option being offered at both lunchtime and teatime meals, with the exception of Sunday teatime when a cold buffet tea is provided. The daily menu was clearly displayed on a chalkboard in the dining room. The inspector also heard the carers offering the residents a choice of meal from the menu. The cook also demonstrated her understanding of the residents’ diverse dietary needs. It was noted at the last inspection that there were a small number of residents who did not have capacity to make decisions on a daily basis and who did not have a relative or a representative to represent them at reviews. Where this was the case, it was recommended that the organisation sought the services of an independent advocate. During this inspection the manager confirmed that an advocate from Age Concern would be involved to represent the residents’ views and support their choices. Belmont Court DS0000008540.V326188.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 & 18 Quality in this outcome area is good. The home has a satisfactory complaints system, with evidence that residents feel that their views are listened to and acted upon. Staff knowledge and understanding of adult protection issues provide a safe environment to protect residents from abuse. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The home had a detailed complaints policy and procedure. The residents’ representatives who spoke with the inspector said they knew who to complain to if they had a problem and confirmed they had a copy of the complaints system. They all felt confident that the problem would be taken seriously and resolved in a mutually satisfactory manner. None of these people had had occasion to complain about the service. Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 16 In July 2006 two people contacted the Commission for Social Care Inspection with concerns regarding the care of their relatives at Belmont Court. Their concerns related to the home’s management of the behaviour of one resident. An inspector carried out a random inspection at this time to assess the home’s arrangements for such supervision and management. The outcome of the random inspection was that appropriate monitoring and review systems were in place, and that appropriate health professionals had been consulted on the care to be provided. The inspector was satisfied the situation had been appropriately dealt with and was being closely monitored. On this inspection, the inspector looked again at the systems to ensure that the monitoring and review arrangements continued. Care plans were looked at and showed that advice from relevant professionals continued to be sought when necessary. Monitoring takes place and adjustments made to any treatments as required. The home has a procedure for responding to allegations of abuse. The carers who spoke with the inspector had completed training in adult protection and one carer described how this had assisted her in her role. Belmont Court DS0000008540.V326188.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 & 26 Quality in this outcome area is good. The home provides the residents and their visitors with a safe, warm and welcoming environment. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The inspector looked around the home with the manager. All areas of the home were clean and the residents’ representatives stated this was usually the case. There were no hazards to health and safety noted. The home provides comfortable accommodation. The grounds are secure, accessible and well kept. It was evident that those residents who are independently mobile were able to move around all areas of the home at will. Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 18 A sample number of bedrooms were looked at and it was noted that personal effects were in place. One visitor said her relative had been encouraged to bring her bed and other items with her. This was considered to have a settling affect on what otherwise could have been a disruptive experience for all concerned. The requirements made at the previous inspection concerning compliance with the fire officer’s inspection had been fully addressed. Belmont Court DS0000008540.V326188.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 & 30 Quality in this outcome area is good. The residents receive care from well-trained staff who respond to the residents and visitors in a respectful manner. The home’s recruitment policy and procedure ensure only suitable staff are recruited, which provides protection to the residents from potential abuse. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: From observation during the inspection, the numbers of staff on duty met with the residents’ assessed needs. A rota was available for inspection; although it was not examined in depth at this time. There is a very stable workforce with a good balance of age and experience; this serves to provide a continuity of care to the residents. A small number of staff files were examined. They contained the required documentation and there was evidence of references, including satisfactory checks with the Criminal Record Bureau. It was evident that the manager was also monitoring staff sickness rates. Supervision notes documented the frequency and details. Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 20 Four members of staff spoke with the inspector. They confirmed all the mandatory training had been completed, in addition to other training to assist them in their roles. The National Vocational Qualification training at level 2 was being under taken by carers and at level 3 for the care supervisors. The staff said they felt supported in their jobs and proud to work at Belmont Court. In general, they were enthusiastic about their team members and the management of the home. A carer was overheard talking on the telephone with a relative. The carer was polite, respectful and showed a level of empathy in her discussions. Belmont Court DS0000008540.V326188.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 & 38 Quality in this outcome area is good. The manager of the home has the skills, experience and qualifications to run the establishment. The arrangements in place ensure that the residents’ financial interests are safeguarded. Systems and procedures are in place to protect the residents, their visitors and the staff’s health and safety. This judgement has been made using available evidence, including a visit to this service. Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager has the appropriate skills and experience to manage Belmont Court. She has made application to the Commission for Social Care Inspection to be registered as a fit person. The application was being processed by the Commission at the time of the inspection. A deputy and a team of senior carers support the manager in her role and she receives her professional supervision from an operations director. The manager has adopted an open and approachable management style with both staff and service users. The relatives spoke very highly of her and her deputy manager. Belmont Court has several means of seeking feedback from residents and their relatives. It was identified at the last inspection this information should be collated and published annually and made available to service users, relatives and other interested parties. It was confirmed that all residents had a relative or a representative who dealt with their finances. Borough Care has a policy of non-involvement with the residents’ finances, although small amounts of cash were kept at the home for individual day-to-day expenses, i.e., hairdressing costs. Systems in place were appropriate. All the residents had access to a secure facility in their bedrooms for personal items, although they were encouraged to leave anything of great value with their relatives or friends. There is a system for staff to update their training in safe handling and moving procedures, fire safety, food hygiene and health and safety. The home recorded information in respect of incidents, falls and accidents, as required. This information was regularly reviewed and monitored by the organisation, to see if patterns were evident and measures to address emerging patterns were put in place. Further systems are in place to ensure the safe maintenance of equipment and appliances within the building. Belmont Court DS0000008540.V326188.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 3 X 3 X X N/A 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 Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 2 Refer to Standard OP7 OP33 Good Practice Recommendations The registered person should ensure a social history is compiled on all the residents, and made accessible to the carers. The registered person should continue to review the quality of care (quality assurance) provided at the home and supply to the Commission (on request) a copy of the report in respect of any quality review conducted and make a copy of the report available to service users. Belmont Court DS0000008540.V326188.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Belmont Court DS0000008540.V326188.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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