Inspection on 12/10/06 for Bethel Care Home

This inspection was carried out on 12th October 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

Bethel Care Home 09/10/08

Bethel Care Home 02/02/06

Bethel Care Home 05/09/05

Bethel Care Home 08/03/05

Bethel Care Home 19/05/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Bethel Care Home 41-43 Tennyson Way Hornchurch Essex RM12 4BU Lead Inspector Ms Gwen Lording Key Announced Inspection 12th October 2006 09:30 Bethel Care Home DS0000027882.V316633.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 Bethel Care Home DS0000027882.V316633.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. Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bethel Care Home Address 41-43 Tennyson Way Hornchurch Essex RM12 4BU 01708 620 985 01708 475 300 afopeace@aol.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Mary Modupeola Omeyele Afolabi Mrs Mary Modupeola Omeyele Afolabi Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That at all times there must be a minimum of one member of staff in each house. That the night staffing levels must be maintained at one member of staff sleeping in and one member of staff on waking night duty. 2nd February 2006 Date of last inspection Brief Description of the Service: Bethel Care Home is a care home providing accommodation, personal care and support for adults with a learning disability. The service comprises of two adjacent houses and is registered to accommodate up to six residents, three in each house. At the time of the visit there were three female residents in house number 41, and three male residents in house number 43. The proprietor is also the registered manager of the home. It is situated in a quiet cul de sac in a residential area of Hornchurch. The area is close to public transport, local shopping area and other amenities. All six bedrooms are single and located both upstairs and downstairs. The home is friendly and operates as a family type home. Residents are able to move freely during the day between both houses and join together for many activities. On the day of the inspection the range of fees for the home was between £750.00 and £1,200 per week. A copy of the Statement of Purpose and service user guide is made available to both the residents and their family or representative. A copy of both these documents and the most recent inspection report are situated in the lounge of each of the two houses. Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection however; the proprietor/ registered manager was only informed of the inspection the previous day. The announced inspection was undertaken to ensure that the manager and residents were at the home because they are involved in lots of community activities. The inspection started at 9.30 am and took place over four hours. The proprietor/ registered manager was available throughout the visit to aid the inspection process. This was a key inspection visit in the inspection programme for 2006/2007. Discussion took place with the proprietor/ registered manager and two members of care staff. Care staff were asked about the care that residents receive, and were also observed carrying out their duties. Where possible residents were asked to give their views of the service and their experience of living in the home. For some of the residents their level of disability meant that this was not possible. However, the inspector was able to have a discussion with one resident and was able to communicate with another resident with the assistance of care staff. A tour of both houses was undertaken and all areas were clean and tidy with no offensive odours present throughout. A random sample of residents’ files were case tracked, together with examination of other staff and home records, including medication administration, staff rotas, menus, maintenance records, fire safety and staff recruitment procedures and files. The philosophy of care in the home is based on Christian principles and has close links with a local church of which the proprietor/ manager is ordained as a minister. Residents are supported to attend the Church if they wish, but this remains their choice and is respected by the home. However, the home will accept residents from other faiths and will support them fully in attending their individual preferred place of worship. At the end of the visit the inspector was able to feedback to the manager and a member of care staff. The inspector would like to thank the staff and residents for their input and assistance during the inspection. What the service does well: There is a warm, relaxed and inviting atmosphere to the home, which is run as a ‘family’ type home. The people who live there get on well together, and the staff who support them know and understand their individual needs. The proprietor/ manager and care staff work hard to make sure that residents lead full and satisfying lives. Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 6 It is evident that the home is operated for the benefit of the residents, and every effort is made to retain the independence of those people living in the home, and for them to exercise choice and control over their lives. The routines of daily living and activities are flexible and varied to suit the differing needs of the residents, together with their religious, cultural and social preferences. The proprietor/ manager of the home has shown a commitment to working with the Commission to continually improve the service. All the requirements from the last inspection have been met. 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. Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 7 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 Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 8 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): Standards 1, 2, 3 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose and service user guide provides prospective residents and their relatives/ representatives with all the information they need to make an informed choice about whether they wish to live in the home. The assessments completed by the home and the information and reports received from health and social care professionals means that staff have detailed information to enable them to determine whether or not the home can meet a prospective residents needs. EVIDENCE: The Statement of Purpose and service user guide are regularly reviewed and both of these documents are easily accessible to residents. The files of three residents were examined and these were found to contain a detailed assessment that had been undertaken prior to their admission to the home. Where assessments had been carried out by the placing authority, there was a copy of this assessment and care plan on file. Contracts are included in each residents case record. Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 9 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): Standards 6, 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are detailed and provide staff with the information they need to satisfactorily identify and meet residents personal, social support and health care needs. The home maximises independence wherever possible, and encourages residents to take risks. All potential risks are fully assessed, in conjunction with the residents. Residents know that staff handle information about them appropriately, and their confidences are kept. EVIDENCE: Individual care plans and separate daily communication diaries were available for each resident and the records of four residents were case tracked. The Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 10 records for these residents were found to be generally detailed and comprehensive. There was evidence that care plans were being reviewed at least monthly and updated to reflect changing needs however, some of the care plans need re-stating as some of these are dated 2004. Reviews are held and involve the resident, their relatives/ representatives, key worker and Care Management. The outcome of reviews is recorded and maintained on file. The home is very friendly and runs as a ‘family’ type home. Meals, activities, house routines and house issues are discussed on a daily basis and all members of the home are fully involved, and at all levels. The daily routine is adapted dependant on the movements and preferences of individuals. House meetings are held regularly and issues discussed are agreed and recorded. There is a strong focus on independence, and the proprietor/ manager and care staff, all demonstrated a sound knowledge of the needs of each resident. Risk assessments are in place, and they balance rights and responsibilities. Staff were observed providing residents with information, assistance and support and were respectful of their right to make decisions. Staff also demonstrated an awareness of the appropriateness of conversations about one resident in the presence of another. Case files are stored in a locked filing cabinet. Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 11 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): Standards 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Opportunities for social and leisure pursuits and personal development are actively promoted and supported by staff, for all residents to enable them to participate in the wider community in which they live. Meals are varied and healthy, and times of eating are arranged to fit in with the residents’ lifestyles. Residents are involved to varying degrees in menu planning, cooking and shopping. EVIDENCE: Each resident has an individual planned activity programme, which takes account of the resident’s preferences, interests, experiences, age and capabilities related to their disability. The activity programme for each service user case tracked was discussed with the proprietor/ manager and care staff. Residents access a combination of college, and other community facilities, both specialist and mainstream. One resident has just completed her studies at a Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 12 local college and is now being helped to find supported employment or a work experience placement. She is independently able to participate in leisure activities in the community and often invites friends home to visit or for a meal. On the day of the visit she was planning a shopping trip with another resident, who would be supported by a member of care staff. Most of the residents attend the local church of which the proprietor/ manager is ordained as a Minister, but this remains their choice and is respected by the home. The diary of one resident records that she chose not to attend church one particular Sunday as she wished to watch a football match on television. Residents who choose to attend church are involved in a number of different activities depending on their interests. For example, one resident enjoys music and often plays the keyboard at church; another resident was able to give a short sermon. As members of the church they are always invited to christenings, weddings and other celebrations. The staff prepare and cook meals with some involvement from the residents and staff know what each person likes to eat. The menu and record of food chosen was examined; it has a good balance of meat, fish, fresh fruit and vegetables. There is little reliance on frozen, tinned or processed foods. None of the residents have special religious dietary requirements, but one resident requires a diabetic diet. The residents have culturally appropriate foods to eat. One resident always enjoys fish and chips and two other residents regularly go to a local market which sells African food products and other items such as African books and films. Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 13 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): Standards 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents physical and emotional care needs are closely monitored and this ensures that residents needs are recognised and met. There are clear medication policies and procedures for staff to follow. However, there are some inconsistencies in the recording of medication, which may result in unsafe practices. EVIDENCE: All of the care plans examined recorded referrals to specialist health care professionals and that appointments were being kept. Records indicated that residents attend routine health screening, for example cervical screening; and are seen by dentists, opticians and GP’s. One resident has diabetes and another resident suffers with epilepsy. The health care needs of both of these residents were well understood and managed by care staff, with appropriate recordings being maintained. Care plans were culturally sensitive and accordingly were very detailed around the care of skin, hair and nails. Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 14 Staff were observed to be providing residents with sensitive and flexible personal support and all such support is provided in private. There are policies and procedures for the handling and recording of medication. The Medication Administration Records (MAR) charts were examined and the following was noted and discussed with the proprietor/ manager. • All hand written entries on MAR charts must be signed and dated by the person making the entry. The entry must also include the source of the information e.g. directed by GP. Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 15 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): Standards 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The proprietor/ manager make every effort to sort out any problems or concerns and make sure that residents and their relatives feel confident that their complaints and concerns are listened to and will be acted upon. Staff working in the home have received training in Adult Protection/ Abuse Awareness and this ensures that there is a proper response to any suspicion or allegation of abuse. EVIDENCE: There are policies and procedures for dealing with complaints and the manager has also produced the complaints procedure in a part pictorial format that is well presented and more easily accessible by this resident group. One resident spoken to about what she would do if she were unhappy with anything said: “I would tell Pastor Mary (the proprietor/ manager) or one of the staff and they would help me”. There is a written policy and procedure for dealing with allegations of abuse and whistle blowing. Since the last inspection all staff have received training in Adult Protection/ Abuse Awareness, and this is included in the induction training for all new staff. Those staff spoken to during the inspection were aware of the actions to be taken if there were concerns about the welfare and safety of residents. Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 16 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): Standards 24, 25, 28 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall atmosphere in both houses is very homely and welcoming. Improvements have been made to the décor, furnishings and fittings. The living environment is appropriate for the particular lifestyle and needs of the residents and is clean, safe and comfortable. EVIDENCE: Both houses were toured accompanied by the proprietor/ manager at the start of the inspection, and all areas were visited unaccompanied later during the day. All the bedrooms are single and are furnished and decorated to suit individual’s preferences and particular needs; and are reflective of their culture, interests, hobbies and lifestyle. All areas of both houses were clean, tidy and free from odour throughout. In response to requirements made at the last inspection a number of improvements have been made to both houses: Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 17 House 41 • Re-carpeting of the hall and stairs • Removal of stair lift • Downstairs shower room re-painted and shower curtain replaced • Two bedrooms re-carpeted and curtains replaced House 43 • Re-carpeting and re-decoration of the hall and stairs • Wall tiles in upstairs bathroom were in the process of being replaced Items of old furniture, rubbish etc. have been removed from the rear garden. The proprietor/ manager is considering a number of options to further improve the garden and make it more accessible and attractive for residents to use. There is a programme of renewal and decoration for both houses and residents are fully involved in decisions about the décor and any changes to the accommodation. The refurbishment programme for both houses must continue to be progressed to ensure that all parts of the home are well maintained. Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 18 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): Standards 31, 32, 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by competent and qualified staff, who are clear about their roles, and are well supported and supervised. Staffing levels are satisfactory and there are sufficient staff on duty to meet the individual needs of the residents. EVIDENCE: The home has a small, but relatively stable staff team and in discussion with staff it was evident that they understand and fully support the main aims and values of the home. The two houses are registered as one service and there is always at least one member of staff on duty in each house; and one member of staff sleeping in house 41 at night; and one member of staff on waking night duty in house 43. Through discussion with one resident and observation of staff’s interaction with other residents, it is evident that they have confidence in the staff that care for them, and that staff have a good understanding and knowledge of the particular needs of the residents. Staff were seen to have the skills to communicate effectively with all residents. Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 19 Two members of staff have been recruited since the last inspection and their personnel files were examined. These were found to be in good order with necessary references; criminal records bureau disclosures and application forms duly completed. Staff files showed that staff had done essential training in manual handling, food hygiene, first aid and adult protection. The senior carer has completed an NVQ level 3 qualification; one carer has completed an NVQ level 2 qualification; and one carer is currently working towards an NVQ level 2 qualification. Other training undertaken by care staff includes management of epilepsy, understanding and managing challenging behaviour, and communication using British Sign Language (BSL). Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 20 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): Standards 37, 39 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is efficiently managed, residents interests are safeguarded and they benefit as the home is run in their best interests. EVIDENCE: The proprietor of the home is also the registered manager; she is well experienced to manage the home and demonstrates a clear understanding of the needs of the residents. It was very evident that the home is operated for the benefit of residents, and every effort is made to retain the independence of those people living in the home and for them to exercise choice and control over their lives. Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 21 Some of the residents have high dependency levels and require a great deal of assistance and support from care staff. The routines of daily living and activities are flexible and varied and suited to the differing needs of the residents, together with their religious, cultural and social preferences. A wide range of records were looked at including fire safety, recording of water temperatures, portable appliance testing (PAT) and accident/ incident records. These records were found to be detailed, up to date and accurate. The proprietor/ manager is the appointed agent for two residents. The residents have access to their records whenever they wish, and she fulfils all the requirements in her role as appointee. Other residents financial affairs are managed by their relatives/ representatives. The home has responsibility for their personal allowances and secure facilities are provided for their safekeeping, with records being maintained. Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 22 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 3 2 3 3 3 4 X 5 3 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 2 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 23 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. 1. Standard YA6 Regulation 15 Requirement The registered manager must ensure that care plans are updated to reflect current and changing needs. The registered manager must ensure that all hand written entries on Medication Administration Records (MAR) charts are signed and dated by the person making the entry, and include the source of the information. The refurbishment programme for the home must be progressed to ensure that all parts of the home are well maintained. Timescale for action 30/11/06 2. YA20 13 12/10/06 3. YA24 16 & 23 31/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Bethel Care Home DS0000027882.V316633.R01.S.doc Version 5.2 Page 25 - 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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