Inspection on 29/12/06 for Berrywood Lodge

This inspection was carried out on 29th December 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Berrywood Lodge 06/07/09

Berrywood Lodge 04/02/09

Berrywood Lodge 06/08/08

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 Berrywood Lodge 27-33 Berrywood Road Duston Northampton Northants NN5 6XA Lead Inspector Kathy Jones Key Unannounced Inspection 29 December 2006 08:00 Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Berrywood Lodge Address 27-33 Berrywood Road Duston Northampton Northants NN5 6XA 01604 751676 01604 751062 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) Minster Pathways Limited Maureen Patricia Jamieson Care Home 23 Category(ies) of Learning disability (23), Mental disorder, registration, with number excluding learning disability or dementia (23) of places Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person shall be admitted to Berrywood Lodge under categories MD and LD when there are 23 persons in total of those categories/combined categories already accommodated within the home No persons shall be admitted to Berrywood Lodge within the category of DE The maximum number of persons accommodated within Berrywood Lodge is 23 This is the first inspection under the current registration. 2. 3. Date of last inspection Brief Description of the Service: Berrywood lodge is a care home registered to accommodate up to twenty three people with a learning disability or mental disorder or both. Berrywood lodge is owned by a company called Minster Pathways Ltd who own other homes accommodating a similar client group. Berrywood lodge is located in the Duston area of Northampton and has a bus service to the town centre. The accommodation consists of nineteen single bedrooms and two double bedrooms none of which have en-suite facilities. There are three communal bathrooms and three shower rooms and seven toilets. There are also six day rooms and a visitor’s room. The following fees were provided as being current at the time the preinspection questionnaire was submitted on 29 December 2006: • • • Low risk £350 - £500 per week. Medium risk £500 - £750. High Risk £750 - £1500. The fees include personal care, accommodation, meals and laundry. Service users who wish to make arrangements to visit the hairdresser, barber; purchase magazines; newspapers and toiletries do so from their own resources. This also applies should they wish to access private chiropody and other private services. Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 5 Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. All standards identified as ‘key’ standards and highlighted through the report were inspected. The key standards are those considered by the Commission to have a particular impact on outcomes for people living in the home. Inspection of the standards was achieved through review of existing evidence, preinspection planning, an unannounced inspection visit to the home and drawing together all of the evidence gathered. The review of evidence and pre-inspection planning included review of the service history which details all contact with the home including notifications of events reported by the home, any complaints and telephone calls. This information assists with planning the particular areas to be inspected during the visit. Although Berrywood Lodge has been registered as a care home for several years the current owners only purchased and were registered in respect of the service in July 2006. In view of this previous inspection reports and information were not reviewed and the service was inspected as any new registration. A pre-inspection questionnaire was submitted by the registered manager, however the inspector did not receive this until after the inspection although the registered manager had a copy available at the time of the inspection. Some of this information together with information received from one resident has been incorporated into the inspection report. No completed questionnaires from relatives or health professionals had been received at the time of writing this report. The unannounced inspection visit covered the morning and afternoon between the Christmas and New Year holidays. The inspection was carried out by ‘case tracking’ which involves selecting a sample of people and tracking their care and experiences through review of their records, discussion with them and observation of interactions with care staff and care practices. The management of residents’ medication was reviewed and a sample of staff files reviewed to check the adequacy of the recruitment process. Actions being taken in respect of complaints was discussed with the registered manager and some of the records reviewed. Discussion took place with the registered manager throughout the inspection and verbal feedback on the findings given. Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? What they could do better: From a sample of staff files checked the recruitment process carried out by the current registered people appears thorough, shortfalls were identified in one of the files checked for a member of staff employed in the home prior to the current ownership. Advice has been given to check all staff files in order that the current owners can satisfy themselves of the suitability of staff they now employ to work with vulnerable people. Advice was given to review the minimum staffing levels required to meet the assessed needs of residents as the rota indicated what appeared to be low staffing levels on some occasions. Please contact the provider for advice of actions taken in response to this Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 8 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. Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 9 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 Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process takes account of prospective residents views and provides assurances that the needs of Residents entering the home can be met. EVIDENCE: There is a thorough assessment process prior to admission to determine if a prospective resident’s needs can be met. Records were reviewed for a resident who was in the service for an overnight stay. The stay was one of several visits arranged to determine the ability of the service to meet the prospective resident’s needs and to provide the prospective resident with an opportunity to find out what it would be like to live at Berrywood Lodge. Detailed information about the prospective residents needs had been gathered as part of the assessment process. A questionnaire received from a resident confirmed that they had been asked if they wanted to move into the home and that they had received enough information. They also said that the welcome they got when they visited “was lovely”. Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ are involved in the planning of their care and support and are encouraged to become as independent as possible. EVIDENCE: Discussion with a resident identified that they are aware of and involved in their individual care plan. The resident asked staff to bring the plan for the inspector to see and was able to discuss some aspects of the plan. From this discussion it was evident that residents are involved in decision making. The care plan identified the residents specific care needs and provided staff with information about the support they were required to give. Goals are reflected in the resident’s plan, however these were noted to be rather general. Discussion with the registered manager and a resident identified that residents are being supported and encouraged to reach small Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 12 achievable goals. Advice was given to make the goals more specific and include these small steps in order that the resident and staff can be clear about expectations. The level of independence residents have is dependent on their individual needs and discussion with residents confirmed they are supported in increasing independence where possible. However discussion about the management of residents’ money identified that currently there are no individual assessments in place to consider if some residents may be able to have more independence in the management of their finances. Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ are offered choice in relation to activities and college courses and the routines of the home are flexible to accommodate the varying lifestyles. EVIDENCE: Residents’ at Berrywood Lodge have a range of different needs, abilities and interests. Some residents’ attend college courses and the registered manager was looking into possible college courses for a prospective resident. Some residents told the inspector about an industrial rehabilitation workshop they attend where they are involved in packing work. Another resident said they worked in a coffee shop. Information received in the pre-inspection questionnaire also said that some residents attend horticulture sessions organised by adult education. Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 14 A range of leisure activities is offered which include gardening activities, social clubs and trips to garden centres and coffee shops, video evenings and art sessions. Residents told the inspector that some of them usually go once a week to the local pub for a drink and sometimes go to the cinema and that the activities are according to individual choice. On the day of inspection the colleges and work placements were closed and some of the residents’ who were at home were occupied with board games, watching television or helping in the kitchen. One resident was discussing arrangements with his keyworker for a trip to the shops to buy DVD’s to play on a recorder that he had received for Christmas. A resident spoke about taking the bus independently to visit a relative. Family relationships are supported and a resident said that visitors are welcome in the home. Menus show that a choice is offered and that special diets are catered for. Meal times are flexible and according to residents’ routines and activities outside the home. Residents’ said that staff, mainly cook the meals however residents’ are often involved in assisting. On arrival at the service a resident had just completed a fruit crumble ready for lunch. A resident was observed to be very aware of good hygiene practice in the kitchen. Residents’ are encouraged to make drinks as and when they wish and there was a relaxed and cheerful atmosphere in the kitchen with residents in and out of the kitchen and lots of laughter with staff. Some residents’ had visited family at Christmas however for those staying at home, they had a traditional Christmas meal consisting of roast turkey with trimmings and vegetables followed by Christmas pudding. Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ receive any necessary support with personal care and are supported in accessing health care services. EVIDENCE: Residents spoken with were happy with the level of support that they receive and discussion with an individual resident and review of their records confirmed that appropriate health care services are accessed and residents are supported with their healthcare needs. The resident was aware of his medical condition and explained that he needed staff support in maintaining a special diet. Residents were aware of their medications. Medication is stored securely and no excessive stocks were identified. Records are kept of medication received and administered and these records were found to be in good order. Staff have received training in the administration and management of medication and medication was found to be generally well managed reducing the risk to Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 16 residents. However it was identified that medication for a particular resident when they go away, medication is taken from the blister pack by staff and put in a cassette system. Advice was given that care staff should not be subdispensing medication due to the risk of error and that alternative arrangements should be discussed with the dispensing pharmacist. Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has procedures for dealing with complaints which residents are aware of helping to protect residents. EVIDENCE: A questionnaire received from a resident said that there is a notice telling them about how to make a complaint. They also confirmed that they knew who to speak to if they were not happy. Residents spoken with during the inspection were also aware of how to make a complaint and felt satisfied that if they did it would be dealt with appropriately. They also confirmed that they had no concerns about how they were treated. The commission for social care inspection have received no complaints about the service since the registration of the current owners in July 2006. The registered manager advised that they have received two complaints about the actions of individual staff members. Discussion and a sample check of the records relating to the complaints and actions taken confirmed that the complaints have been taken seriously and that appropriate action has been taken to protect residents while the complaints are investigated. The registered manager and a staff member advised that staff have completed protection of vulnerable adults training however no evidence in the form of training certificates could be found to support this. This training is considered an important part of protecting vulnerable adults, as staff need to be able to Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 18 understand what constitutes abusive practice and their responsibilities in protecting the people in their care and reporting any concerns that they have. Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was clean, comfortable and in good decorative order providing a pleasant environment for Residents. EVIDENCE: Communal areas of the home were viewed during this inspection. Residents were observed to access all areas freely. Rooms were comfortable and reasonably decorated with Christmas decorations providing a festive look. Residents’ rooms were not viewed during this inspection however residents said that they were happy with their rooms and that they were comfortable. They said they are encouraged to clean their own rooms and had keys to their rooms. Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 20 All areas of the home were clean and there were no unpleasant odours. A questionnaire from a resident confirmed that the home is always fresh and clean and described it as “lovely”. Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Current staffing arrangements are on the whole good, however staffing levels and previous recruitment practices require review to ensure residents are not put at risk and their needs are met. EVIDENCE: Residents spoken with were happy with the staff team and a resident described staff as “very kind”. Staff were observed to have developed good relationships with residents. The pre-inspection questionnaire submitted by the registered manager identifies various training undertaken during the last twelve months, which includes National Vocational Qualification (NVQ). 50 of the staff team are identified as having completed an NVQ to at least level 2. The NVQ courses provide staff with a basic understanding of care practices in order to meet the needs of residents. Records in the home confirm that there is an ongoing programme of training, which is important in keeping staff up to date with current practice. As detailed in the complaints and protection section of this Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 22 report although staff said they had received protection of vulnerable adults training, certificates to confirm this could not be found at the time of inspection. At the time of the inspection there were nineteen residents. The registered manager advised that there are four staff on duty between 7-30am and 330pm, three between 3pm and 10pm and then between 10pm and 7-30am there is one waking member of staff and one sleep in. However the staff rota showed that on occasions staffing levels had dropped to two in the afternoon which given the number of residents and the fact that three are described as having a high level of needs would appear very low and requires review to ensure that residents needs are met at all times. A sample of staff files were reviewed to check the adequacy of the recruitment process in protecting residents. The file for a member of staff recruited since the registration of the current owners confirmed that a thorough recruitment process had been followed which included obtaining criminal record bureau clearances and references. Review of the file of a member of staff who was employed in the home prior to the registration of the current owners identified that criminal record bureau clearances and references had been obtained. However no references had been obtained from any of the three previous employers from the care sector, which should have provided important information to assist in determining the suitability of the applicant to work with vulnerable people. Although the current recruitment process appears thorough, advice has been given to review files of other staff to ensure that the current registered people are satisfied that residents are not put at risk by any previous shortfalls with the recruitment of staff that they now employ. Records demonstrate that staff receive regular one to one supervision sessions which identify any additional training or support needs required to help meet residents needs. Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is an experienced and competent manager who promotes the health, safety and welfare of the people living in the home. EVIDENCE: There is a suitably qualified registered manager in post who demonstrated a good knowledge of residents and their individual needs. The inspector was informed that the current registered owners had employed the previous registered owner and registered manager on a consultancy basis. As part of this role he has been reporting to the organisation on the conduct of the home on a monthly basis following visits to the home. He has also assisted Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 24 in the investigation of complaints and conducting disciplinary hearings. The inspector was informed that this contract was due to expire at the end of December 2006. Various quality systems are in place such as Investors in people and ISO9000 and as detailed above monthly reports on the conduct of the home by a representative of the organisation. However there were no quality review systems, which included formally gathering the views of various stakeholders such as residents, relatives, staff and health and social care professionals with a specific focus on the quality of care. The registered manager advised that some of the company systems were still being introduced and they may include quality assurance. The pre-inspection questionnaire includes dates of various maintenance checks and confirms that regular checks are undertaken on equipment such as the central heating system, fire equipment and electrical wiring and equipment. Records show that staff receive training in safe working practices including food hygiene and fire and six of the ten members of staff hold a first aid certificate. Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 25 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 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X X 3 Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 26 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 13 (2) Requirement Advice must be sought from the pharmacist regarding the safe administration of medication for residents who need to take medication on leave. Staffing levels must be reviewed to ensure there are sufficient staff at all times to meet residents’ assessed needs. A system for establishing and maintaining the quality of care, which includes consultation with service users and their representatives, must be implemented. Timescale for action 15/02/07 2 YA33 18 (1) (a) 15/02/07 2 YA39 24 30/03/07 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 YA34 Good Practice Recommendations The current registered people should review the records for staff that they now employ to ensure they are satisfied that there is sufficient evidence to determine their suitability to work in a care home. DS0000067749.V322609.R01.S.doc Version 5.2 Page 27 Berrywood Lodge Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Berrywood Lodge DS0000067749.V322609.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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