Inspection on 11/12/06 for Bradbury Lodge

This inspection was carried out on 11th 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bradbury Lodge 26/06/07

Bradbury Lodge 03/05/06

Bradbury Lodge 06/01/06

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Bradbury Lodge Claypit Road Whitchurch Shropshire SY13 1NT Lead Inspector Sue Woods Key Announced Inspection 11th December 2006 10:00 Bradbury Lodge DS0000063738.V316721.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 Bradbury Lodge DS0000063738.V316721.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. Bradbury Lodge DS0000063738.V316721.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bradbury Lodge Address Claypit Road Whitchurch Shropshire SY13 1NT 01948 666916 01948 667011 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) Perthyn Mr Oluwajimi Oluwayemisi Ogundere Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Bradbury Lodge DS0000063738.V316721.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home accommodates service users only between the ages of 18 and 65 years. Mr Ogundere must undertake NVQ level 4 in care within 12 months. Perthyn must supply details, within their statement of purpose, of support networks available to the manager and staff including relevant qualifications, to demonstrate the manager will be appropriately trained and supported. The home may only accommdate service users for an assessment period of a maximum of two years, with a plan to move on developed after the first year. When occupancy at the home reaches four service users Perthyn must consult with CSCI to formally review existing arrangements (including assessments and support plans) and identify future needs of proposed service users by way of staffing levels and individual needs. 8th June 2006 4. 5. Date of last inspection Brief Description of the Service: Bradbury Lodge is a ‘short term’ assessment unit for adults with ‘or have a history of’ (taken from the statement of purpose) challenging behaviours. It has been identified that the people moving in are people whose needs previously could not be met in the county and thus alternative placements further a field had been made. The home is managed by Perthyn and registered to support a maximum of six people with learning disabilities under the age of sixty-five years. The registered manager of the home is Mr Oluwayemisi Ogundere and the Responsible Individual is Ms Bethan Evans. Conditions of registration apply and are detailed above. Information is shared with service users in the service user guide and within regular in-house meetings. A Quality of Life Questionnaire is carried out with all service users and outcomes are recorded in support plans and are used to identify future goals. Fees are paid by the local authority on a block contract basis and individually range from £110,319 to £114,580 annually. Bradbury Lodge DS0000063738.V316721.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection of Bradbury Lodge took place on 11th December 2006 between 10.00 am and 3.30 pm. Two inspectors were present. The inspection reviewed all 22 key standards and information to produce this report was gathered from the findings on the day and also by review of information received by CSCI prior to the inspection date. A quality rating based on each outcome area for service users has been identified. These ratings are described as excellent/good/adequate or poor based on findings of the inspection activity. Five service user surveys were received in preparation for the inspection and one relative/visitors comment card. As part of the fieldwork activity the inspectors spoke with service users and staff and reviewed records including support plans and health and safety records. The acting manager of Bradbury Lodge was on duty at the time of the inspection, as were her senior staff and the Responsible Individual for Perthyn. The whole team were supportive and fully cooperative. Reference to two unannounced random inspections of the home on 08/06/06 and 09/10/06 will be made within this report. What the service does well: Bradbury Lodge has a staff team who are committed to supporting service users. Service users who responded to the pre inspection survey described staff as ‘the best support workers in the world’. A relative commented that ‘staff are excellent’. The majority of service users have good opportunities to access community resources and support profiles are detailed enabling staff to adopt a consistent approach. Current management arrangements have been responsible for the dramatic ‘turn around’ in the quality of service delivery, introducing structure and focus. Staff commented that they now know ‘what Bradbury Lodge is about’ and this is having a positive impact on morale and confidence. Bradbury Lodge DS0000063738.V316721.R01.S.doc Version 5.2 Page 6 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. Bradbury Lodge DS0000063738.V316721.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 Bradbury Lodge DS0000063738.V316721.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): Standard 1,2,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate procedures are in place that would enable the successful admission of a new service user to the home. EVIDENCE: At the time of the random inspection 09/10/06 the inspector case tracked the latest admission to the home in detail and found that all appropriate documentation was available. The aim of the placement reflected the homes short-term assessment registration. During care reviews progress towards ‘moving on’ from the service is now being discussed. The home has recently revised the Statement of Purpose to reflect the ethos of the home. The Service User Guide and Service User Contract have also been redeveloped and are now user friendly and more accurately reflect the service provided by Bradbury Lodge. Bradbury Lodge DS0000063738.V316721.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): Standard 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Person centred care and support plans enable staff to offer service users choice and assist with decision making as well as delivering care in a way that they prefer. Risk assessments ensure that support is given in a safe manner although restrictions in place for one person are impacting negatively on others. EVIDENCE: Two care and support plans were reviewed in detail at the time of the inspection. Significant improvements were noted to the layout and the content of the files. Support profiles were found to be very detailed and daily records enable the staff team to monitor activities and behaviours. Service users were aware of Bradbury Lodge DS0000063738.V316721.R01.S.doc Version 5.2 Page 10 the content of their profiles and in discussions identified plans, both short term and long term. All service users have recently had a review within the home. Family and health and social care professionals were invited to attend. It is evident that service users are consulted about what they do each day and about their daily routines, such as when they get up and when they like to go to bed. However the ongoing issue of restrictions in place for one service user impacting on opportunities of others remains a cause for concern with service users and staff. Risk assessments seen on files reviewed were detailed and had been recently reviewed. The support specialist working at the home takes the lead in producing these documents and in discussions with staff they demonstrated that they were aware of risks identified and what they needed to do to reduce these risks. Service users who spoke with the inspector said that staff knocked before entering their rooms and were ‘polite’. Bradbury Lodge DS0000063738.V316721.