Inspection on 12/12/06 for Bishops Croft

This inspection was carried out on 12th 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bishops Croft 07/12/08

Bishops Croft 31/01/06

Bishops Croft 05/05/05

Bishops Croft 01/10/04

Bishops Croft 26/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Bishops Croft Bishops Lane Robertsbridge East Sussex TN32 5BA Lead Inspector Caroline Johnson Key Unannounced Inspection 12th December 2006 10:30 Bishops Croft DS0000021053.V320867.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 Bishops Croft DS0000021053.V320867.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. Bishops Croft DS0000021053.V320867.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bishops Croft Address Bishops Lane Robertsbridge East Sussex TN32 5BA 01580 880556 01424 421684 admin@newdirections.gb.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) New Directions (Robertsbridge) Limited position vacant Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Bishops Croft DS0000021053.V320867.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of service users to be accommodated is seven (7) Service users must be aged between eighteen (18) and sixty-five (65) years on admission Service users with a learning disability only to be accommodated Service users with Prader Willi Syndrome may be accommodated Date of last inspection 31st January 2006 Brief Description of the Service: Bishops Croft is a care home providing social and residential care for seven young adults with learning disabilities, in particular those with Prader-Willi syndrome and associated challenging behaviours. The home is owned by New Directions (Robertsbridge Ltd) and is situated on the outskirts of the town of Robertsbridge. The house is a detached property with accommodation on two floors, having sufficient bathrooms, showers and toilet facilities. There are large mature gardens. Residents rooms are individually furnished and decorated in keeping with individual choices. Three rooms have en-suite facilities. The two communal lounges and dining room are furnished and decorated to a good standard. The domestic-style kitchen and laundry are suitably equipped. The premises also include a single storey building, which is used as an arts and crafts workshop for residents. A variety of off-site activities are arranged and Bishops Croft has its own people carrier vehicle for trips and outings. The range of fees as of December 2006 is £1037 to £1448 per week. Additional charges are made for hairdressing, toiletries, magazines and papers and some transport. Inspection reports can be read at the home and reference to how to obtain a copy is also made in the home’s statement of purpose. Bishops Croft DS0000021053.V320867.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of the inspection process a site visit was carried out on 12 December 2006. The visit lasted from 10.30am until 4.45pm. Over the course of the visit there was an opportunity to meet with five of the residents, with two of the directors of the company and with three care staff. A wide range of documentation was examined including care plans, records held in relation to medication, fire safety, staff recruitment, staff training, staff rotas, staff and resident meeting minutes and health and safety documentation. A full tour of the building was not undertaken but all communal areas were seen along with three of the bedrooms. Since the last inspection of the home the registered manager has resigned her position and there has been a fairly high turnover in the staff team. Until a new manager is in post the three directors of the company are ensuring that at least one of them is working in the home on a daily basis Monday to Friday. The interim management arrangements for the home have been successfully co-ordinated ensuring that the home has continued to run smoothly. The staff team are to be commended for the teamwork shown at this time. At the time of inspection it was reported that a new manager had been appointed but a start date had yet to be agreed. What the service does well: What has improved since the last inspection? Requirements made at the last inspection of the home have been addressed. Results of quality assurance questionnaires are now included in the home’s service user guide. Records showed that the home is now ensuring that the results of all fire safety checks and water temperature checks are recorded. Bishops Croft DS0000021053.V320867.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. Bishops Croft DS0000021053.V320867.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 Bishops Croft DS0000021053.V320867.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): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. There is detailed information available to prospective residents to assist them in making an informed choice about whether to move into Bishop’s Croft. EVIDENCE: There is a detailed statement of purpose in place, which now needs to be updated to reflect the changes in the management of the home. The service user guide has been updated as required at the last inspection to include the views of the current residents. It was reported that all the residents find the format of the guide to be appropriate although a couple would need staff support to read and understand the document. There have been no new admissions to the home since the last inspection. Bishops Croft DS0000021053.V320867.