Inspection on 02/05/07 for Belper Views

This inspection was carried out on 2nd May 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

Belper Views 29/09/09

Belper Views 22/04/09

Belper Views 19/11/08

Belper Views 30/04/08

Belper Views 12/05/06

Belper Views 10/03/06

Belper Views 23/11/05

Belper Views 19/07/05

Belper Views 02/02/05

Belper Views 10/03/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Belper Views 50/52 Holbrook Road Belper Derbyshire DE56 1PB Lead Inspector Brian Marks Key Unannounced Inspection 09:00 2nd May 2007 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 Belper Views DS0000019936.V335512.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. Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Belper Views Address 50/52 Holbrook Road Belper Derbyshire DE56 1PB 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) (01773) 829733 Mr Alan Kilkenny Margaret Catherine Stone Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th May 2006 Brief Description of the Service: The home is a large detached brick building with its own large garden and patio area, set on a hill on the outskirts of Belper. The home offers access to a good range of community and leisure facilities, although there are no shopping facilities in the immediate area. The home offers accommodation for 25 older people in single rooms, some with en-suite facilities available, and has a good range of communal areas, offering a variety of spaces for residents and their visitors to use. Residents at the home are registered with one of the two local Doctor’s practices and there is a small community hospital in the town. The current range of fees for the home is £333 to £352 per week. Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place at the home over a period of a day. Additionally, time was spent in preparation for the visit, looking at previous inspection reports and other relevant documents and preparing a structured plan for the inspection. At the home, apart from examining documents, care files and records, time was spent speaking to the manager and six of the staff working at the home during the visit. The care records of three people who use the service were examined in detail and they were interviewed along with five others and four visitors who were at the home during the day. In addition seven residents returned written survey forms before the inspection started. Since the last Key Unannounced inspection of the home on the 12 May 2006, a Random Unannounced inspection visit was carried out on 23 October 2006 to further evaluate progress with requirements previously made. What the service does well: What has improved since the last inspection? The look of the home has continued to improve with a new carpet fitted in the dining room and all corridors redecorated. Some improvements have been made to the range of activities that residents take part in, and they reported that they have freedom of the home and can make up their own routines. Previous problems with the arrangements for staff to manage medicines have now been dealt with and staff training has continued with updates in this area planned. Additionally care staff have enjoyed continued success in achieving the National Vocational Qualification (NVQ) award so that they are working in more professional ways. Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 6 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. Belper Views DS0000019936.V335512.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 Belper Views DS0000019936.V335512.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): 3 and 6. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People do not come to live at the home without the care they need from the home, and its staff, being identified. However, this is not carried out properly for everyone and some care files do not contain all the necessary information to ensure a safe and consistent service. EVIDENCE: The documentation for assessing resident needs and for care planning and recording has continued in place for all of the current residents and a sample of three files was examined – all recently admitted residents. All had been admitted following referral by Social Services care managers and had been at the home on a permanent basis for six months, two months and one week respectively. All have ‘front sheet’ details completed and a varied amount of documentation relating to the needs they required help with, carried out at the point of coming to live at the home. However, for the two most recently admitted, this process had not been carried further to include specific assessments of areas of risk such as pressure sores, safe moving and handling and nutrition as well as a description of general areas of risk that may be Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 9 present. Because of this staff have been working with these residents using incomplete information they may not be working consistently and safely. This issue has been raised at previous inspections; the documents that support care still lack clarity and detail about how needs are to be met, and about how proper services are to be provided. The home does not offer an intermediate care service so Standard 6 does not apply. Belper Views DS0000019936.V335512.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 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The care of the home’s residents, including health care, is planned and given in ways that respect individuality and privacy, and their medicines are managed satisfactory. However, not everybody has a completed the care plan in place to support their care and welfare. EVIDENCE: All residents have their own file containing care records and three of these were looked at in detail during this inspection. It has been discussed at previous inspections that the current formats and structure of documents for describing care activities place limitations on the standard of resident care plans produced and the help given to residents may suffer. This was noted again at this inspection and particularly so for the two most recently admitted, although it is accepted that for the resident admitted a week before the inspection, this is work in progress. A system of monthly evaluation had not been carried out in all the examples examined, so that staff may be working with information that is not up to date and safety and consistency not fully supported. Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 11 Evidence from care records and from discussions with staff and residents, indicate that there is good and routine support from outside professionals in respect of the health needs of people living at the home. The arrangements for receipt, storage and administration of medicines have been improved over the past year and the standards of recording on the MAR sheets now ensure much safer practice. Discussions with residents and visitors indicated that care is always given in careful and sensitive ways by staff. They reported that the staff were always very friendly and that their privacy was respected at all times. For example, one resident spoken to spends substantial amounts of time in her room and this presents no problems. Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 12 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. Social life at the home had shown some improvements and there are always a good number of visitors to the home and residents feel in control of their lives at the home. Although arrangements in the kitchen do not demonstrate a planned approach to mealtimes, residents were positive about the food that they receive. EVIDENCE: A voluntary visitor to the home continued to arrange activities for the residents along with the manager and her staff, and the written records indicated an improved position in this area. The residents spoken to said that staff are able to spend 1-to-1 time with them when they are free to do so and they are generally happy to be able to run their lives at the home as they please. The atmosphere within the communal areas of the home was cheerful and lively during the inspection and communication between staff and residents was positive and friendly. The residents spoken to said that the staff help them to be as independent as possible and that ‘my lifestyle is what I make of it’. A number were in their rooms listening to music or watching television during the visit. Those who are interested are now enjoying more regular visits of a local church group and clergy, and this was particularly welcomed by two of the residents spoken to. Those that are able, go out to the local church as Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 13 well. One resident is an example of how the staff support people’s independence, having just returned from the shops in Belper, using his free bus pass. He felt that he is helped to a particularly independent life because ‘they don’t nanny me’. All the residents spoken are encouraged to have visitors who enjoy free access and are able to join and to ‘become one of the family’. According to the residents, their routines were arranged according to their preferences and they all reported that they were free to use all the facilities of the home as they wished to. The residents generally enjoy the meals provided at the home and they said that they are ‘marvellous’, ‘OK but you get a good choice’ and ‘there are some that I enjoy more than others, which is down to my personal preferences’. A visit to the kitchen and conversation with the catering staff indicated, however, that the main meals of the home are managed without a regular menu or planned approach to recording what has been served or what options taken. Residents will also have no knowledge about the day’s meals because no written menus are routinely available and it was difficult to take a more objective view of the impact of the home’s catering service on the varied nutritional needs of the residents. Purchasing, storage, stock managing and cooking arrangements in the kitchen are satisfactory, and there were no recommendations from the last visit of the Environmental Health Officer. Standards of cleanliness were good but there were no recent routine records available to make judgements about the general maintenance of standards. Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 14 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. The home has a procedure in place relating to making and managing complaints and in relation to the protection of vulnerable people. Residents and staff are made aware of their respective rights and responsibilities in these areas. EVIDENCE: The copy of the complaints procedure is on display in hallway and is included within the Service Users Guide, given to residents when they arrive at the home. There has been one formal complaint received by CSCI in the last 12 months but this proved to be without foundation and was not taken further. There is no system in place for recording informal concerns and problems raised by residents on a day-to-day basis, which would will allow the proprietor and manager to be fully aware of how the home is operating and of any problems in the daily lives of residents. The home has a detailed policy and procedure in relation to the protection of vulnerable adults, and this includes the local statutory procedure to be followed. Staff are given instruction at the time they join the home and also through other later training; not all had received this follow-up. There had been no incidents of use of the statutory procedures during the past 12 months but the manager has previous experience of the matter. Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The proprietor has continued to make improvements to the home and its facilities and it is clean, hygienic and offers good standards of comfort to residents in bedrooms, garden and communal areas. EVIDENCE: A tour of the building was made to look at selected bedrooms and bathrooms and to speak to residents, and it was noted that the proprietor has continued to maintain a good standard of improvements. Generally the standard of the bedrooms visited were satisfactory and the residents spoken to were complimentary about their individual arrangements. Since the last Key Inspection there has been a rearrangement of three upstairs bedrooms and the adjacent corridor so that they could be fitted out with en-suite facilities. This has resulted in a considerable improvement to this area of the home. The ceiling in the kitchen has been repaired, the carpet in the dining room has been replaced and the corridors have been painted white, lightening the atmosphere in those areas. The absence of a rail at the bottom of the main stairs may have contributed to one of the residents experiencing a minor Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 16 tumble during the inspection. All bedroom doors have been supplied with resident names and pictures, to assist with orientation. The communal areas and bedrooms of the home were clean and tidy and free from odours at the time of this inspection and the residents spoken to had no complaints about the laundry service of the home; everybody observed in the home wore clean and well-presented clothing. The Fire and Environmental Health Officers visited the home last year and were satisfied with the standards of safety observed. Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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 adequate. This judgement has been made using available evidence including a visit to this service. The needs of residents are met by a group of staff who are on duty in good numbers and who have received training particularly in the National Vocational Qualification, to help them work consistently and safely. Systems for the recruitment of new staff are flawed and potentially the wrong people for the job may be employed. EVIDENCE: From examination of the staff roster, the numbers of care staff regularly on duty is satisfactory and has been kept at the same level as before. Residents all reported that staff were available to them when needed and that their needs were being met because of this. Standards of cleanliness of the home and activities in the kitchen indicate that sufficient domestic and catering staff are employed at the home. Records on staff files showed that ten out of fifteen care staff had completed a National Vocational Qualification at level 2, of whom two have progressed to level 3 and one to level 4, and the required target of 50 of staff having this has now been achieved, which is to be commended. Staff were observed with the residents during the inspection and interactions were seen to be warm, friendly and relaxed. An immediate requirement in relation to proper checks by the Criminal Records Bureau on and the seeking of written references about on newly appointed staff has been carried out as required since the last inspection. However, the examination of the “personnel file” of the last two Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 18 people to be appointed indicated a continuing weakness in the levels of documentation being obtained as part of the recruitment systems of the home. The latter two staff were recruited over twelve months ago and it was agreed with the manager that since the home has experienced very low levels of staff leaving and subsequently being replaced, systems have not been developed to reflect the increasingly demanding requirements in this area. This continued failure could result in the recruitment of people who are not right for the job. From the examination of staff records and discussion with staff and the manager satisfactory levels of staff training have been carried out in relation to the core health and safety activities, and update training in relation to safeguarding vulnerable people and medicines management is planned so that staff can continue to maintain professional standards of working. Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager has completed a suitable qualification and continues to develop her professional practice and remains a positive influence on the running of the home. Systems for measuring the quality of services at the home have yet to be developed as have those for the formal support and monitoring of staff activities. EVIDENCE: The home’s manager, registered last year, continues to have a positive influence on the running of the home and remains very involved with residents and staff on a day-to-day basis. She has recently completed the Registered Manager’s training award (NVQ level 4) and has continued to improve her professional performance with further NVQ based training. She has always benefited from regular visits of support from the home’s proprietor but there have been no regular formal activities taking place that will allow the home’s Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 20 management to reflect on how well the home is being run. Questionnaires have not been used recently and the residents do not get the oppportunity to pass on their views through a regular meeting. Previous examination of the system for managing of resident finances indicated that these are in order and all activities involved with looking after their money are properly carried out; there have been no changes to this system. Discussion with staff and examination of records, indicated that although annual appraisals have been taking place, they have not been having regular 1-to-1 meetings with the home’s management. This will lead to a shortfall in systems for the formal support and monitoring of staff performance. From the self-audit of health and safety matters supplied before the inspection and a look at a selection of records at the home, standards were found to be generally good so that residents are safeguarded by the systems in place at the home. Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 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 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 3 Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No but some have been re-written 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 OP3 Regulation 14(1-2) Requirement The needs of all residents must be fully assessed at the point of admission, areas of risk in their lives clearly identified and controlled, and these must be recorded fully and kept under regular review so that care can be provided by staff in ways that are safe and help them all to work in the same way. Copies of the documents that are drawn up in relation to the assessments carried out for the two most recently admitted residents must be forwarded to the CSCI office for examination, by the due date. All residents must have a personal care plan that clearly show how their needs are being met, and must include how risks in their lives are managed in order to maintain their welfare and safety. All aspects of their care must regularly reviewed and kept up to date and must show that residents and/or their families are involved in decisions about how they are being DS0000019936.V335512.R01.S.doc Timescale for action 31/05/07 2. OP7 15(1-2) 31/05/07 Belper Views Version 5.2 Page 23 3. OP15 16(2)(i) 4. OP19 13(4)(a) 5. OP29 19(5) Schedule 2 supported, so that the best quality of care can be provided. Copies of the personal care plans that are drawn up in relation to the two most recently admitted residents must be forwarded to the CSCI office for examination, by the due date. Arrangements for the provision 31/08/07 of meals must demonstrate a planned approach so that standards of variety and the nutritional needs and the preferences of residents are met. Routine records that indicate that hygiene standards are being maintained must be kept in the kitchen. The catering staff must be included in and informed about the assessment of the needs of new residents as they arrive at the home so that accurate nutritional provision is made for them. Copies of all documentation demonstrating how this is being achieved must be sent to CSCI by the due date. Safety arrangements at the 30/05/07 bottom of the main stairs must be improved so that the risk to residents of falling is reduced. The procedures by which staff 31/08/07 are recruited must be reviewed and revised so that all the checks required by law are carried out, all the necessary information about applicants is obtained and all documents used in the process support a safe system that only recruits the right people for the job. Confidential information about staff must be stored in a secure area so that it is not freely available to people who have DS0000019936.V335512.R01.S.doc Version 5.2 Page 24 Belper Views 6. OP33 24(1-3) 7. OP36 18(2) access to the home’s office. A copy of the revised procedure, blank application form and supporting documentation must be sent to CSCI by the due date. The management of the home must establish ways in which they can assess the quality of the service by regularly inviting comments from residents and their supporters and acting on the outcomes in a planned way, so that the best possible care is provided a by the home and its staff are always responsive to the needs of the residents. The registered person must ensure that care staff are given the opportunity to meet with members of management regularly so that their work can be more closely monitored and they can be offered individualised support to help them do their jobs better. Copies of the arrangements for individual meetings with all care staff must be sent to the CSCI office by the due date. 30/09/07 30/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP3 OP7 Good Practice Recommendations The proprietor should review and modernise all assessment and care-planning documentation to ensure that delivery of care is made in the most effective and reliable ways. All staff should undertake regular update training in adult DS0000019936.V335512.R01.S.doc Version 5.2 Page 25 2. OP18 Belper Views 3. OP38 protection. The manager should obtain a greater understanding of the process of risk assessment through training activities and practical application around the home. Belper Views DS0000019936.V335512.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Belper Views DS0000019936.V335512.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. 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