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): Standrards 12, 12, 15, 16, and 17 Quality in this outcome area is good. Quality in relation to mealtimes is adequate. This judgement has been made using available evidence including a visit to this service. Service users are now beginning to lead full alnd active lives with opportunities to participate in risk assessed activities of their choice. Service users benefit from supported family contact and involvement Service users would benefit from a balanced and varied diet but individual choices do not always reflect this. EVIDENCE: Over recent months opportunities for service users to access activities both within the home and in the community have improved. Activity planners detail daily activities that reflect individual goals and preferences. Service users and staff gave numerous examples of places within the local community where Bradbury Lodge DS0000063738.V316721.R01.S.doc Version 5.2 Page 12 they are well known and welcomed. It was noted that staff felt that one service user could ‘ get out more’ and the behavioural specialist is offering additional support to enable this to happen. It is recommended that the manager monitors activities to ensure they happen on a more regular basis. Family links are supported and encouraged. Service users spoke of plans to see family over the Christmas holidays as well as making and receiving regular phone calls. Family members are involved and consulted in reviews. The inspector looked in detail at menus and foods eaten by service users. The manager acknowledged that this is an area where additional support is required and has already arranged for input from a dietician. Service users are encouraged to eat healthily however this does not always happen. Service users felt that they were no longer consulted with menu planning, as it is on a seven weekly rota however one service user was positive that a recently developed rota would offer more flexibility. It was noted that when accessing the community service users make independent choices which often do not reflect healthy options. The food shopping, collected on the day of the inspection, contained fresh fruit, meat and vegetables. All service users who spoke with the inspectors stated that they liked the meals at the home. It was stated that there was always a choice and dietary needs are catered for. Bradbury Lodge DS0000063738.V316721.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): Standard 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a knowledgeable staff team who support them in ways that they prefer. Service users are protected by effective systems for the storage and recording of medication EVIDENCE: Service user files contain details of health care appointments and document outcomes. There is evidence that the health needs of service users are taken seriously and referrals and appointments are made as appropriate. Information in relation to identified medical conditions were seen on files. The acting manager is in the process of further improving records by introducing health action plans that were seen to be user friendly and would be retained by the service user. Support profiles now contain very detailed information relating to individual support needs and preferences. Bradbury Lodge DS0000063738.V316721.R01.S.doc Version 5.2 Page 14 Service users who spoke with the inspectors felt able to share worries and concerns with staff and one service user had felt well supported following a series of incidents within the home that potentially threatened his safety and wellbeing. Medication arrangements within the home have improved considerably since the cabinet was moved into a more private area. Records have been streamlined and arrangements for the storage and recoding of medications are good. Staff felt that new arrangements allowed them the opportunity to concentrate while administering medication and allowed service users more privacy. Medications given as and when required are supported by protocols. At the time of the inspection it was suggested that one medication should be stored as a controlled drug and this was actioned immediately. Bradbury Lodge DS0000063738.V316721.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): Standard 22 and 24 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by staff being aware of procedures for managing concerns and complaints and by operating an open and accountable system of supporting service users to manage their money. EVIDENCE: Service users who spoke with the inspector were aware of the homes complaints procedure and who to speak to if they had a problem. An ongoing adult protection investigation in relation to an alleged inappropriate care practice remains ongoing. Perthyn remain committed to informing CSCI of outcomes. A referral has also been made in relation to a complaint made by a service user. No date has been scheduled for this meeting however as the alleged abuser is no longer at the home the vulnerable service user is not at immediate risk. Five complaints have been received by the home over recent months. Four related to the behaviours of one service user who has since moved out and the fifth was from a health care professional. The acting manager is in the process of setting up meeting to discuss the concerns with the complainant although she acknowledged the issues and has taken action to resolve them. All staff had seen the complaint letter. Bradbury Lodge DS0000063738.V316721.R01.S.doc Version 5.2 Page 16 The inspector reviewed financial arrangements in place for service users. Since the time of the last inspection money tins are now stored securely in a more private room. Records seen reflected that adequate monitoring procedures are in place to protect service users and staff. It is recommended that two signatures would offer further protection in relation to the recording of service users finances. Bradbury Lodge DS0000063738.V316721.