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): Quality in this outcome area is (adequate) This judgement has been made using available evidence including a visit to this service. Although there is detailed information provided in care plans, the format used can be confusing and it can be difficult to find the most up to date information. A new assessment of each of the resident’s current abilities and needs should be carried out. In addition goals should be specific, measurable and achievable and risks need to be explicit with detailed advice on the action to be taken to minimise the risk of accidents/incidents occurring. EVIDENCE: Two care plans were examined on this occasion. The assessments that had been completed following their admission to the home were still in place along with regular reviews and updates since that date. However, as over a period of time each individual’s needs have changed, it would be necessary to read through all the documentation to get an accurate picture of the current needs and abilities. One resident had no current goals in place. The second resident had a goal to move nearer to their parents and to achieve greater independence. The statement in the `How this is to be achieved, section’ was very broad and there were no specific steps included. Bishops Croft DS0000021053.V320867.R01.S.doc Version 5.2 Page 10 There were numerous risk assessments in place in both care plans. In one of the care plans there was a risk assessment in place as one of the residents likes to have a soak in the bath. It was thought that in the past this resident has fallen asleep in the bath but there was no indication if this was a one off occurrence or a regular event. The risk assessment stated that this resident should be monitored every twenty minutes. The home needs to review the level of the risk and depending on the outcome revise the frequency of the monitoring. Residents are encouraged to make decisions for themselves. On occasions due to the nature of the service provided, it becomes necessary to restrict/limit choices and decisions. Where this is the case for example in relation to the food provided, agreements are reached with residents and contracts are written. The need to balance rights against health and safety is kept under constant review. Bishops Croft DS0000021053.V320867.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): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. All of the residents participate in activities that are both rewarding and stimulating. Each of the resident’s individual programmes is varied with ample opportunities for personal development. EVIDENCE: Each of the residents has a programme of the activities that they participate in, although at the time of inspection one of the residents had opted out of their programme. This resident has been going through a difficult period and their activity programme will be reviewed after a short break. Some of the residents have work placements, some attend college courses and some attend one of the two-day centres run by the company. Activities that residents participate in include, gym, swimming, pottery, basketball, horse riding and trampoline. Pottery sessions are run twice a week in Hastings. In the day centre there are various art and craft projects on the go at any one time. At the time of inspection residents were busy making calendars. There is also a computer in this area and a sewing machine. Programmes are designed to Bishops Croft DS0000021053.V320867.R01.S.doc Version 5.2 Page 12 keep everyone very active through the day but there is ample leisure time in the evenings. A trip to the pantomime had been arranged for the residents the week following the inspection and there were extra staff on duty so that everyone could attend. In addition a party had been booked for everyone as it is the 25th anniversary of the Prader Willi Association. The home has an eight-seater people carrier. Two of the residents attend different church services on a regular basis. The home supports one of the residents to attend, and a parishioner from one of the churches takes the second resident. Occasionally some of the other residents choose to attend also. Over the course of the inspection there was on opportunity to meet five of the residents. All of the residents stated that they were happy living at Bishop’s Croft. Everyone was looking forward to Christmas. All but one of the residents was going to spend time with parents. Some stated that they find the residents’ meetings a good opportunity to share their views about the home. Menus seen looked varied and well balanced. Residents spoken with stated that they enjoy participating with food preparation and one of the residents was observed preparing the lunch for the day with staff support. Bishops Croft DS0000021053.V320867.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): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. The home is good at ensuring that residents receive specialist advice and support where necessary to meet their individual healthcare and emotional needs. EVIDENCE: Where specialist support is required the home ensures that appropriate advice is sought. It was reported that one resident has been referred recently to the Community Learning Disability Service (CLDS) for bereavement counselling. Earlier in the year one of the residents went through a difficult period due to necessary medication changes and specialist support was sought in relation to this and in relation to behaviour management. It was reported that all the residents responded very well during this period and were very patient and understanding of the situation. Residents have recently received input regarding sexuality and relationship issues. Appointments are made for residents to receive regular chiropody, dentistry and eye examinations. Records seen in relation to medication administered to Bishops Croft DS0000021053.V320867.R01.S.doc Version 5.2 Page 14 residents were in order. It was reported that staff have had training on the medication in use in the home. Bishops Croft DS0000021053.V320867.