Inspection on 02/08/07 for Blackhurst Care Home

This inspection was carried out on 2nd August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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

CARE HOME ADULTS 18-65 Blackhurst Care Home Blackhurst House The Lawley Longnor Shrewsbury Shropshire SY5 7QJ Lead Inspector Rebecca Harrison Draft Unannounced Inspection 2nd August 2007 1:00 Blackhurst Care Home DS0000069037.V341055.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 Blackhurst Care Home DS0000069037.V341055.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. Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blackhurst Care Home Address 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) Blackhurst House The Lawley Longnor Shrewsbury Shropshire SY5 7QJ 01694 771318 01694 771318 Blackhurst Care Home Limited Mrs Jane Veal Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: No conditions apply Date of last inspection 13th October 2006 (prior to becoming registered as a Limited Company) Brief Description of the Service: Blackhurst Care Home Limited is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation and personal care for a maximum of six adults with a learning disability. The home was previously registered as Blackhurst Rural Adult Centre however the service has reregistered under a different name after becoming a Limited Company in January 2007. There are no planned changes to the operation of the care home or to the service as a result of this change. The home is situated in an isolated rural community in a valley to the northeast of Church Stretton. The building is of a country cottage style and domestic in nature. Accommodation is provided over two floors comprising a lounge, kitchen/diner, two single and two double bedrooms. A workshop and activity room is available in the grounds. The home is managed by Ms Jane Veal who lives on site. Information about this service is available from the Statement of Purpose and Service User Guide. Inspection reports produced by CSCI can be obtained direct from the provider or are available on CSCI’s website at www.csci.org.uk Fees charged per person range from £328.00 to £406.00 per week. Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on 2nd August 2007 by one inspector over four and half hours. A range of evidence was used to make judgements about this service to include information completed by the manager and sent to CSCI, discussions with service users and the manager and a tour of the home. The inspector also looked at a number of records and all aspects of care provided for two people using the service. The purpose of the inspection was to assess all 22 ‘Key’ National Minimum Standards for Younger Adults and to review the requirements made at the previous inspection undertaken on 17th October 2006. A quality rating is provided throughout the report based on each outcome area for the people who use the service. These ratings are described as excellent/good/adequate or poor based on findings of the inspection. What the service does well: What has improved since the last inspection? What they could do better: It would help the staff team if support plans were more detailed and written guidance developed for people whose behaviours can challenge. This would make sure that staff support people in the same way and may help to monitor people better. Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 6 Given that people have been placed at the home for a very long time it would be good if they were reviewed with their placing authority to ensure the placement continues to be appropriate for them. The manager must ensure that the home is kept safe by making sure that work required by the Fire Officer is completed and that all other health and safety checks are maintained, for example the fire system. Money held on behalf of people living at the home must be recorded better and signed for to ensure that people are protected. The manager needs to develop a system of checking that standards are being kept to include monitoring the service and gaining the views of people and their supporters this would help to measure the homes success and assist with planning for the future. Staff may benefit from attending training appropriate to the needs of the current people living at the home such as visual impairment, down syndrome and the management of actual and potential aggression (MAPA). 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. Blackhurst Care Home DS0000069037.V341055.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 Blackhurst Care Home DS0000069037.V341055.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): X Quality in this outcome area was not reviewed on this occasion. EVIDENCE: There have been no new admissions to the home since 1992 therefore it was not possible to assess key standard 2 on this occasion. The home has a Statement of Purpose, Service User Guide, Admissions procedure and contracts available but these were not reviewed during this inspection. Blackhurst Care Home DS0000069037.V341055.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): 6,7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are provided with information to support peoples needs however support plans need to be more detailed to ensure staff support people in a consistent manner. The people who use the service are supported to make decisions and enabled to take responsible risks. EVIDENCE: All records held on behalf of two people living at the home were looked at. An Individual Plan was available in addition to a Personal Planning Book. Records seen gave a brief overview of peoples needs and focused on strengths, needs and goals and had been reviewed by the manager since the last inspection. A number of incidents were seen on files where people’s behaviours had challenged the service, however there was no information available to staff on how to support people during these incidents at home or Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 10 when in the community. Contact sheets were available for both people however entries were very limited with only five entries this year for one person and four entries for another person. Therefore other records had to be examined to establish health appointments, family contact daily living and lifestyles etc. It was reported that none of the people living at the home have received a formal review by their placing authority. This was fully acknowledged by the manager at the time of the inspection and in the report that she provided to CSCI. It was stated that one social worker had visited the home recently following a request for additional funding. Discussions held with three people indicate they are actively consulted with and attend a weekly meeting to discuss menus, activities, events and to raise any concerns etc. It was reported that none of the people living at the home currently have an advocate but the manager stated that she has sourced this in the past. Assessments to support individuals with taking risks were available on the files examined for numerous activities and courses attended, employment and the environment. Blackhurst Care Home DS0000069037.V341055.