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): Standard 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with a clean and well-maintained place to live. EVIDENCE: Bradbury Lodge DS0000063738.V316721.R01.S.doc Version 5.2 Page 18 At the time of the random inspection on 9/10/06 it was noted that outstanding maintenance works had been carried out and the manager stated that they have a maintenance man now who carries out new works promptly. Prior to this inspection the acting manager provided evidence that maintenance tasks have been carried out and that there are systems in place to ensure that routine maintenance and safety checks are carried out. The COSHH cupboard was seen to contain minimal products. Data sheets and risk assessments are now kept with the products. A recent Environmental Health Visit had reviewed health and safety arrangements and had commented upon ‘excellent premises’. Recommendations have been actioned. At the time of the last inspection of the service on 9/10/06 it was recommended that identified fire doors be fitted with a self-closing mechanism, as staff prefer to keep the door open when supporting service users on a one to one basis. The acting manager has since identified how much this will cost. Mirrors have now been fitted to the outside of the building to eliminate any ‘blind spots’. The outside door from the laundry room is ill fitting and requires attention. The manager has this task in hand. The ‘quiet’ rooms’ are soon to benefit from sofas to make them more useable. A computer is being assembled in one of the quiet rooms for service users to use. Overall the environment was more relaxed. Non-essential alarms have been silenced and the focus has been removed from the office. Access to the kitchen and the laundry remains restricted. The statement of purpose now reflects this arrangement although it is not popular with all service users. All areas of the home were seen to be clean although in the feedback prior to the inspection service users commented that sometimes this is not the case. Suggestions for improvement made by service users included more photos in the lounge, and for Bradbury Lodge to feel more homely. Bradbury Lodge DS0000063738.V316721.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): Standard 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a competent and supportive staff team enabling their needs to be effectively met within the home. EVIDENCE: Staff who spoke with the inspector were very positive about their roles and about recent managements changes. Staff now feel valued, skilled and supported. One staff member commented that they now know ‘what Bradbury Lodge is all about’ and this has been lacking in the past. All staff have had a recent supervision meeting and the majority have also had an appraisal. Staff stated that they felt more positive with support profiles and also about managing difficult behaviours. Staff stated that there is always at least five staff on duty, often six. The rotas seen reflected this. Given that there are only currently five service users living Bradbury Lodge DS0000063738.V316721.R01.S.doc Version 5.2 Page 20 at Bradbury lodge these increased staffing levels have led to better opportunities to access community resources. Staff training records reflected that the majority of staff have completed mandatory training and that refreshers are currently been arranged. Staff training has historically been difficult to access due to staffing issues however staff are more positive now that they will be able to attend training opportunities. One staff member recently completed training to enable him to communicate more effectively with one service user. He is sharing his skills with the rest of the team with positive results. Senior staff are currently being empowered to take on supervisory roles. Appropriate training is available. In conversations staff were knowledgeable about their roles and the individual needs of service users. The Induction package used by Perthyn is linked to LDAF and staff are now starting to access appropriate NVQs. Staff files reviewed contained all essential information and were well organised. Supervision records were available to support individual meetings. Staff commented that team meetings and staff handover time has improved. Bradbury Lodge DS0000063738.V316721.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): Standrds 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from being supported by an effective management team. The health and safety and welfare of service users and support staff is promoted and protected. EVIDENCE: The registered manager of Bradbury Lodge remains suspended pending the outcome of an investigation into care practices. The responsible individual has recently changed and interim management arrangements have instigated significant improvements to Bradbury Lodge within a short period of time. Staff spoke very highly of the current acting manager who they feel has given them responsibility, direction and motivation. Bradbury Lodge DS0000063738.V316721.R01.S.doc Version 5.2 Page 22 It is acknowledged that these arrangements cannot remain in place indefinitely and the Responsible Individual will keep CSCI informed of developments. The acting manager is skilled and experienced to manage such a service. She receives support from her line manager in Cardiff and is in regular contact with the Responsible Individual. Given the nature of the service provided at Bradbury Lodge service users do not have a home for life. This arrangement means that some aspects of the service they do not have a say in. However consultation with service users does take place in relation to individual needs. Management tools developed in line with the national minimum standards for care enable the manager to monitor how well the home is running and what actions need to take place to develop the service further. Information is shared with service users in the service user guide and within regular in-house meetings. A Quality of Life Questionnaire is carried out with all service users and outcomes are recorded in support plans and are used to identify future goals. The manager has instigated regular health and safety checks and evidence sent to the inspector prior to the inspection demonstrated that safety checks take place as appropriate. CSCI are now notified of all incidents within the home that affect the health and wellbeing of service users. Bradbury Lodge DS0000063738.V316721.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 3 2 3 3 X 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Bradbury Lodge DS0000063738.V316721.R01.S.doc Version 5.2 Page 24 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 YA9 Regulation 12 (1,2,3) Requirement Restrictions in place for one service user must not negatively impact on the quality of life and opportunities of others. Service users must be supported to maintain a healthy diet. Timescale for action 29/01/07 2 YA17 16 (2) (i) 29/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA23 Good Practice Recommendations It is recommended that two signatures would offer further protection in relation to the recording of service users finances. Perthyn must notify CSCI without delay of the outcome of the investigation in relation to working practices of the registered manager 2 YA37 Bradbury Lodge DS0000063738.V316721.R01.S.doc Version 5.2 Page 25 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 Bradbury Lodge DS0000063738.V316721.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. 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