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): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. There are good procedures in place to ensure that anyone wishing to make a complaint can do so. The home ensures that all of the staff team receive training on the subject of adult protection and abuse so that should an allegation be made staff would be aware of the action to be taken. EVIDENCE: There were no complaints recorded. There is a detailed complaints procedure in place. A complaints box is located in the hallway and this is checked at regular intervals. Minor issues raised by residents are recorded in individual care plans and the action taken to resolve them. There have been no complaints made to the Commission about the home since the last inspection. There have been no adult protection alerts made by the home since the last inspection. It was reported that all the staff team have had training on the subject of adult protection and prevention of abuse. Bishops Croft DS0000021053.V320867.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): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. The home is well maintained and decorated to a good standard. There are good measures in place in relation to fire safety. However, in relation to one resident who often refuses to leave the building when the alarms sound there should be a risk assessment in place detailing the action to be taken by staff on these occasions. EVIDENCE: Communal areas consist of a large lounge and a separate dining room. In addition there is a smoking lounge. Staff are not permitted to smoke in this area. All areas are decorated well and were very festive at the time of the inspection. There is a notice board in the kitchen area with details of weekly activities and items of interest to the residents. Three of the residents showed the inspector their bedrooms and in each case the rooms were well decorated and had been personalised by the residents. Each of the residents stated that they liked their rooms and the colour schemes. One resident has two budgies Bishops Croft DS0000021053.V320867.R01.S.doc Version 5.2 Page 17 in their room and they are responsible for ensuring that the cage is kept clean. In addition there is a rabbit and guinea pig in the garden. Fire drills are held monthly and the outcome is recorded. It was noted that one of the residents occasionally refuses to leave the building when the alarms sound. A risk assessment needs to be put in place in respect of this individual. Records showed that fire alarms are tested weekly and emergency lights monthly. The home has recently had a fire risk assessment carried out. The assessment was not on the premises as one of the directors was using it to write up the action plan in respect of the recommendations made. A couple of the staff have attended a fire warden’s course. They then cascade the training they received to the remainder of the staff team. Senior staff also receive fire safety training and the home has fire safety DVDs which staff view and then answer multiple-choice questions. All areas of the home seen during the inspection were clean and there were no unpleasant odours. Each of the residents has responsibility for cleaning their individual rooms. Both the staff and residents clean all other areas of the home. It was reported that some of the staff team have received training on infection control. Bishops Croft DS0000021053.V320867.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): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Interim management arrangements for the home during a period of high staff turnover have been successfully co-ordinated ensuring that the home has continued to run smoothly. The staff team are to be commended for the teamwork shown at this time. A general staff training matrix would assist in highlighting which staff have attended training and which staff still need to attend training. EVIDENCE: For a variety of reasons there has been a large turnover in the staff team since the last inspection of the home. It was reported that although the residents miss the staff that have left, the home has worked hard to keep structure and routines the same and this has reduced the impact that such a staff turn over might have had. All but one of the staff vacancies have been filled and a full time activity co-ordinator has also been appointed. There are a variety of training courses available for staff. In addition to the mandatory training in first aid, food hygiene and infection control, training is also provided on Prader Willi syndrome, behaviour management, scip, protection of vulnerable adults and studio three. Some of the courses are run Bishops Croft DS0000021053.V320867.R01.S.doc Version 5.2 Page 19 in-house and external trainers run some. There was no overall staff training matrix available so it was not easy to identify without going through every staff file who had attended courses and who had still to receive training. One of the staff spoken with stated that they