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): 12,13,14,15,16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the service are supported to develop their life, social and educational skills. They are helped and encouraged to keep in contact with their family and friends and are provided with a varied diet. EVIDENCE: Discussions held with three people and records seen clearly evidence that people are offered positive lifestyles. They spoke about college courses they have enjoyed over the last year; work undertaken locally, activities, outings and evening clubs. One person reported that he has recently returned from an activity holiday in Wales, which he really enjoyed. People spoken with reported that they have contact with their family and friends. During the inspection people were seen to assist with household jobs and reported that they help clean their room, help cook meals, mow the lawns and look after the animals. Three people were out at day services during the Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 12 inspection and three people had been supported to go food shopping in Shrewsbury. Discussions held with people during the inspection indicated that meals are planned in advance during their residents meetings and that they enjoy the food provided. People’s likes and dislikes were seen recorded on their care records. It was reported that none of the current people have any specialist dietary requirements. Blackhurst Care Home DS0000069037.V341055.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): 18,19 and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The home has a satisfactory system of handling, storing and managing medication, which safeguards the people who use the service. EVIDENCE: Preferences in relation to personal support needs were documented on the care records seen however the manager was advised to make support plans more detailed as to the level of assistance people require with personal care tasks. Discussions regarding privacy were raised with the provider as no screening is provided for people sharing bedrooms. Health records were available on the two files examined and evidenced that people are supported to attend NHS Healthcare facilities. The manager was advised to develop Health Action Plans in conjunction with the local team in addition to making health appointments and outcomes more readily accessible for monitoring purposes. Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 14 It was reported that all staff responsible for administering medication have now attended accredited training as required by the previous inspection and certificates were available on two staff files seen. Two people are on prescribed medication and procedures appeared satisfactory at the time of the inspection. The homes medication policy or on-going staff competency records were not examined as part of this inspection. Blackhurst Care Home DS0000069037.V341055.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): 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use the service and their representatives are able to express their concerns and have access to a complaints procedure. Financial procedures require review to ensure both service users and staff are safeguarded. EVIDENCE: The home has a complaints procedure in place and discussions held with three people evidenced that they had an understanding of whom to approach if they were unhappy with the service. The home does not provide complaints log however the provider stated that no complaints have been received and the manager agreed to obtain a book for recording any future complaints and ensuring this is readily available. No concerns or complaints have been referred to CSCI since the last inspection. A copy of the local safeguarding adult policy and procedures was available. No referrals have been made since the last inspection. The provider stated that she has attended training in adult protection and that two other staff are due to attend training in September with Shropshire Partners in Care. A requirement was made at the previous inspection regarding the management of service users finances. Although the home has a procedure in place for the management of people’s finances the current arrangements for Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 16 recording and auditing of accounts do not fully safeguard people and such shortfalls were fully acknowledged by Mrs Veal at the time of the inspection. Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 17 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): 23 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are provided with a clean and comfortable place to live. EVIDENCE: The home is beautifully located set in a valley to the northeast of Church Stretton. The building is of a country cottage style and domestic in nature providing living accommodation over two floors. A separate workshop and activity room is available in the grounds. The people living at the home help maintain the gardens to a high standard. One person helped show the inspector round the home and the grounds. It was reported that since the last inspection a number of rooms have been redecorated and a new kitchen fitted. The home provides two single bedrooms and two double rooms, furniture and furnishing in bedrooms is in need of updating given the age range of the people living at the home, however people spoken with said they were happy with their room. Those sharing rooms have done so for a number of years and appear happy with these arrangements although privacy screening is not Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 18 provided. The bath panel requires attention and a new thermometer to test water temperatures required, as the current one is not legible. Three people spoken with reported that they enjoy living at Blackhurst. One person said ‘There isn’t anywhere else as good as this….I love living here and I want it to be my home for life’. One person who has a visual impairment reported that he is familiar with the layout of the home and manages very well. Another person stated ‘It’s a lovely place and I like living here the staff are good and I get on well with everyone’. The home was generally clean and tidy during this unannounced inspection and people living at the home are encouraged to help maintain a clean environment. The home has an infection control policy in place that has been reviewed since the last inspection however the manager was requested to review the infection control procedures regarding shared use of bathmats. It was reported that the homes Infection control policy and procedures will be reviewed to ensure it reflects the Department of Health’s Essential Steps guidance. Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 19 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, 33 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People using the service are supported by a committed and trained staff team who have a good understanding of their needs. EVIDENCE: It was reported that staff have worked at the home for a long time and are familiar with the individual needs of the people accommodated. The manager was the only member of staff on duty at the time of the inspection therefore it was not possible to speak directly with staff on this occasion. Three service users spoke very positively about the staff team. It was reported that three staff hold an NVQ award. The manager reported that the staffing ratio is two staff to support six service users. The staffing rota seen during the inspection was not an accurate reflection of the staffing provided. One full-time member of staff had been on annual leave from 19.07.07 and the manager was unable to provide written evidence of specific hours covered by other staff. Service users also reported that they were unable to attend their swimming club on the evening of the Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 20 inspection due to staff shortages. This shortfall was fully acknowledged by the manager at the time of the inspection. Mrs Veal reported that the home has a very low staff turnover and that no new staff had been recruited since the last inspection. Therefore it was not possible to review recruitment procedures and key standard 34 on this occasion. Information completed by the provider and forwarded to CSCI prior to the inspection stated that ‘All mandatory training is now up to date, and on going’. Individual training records were seen for two staff and this appeared satisfactory with copies of certificates held on file. It was reported that two staff are due to attend training in safeguarding adults in September. The manager was advised to seek training in the Management of Actual and Potential Aggression (MAPA) given recent recorded incidents in addition to service specific training in sensory impairment and Downs syndrome, which may benefit the staff team. Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 21 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 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager is approachable and supportive, having a positive impact on service users and staff. Quality assurance systems need to be developed focusing on overall outcomes for service users and procedures for the management of health and safety monitored to ensure the health, safety and welfare of service users and staff is promoted. EVIDENCE: Mrs Veal is the owner and has managed the service since the home initially opened in 1990. Since the last inspection the home has registered as a Limited Company. Mrs Veal has completed an NVQ level 4 Care award but has Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 22 yet to complete the Registered Managers Award, as required. Prior to this inspection Mrs Veal provided CSCI with information about the service and stated ‘As the manager I commit to working hard at keeping the staff happy and well supported so that they enjoy their job, perform well and want to stay at Blackhurst. All this has a positive impact on the home, particularly the resident’s everyday lives’. Mrs Veal has the assistance of one person in the office one day a week. It was reported that the previous deputy manager is available for support when required, and visits regularly. Discussions held indicated that the home currently does not have any formal quality assurance and quality monitoring systems in place. With the absence of such and the lack of formal reviews undertaken by placing authorities, it proves difficult to assess how this service is achieving. Mrs Veal completed an Annual Quality Assurance Assessment for the purposes of CSCI. This document gives the provider the opportunity to let CSCI know how well they consider the home is performing, what the home does well, what has improved and what is planned for the future. The assessment stated ‘We want to continue to implement good working practices, and maintain good relationships between staff, manager and residents, to provide a good team to meet the residents needs, wishes and aspirations’. Health and safety procedures were reviewed and it was reported that all staff have now received mandatory training in safe working practices as required by the previous inspection. Records seen evidenced that the home has not fully complied with the requirements made by the Fire Officer during a routine visit undertaken in December 2006. In addition to this the routine service of the fire alarm system undertaken in December 2006 was unsatisfactory with six recommendations made. No risk assessments for safe working practices were available and data sheets and assessments for the use of substances hazardous to health require updating. As previously stated the thermometer to test water temperatures was not legible. It was reported that that Mrs Veal and one other member of staff had completed training in health and safety as required by the previous inspection. Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 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 2 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 x 35 3 36 x 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 4 13 4 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 2 x x 2 x Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 24 YES 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 YA23 Regulation 13(6) Requirement The procedures for the management of service users finances must be reviewed to ensure service users and staff are safeguarded. The rota must be an accurate record of staff on duty and staff employed in sufficient numbers to meet the needs and safeguard the health and welfare of service users at any time. Quality assurance and monitoring systems need to be developed to measure the homes success and assist with planning for the future. Manufacturers COSHH safety data sheets must be obtained for all chemical products in use at the home. (previous timescale of 13/11/06 partly met). The requirements made by the fire officer following his visit of 15/12/06 must be complied with to ensure the safety of the people living and working at the home in the event of fire. The fire system must be maintained satisfactory and the six recommendations met DS0000069037.V341055.R01.S.doc Timescale for action 31/08/07 2 YA33 18(1) 24/08/07 3 YA39 24(1) 31/10/07 4 YA42 12 & 13 21/09/07 5 YA42 23(4) 30/09/07 6 YA42 23(4) 14/09/07 Blackhurst Care Home Version 5.2 Page 25 7 YA42 13(4) following the engineer’s visit of 3/12/06 to ensure the system is fully operational in the event of fire. Risk assessments for all safe working practices must be carried out to ensure the safety of service users and staff. 21/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations It is strongly recommended that support plans be more detailed and reviewed with placing authorities and a behaviour management plan be developed based on multidisciplinary review for individuals whose behaviours can challenge. It is recommended that all staff receive training appropriate to the needs of the current people accommodated such as visual impairment, down syndrome and the management of actual and potential aggression (MAPA). It is recommended that a new thermometer be purchased as soon as possible to test water temperatures to avoid the risk of scalding to service users. 2 YA35 3 YA42 Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Blackhurst Care Home DS0000069037.V341055.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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