had recently attended courses on managing conflict and time management. Two staff files were seen. All documentation required by the Regulations was in place. However, in relation to one there was no CRB in place. It was thought that the CRB must be at the head office. In relation to one of the staff there were two references in place but in both references the applicant had scored average in some areas. The home had not in this case contacted the referees to discuss in more detail but the director indicated that this is something that would be done dependent on the areas ticked. Records show that all staff are receiving regular supervision. Each staff member has an annual appraisal and they are required to complete a selfanalysis form prior to the appraisal. It was reported that seven staff have completed NVQ level two or above. Bishops Croft DS0000021053.V320867.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): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. There are good systems in place to ensure the smooth running of the home and staff feel well supported. Quality assurance systems are good and the home ensures that they listen and act upon the issues raised by residents through this process. EVIDENCE: Since the last inspection the registered manager has resigned from her position in the home. Temporary management arrangements have been put in place involving each of the three directors. At least one of the directors will work in the home each day Monday to Friday every week. At the time of the inspection a new manager had just been appointed. However, until the new manager is able to start in post the current management arrangements will continue. Bishops Croft DS0000021053.V320867.R01.S.doc Version 5.2 Page 21 Staff meetings and residents’ meetings are held regularly. One of the residents attends the first part of the staff meeting to represent and discuss issues relevant to the residents. Records were detailed showing that everyone is encouraged to share their opinions. A staff member spoken with stated that they are well supported. They also raised a couple of issues regarding food quantities and methods of cooking. These were shared with the director who stated that the same issues had been discussed at the senior meeting and guidance was being given to staff on both subjects. Another member of staff stated that the directors have been ‘very supportive’. ‘There is someone in the home every day and the residents look forward to this’. As part of the home’s quality assurance system the residents are asked to complete satisfaction questionnaires. This task had been completed recently and it was noted that most of the residents were able to write about issues that affect them. Written responses to each resident have still to be done but action has already been taken to address some of the issues raised. Prior to the inspection comment cards were sent to the home for distribution to the residents. Six of the residents responded. Overall the response was very positive. One resident referred to the staff turnover and commented that they have all ‘coped well’ with the changes. Another stated ‘I like living here because it makes me happy. All the staff are nice’. Following the inspection three relatives were contacted to seek their views about the quality of the care provided in the home. One relative chose not to respond. The other two relatives spoke very positively of the care provided. Comments included ‘it’s a good service’, ‘we are very happy’. ‘My son’s keyworker keeps us informed of any changes. When there was a change of medication the medication was explained including side effects to watch out for’. ‘We trust the home it’s very good’. Hot water temperatures tested on the day of inspection were within agreed safety limits. Bishops Croft DS0000021053.V320867.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 X 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 2 25 X 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X 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 3 X 3 3 3 X X 3 3 Bishops Croft DS0000021053.V320867.R01.S.doc Version 5.2 Page 23 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 YA6 Regulation 15(1,2) Requirement Timescale for action 30/04/07 2. YA9 13(4) 3. YA24 23(4c(iii)) 4. YA34 19 Sch 2 para 7-9 Care plans must be updated showing a revised assessment of each of the residents’ abilities and needs and clear goals that are specific, measurable and achievable. Risk assessments must be 28/02/07 explicit detailing the level of the perceived risk (i.e. high/med/low) along with the action to be taken to minimise the risk of an accident/incident occurring. In relation to one resident a risk 31/01/07 assessment must be drawn up detailing the action to be taken by staff should this resident refuse to leave the building in the event of a fire. In relation to one of the staff 31/01/07 files seen the home must keep a record of their CRB disclosure number, date of issue and the outcome. These details should be on the premises at all times. Bishops Croft DS0000021053.V320867.R01.S.doc Version 5.2 Page 24 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 YA35 Good Practice Recommendations A staff training matrix should be used highlighting at a glance the training provided to staff, when it was provided and when it is next due. Bishops Croft DS0000021053.V320867.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Bishops Croft DS0000021053.V320867.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!