Inspection on 07/06/07 for Bradwell Court

This inspection was carried out on 7th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 but made no statutory requirements on the home.

Other inspections for this house

Bradwell Court 09/11/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Bradwell Court Bradwell Grove Congleton Cheshire CW12 5HD Lead Inspector Helena Dennett Unannounced Inspection 7 June 2007 09:30 X10015.doc Version 1.40 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 Bradwell Court DS0000067359.V334871.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 Older People. 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. Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bradwell Court Address Bradwell Grove Congleton Cheshire CW12 5HD 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) 01260 281428 01260 291855 Sanctuary Care Limited Mrs Lynda Schofield Care Home 27 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (27) of places Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 27 service users to include: * Up to 27 service users in the category of OP (old age not falling within any other category * One named service user in the category of DE(E) (Dementia over the age of 65) Date of last inspection 9th November 2006 Brief Description of the Service: Sanctuary Care Ltd has recently taken over the ownership of Bradwell Court Care Home. Previously it was owned by Beth Johnson Housing Group. The home is close to the town centre of Congleton and to a wide range of shops, churches and other facilities. There are limited car parking facilities available at the home. Bradwell Court was previously used as sheltered accommodation and has been adapted to provide accommodation for older people who need personal care. It is a three-storey building with bedrooms on the three floors. There is a passenger lift, which serves all floors. There are 27 single bedrooms in the home, all of which have a small kitchenette with a fridge and en-suite facilities with showers. Day space consists of a lounge/dining room and a second lounge with a bar on the second floor. The bar is not currently in use. There are four bathrooms and a number of additional toilets available for people who live in the home to use. There are several aids installed throughout the home to help people be as independent as possible; these include bath hoists, grab rails and an emergency call bell system. The scale of charges range from £343.43 - £420 per week. A copy of the latest inspection report can be obtained from the manager on request. Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit, part of the key unannounced inspection of the home, took place over 6 hours. It was carried out on 7 June 2007 by one inspector. The visit to the home was just one part of the inspection. Before the site visit the manager was asked to provide information as part of the inspection. The views of residents and relatives about the home were also sought; their comments are incorporated into this report. During the visit the inspector spoke to the manager, some staff members and seven people who live in the home. The records for three people who live in the home were looked at to check the care they receive. Policies and procedures, records of medication, care plans and training records were also examined. What the service does well: There is a good procedure in place to make sure that people moving into the home feel comfortable and relaxed. Anyone considering moving in is invited to meet other residents and have lunch or tea with them before they move in. This gives them an opportunity to meet the people living in the home, the staff and have a look around the home so that they can make an informed decision on whether Bradwell Court is the right place for them. People living in the home said they were happy and comfortable. Comments such as ‘staff are marvellous’ and ‘I wouldn’t want to live anywhere else’ were made. Members of staff were seen to be attentive to residents needs and good relationships existed between the residents and staff. There are good links with health and social care workers, including district nurses, GPs and social workers. District nurses are asked to visit when they are needed so people living in the home can be confident their health care needs will be met. Everyone spoken with was very complimentary about the food. Different diets are catered for. Comments such as ‘the food is marvellous’ and ‘food is exceptional’ were made. People are given a choice of main meal so staff can be confident that residents will eat well thus helping maintain a healthy lifestyle. People’s rooms were kept clean and well maintained. All of the rooms have an en-suite shower and toilet which helps people to maintain their privacy and dignity. Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 6 The home is managed well. All of the residents know the manager and said that they could approach her if there were any problems. The following comments were made on a survey received back to CSCI before the site visit: • • ‘I feel all are quite remarkable. I am very glad to be here’ ‘so far into the experience – Bradwell Court Care Home, is excellent – a good choice’ There are good recruitment practices in the home so that the manager and the residents can be confident that only those people who are suitable to work in a care environment will be employed. What has improved since the last inspection? What they could do better: Although staff have tried very hard to provide activities and entertainment, there are still not enough regular activities available in the home to meet the needs of the people living there. People living in the home said there was not enough to do. Comments such as ‘’there is nothing going on lots of days’, and ‘we sometimes sit here looking at each other across the room’ were made. The budget for the provision of activities has been reduced since the last inspection, so there may be a risk that the number of activities currently provided will be reduced. This means that there is a risk of some people in the home becoming bored and inactive which could compromise their health and well being. Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 7 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. Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who are considering moving into the home are given enough information to enable them make an informed decision on whether the home would meet their needs. EVIDENCE: Information about the home and its facilities is available in a folder in each person’s room. This information is currently being reviewed by the company that now owns the home to make sure that it is up to date and accurate. The manager confirmed that everyone has a contract/statement of terms and conditions so they know what has been agreed. A sample of these was seen during the site visit. One comment received back on a CSCI survey form before the site visit suggested there was a delay in receiving the contract. Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 10 A senior member of staff visits the person before they move into the home so that their needs can be assessed to make sure that staff at the home can meet those needs. The manager discussed staff preparations for a person due to visit the home on the day after the site visit. They had invited her to lunch so that she could meet the other people living in the home and the staff to help her make a decision on whether Bradwell Court is a place she would like to live in. The manager said that a named carer would be there to meet her and show her around and that this carer would also be available on the day of admission so the person would feel comfortable and settle in quicker. Intermediate care is not provided at Bradwell Court so standard 6 does not apply. Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice which means people living at the home feel valued and respected. EVIDENCE: Each person has a plan of care in place, which is centred on his or her individual needs. An assessment of the person’s needs is carried out when they first moves into the home. This provides staff with the information they need to make sure that they can provide the care that has been agreed. A care plan is drawn up from the information gained at this assessment and this is discussed with the person so that they know what to expect. The inspector looked at the care records of three people living in the home. These were based on the individual’s needs. They had been updated to make sure that any changes to the person’s health were identified and recorded so Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 12 that all staff are aware of the changes and therefore meet the needs of the individual. The people living in the home were very complimentary about the staff working there. The following comments were made to the inspector during the visit: • • • • • ‘You can’t fault the staff’ ‘Staff are wonderful’ ‘Very happy in the home’ ‘Staff are marvellous’ ‘I like it here, I wouldn’t want to be anywhere else’ The care files showed that the district nurse and doctors visit regularly as required so that the health care needs of the people living in the home are met. There was also evidence that staff monitor people’s health well. For example: there were good records of blood sugar monitoring for two people who had diabetes. This means that people can be confident their diabetes is kept under control and they keep healthy. Everyone spoken with said that staff respect their privacy and dignity. Members of staff were seen to knock on bedroom doors and did not enter until invited. There was a relaxed atmosphere and staff were seen chatting and joking with the different people living in the home. The following comment was made on a survey form received back to CSCI before the site visit: ‘Very thoughtful about residents needs and respects their privacy’ The management of medicines is satisfactory. Only members of staff who are trained in the management and administration of medicines give out the medication. A member of staff was seen to give out medicines appropriately, ensuring that people got their medication as prescribed in a safe way. Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Social, cultural and recreational activities do not meet expectations so people living in the home may be at risk of their needs not being met. EVIDENCE: Staff are aware of the need to support people to develop their skills including social, emotional, communication and independent living skills. People using the service are given the opportunity to take part in some activities both within the home and in the community. However this is limited and depends on the demands on particular staff at any one time. Currently there is no member of staff with a specific role to provide activities for the people who live in the home. The budget for activities has been greatly reduced and there was evidence that staff would have to do fund raising activities in order to maintain the outings and the entertainers currently provided. This is of concern as a requirement regarding the provision of activities was made on the last inspection that has not been met. Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 14 People spoken with said they would like more to do. This was also identified at the last inspection and has not improved. People living in the home made the following comments: • • • • • • • ‘The only thing wrong with this home is that we want more things happening here’ ‘Could do with more entertainment’ ‘Nothing going on lots of days, we sit looking at each other across the room’ ‘Some of the ladies did crafts yesterday, I enjoyed watching them immensely, I would like more of this type of thing going on’ ‘When you are used to an active life you miss the people and ‘buzz’’ ‘I would like to go out to the shops occasionally’ ‘I would like more to do’ Visitors can come at any reasonable time. They visit their relatives/friends in the lounge areas or can go to their rooms if they wish. People living in the home are helped follow their religious beliefs. There is information on the notice board about the local church services and the vicar visits the home monthly. The manager said they did have a priest coming in and a lay minister but at the moment none of the people living at the home wants to use their services. A religious service was held in the home recently following the death of a one of the people who lived there. This was arranged because some of the people living in the home who wished to pay their respects to the deceased person were not able to go to the church. Everyone spoken with said the meals were excellent. A choice is given and special diets are catered for. The following comments were made: • • • ‘The food is exceptional, you get a choice every meal’ The food is marvellous. ‘Even though I am on a special diet, I have to say the food is very good’ Most of the people living in the home choose to eat their meals in the dining room. The tables are nicely set and the room provides a good social environment for people to enjoy their food. Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home are able to express their concerns and there is a safeguarding policy so people are protected from abuse and have their rights protected. EVIDENCE: There is a good complaints procedure in the home, which outlines the action to take should anyone have a concern or complaint. A tape explaining the complaints procedure is also available and this is pinned up on the notice board for anyone to use. The manager discussed the complaints procedure at a recent residents’ meeting and explained the purpose of the tape. This means that anyone can have access to the procedure at any time. No complaints have been made to the manager of the home or to CSCI since the last inspection. There is a policy on adult abuse. Staff spoken with knew the policy and the action to take should an allegation of abuse or misconduct arise. Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,14 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Bradwell Court Care Home is well maintained so people live in clean, safe and comfortable surroundings. EVIDENCE: Bradwell Court is well maintained and provides a safe environment for people to live in. Each bedroom has a door, which is painted in a bright colour, has a knocker, a letterbox and lock in place, giving the appearance of being a front door. Everyone has a key to his or her own room. The bedrooms are large and contain people’s personal possessions. Some of the bedroom carpets have been replaced since the last inspection. Others are old and will require replacement shortly. The manager confirmed that there are plans to replace the corridor carpet and three more bedroom carpets in the near future. Everyone spoken with was happy with their rooms and said they were kept clean and tidy. Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 17 The outside of the building is well maintained. The handyman was varnishing the benches on the day of the site visit. Gardeners visit weekly to attend to the gardens. There are grounds outside for residents to sit in if they wish to during the better weather. There is a planned programme of replacing equipment – plans are in place to replace all the mattresses, purchase a new chest freezer, a stand aid hoist, the ground floor corridor carpet and three bedroom carpets. There is no designated laundry staff employed at the home; members of staff take care of the residents’ clothing. Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to ensure that the needs of residents are met. EVIDENCE: People living at the home were very complimentary about the staff. Comments such as ‘’can’t fault the staff’, ‘staff are very good’ and ‘excellent staff’ were made. There is a well established group of staff working at the home. This means that staff know the residents well. Of the fifteen care staff employed at the home, 8 hold NVQ Level 2 in care or an equivalent qualification. This means that the people living at the home can be confident that the staff looking after them are trained and competent to carry out their jobs. The following comment was received back to CSCI before the site visit: ‘Any enquiries are answered well, and the staff are usually very direct and informative. A very good team. The care home is excellent in many ways. The staff are kindly, friendly considerate and almost every member of staff looks after us well. I feel they have been well chosen.’ Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 19 Everyone spoken with on the day of the visit to the home felt there was enough staff to meet their health care needs. However one person living at the home was due to go out in the afternoon. The member of staff taking her out had fallen ill and so the visit was postponed. The manager was seen advising the person that it would be the following week before she was able to take her out. Recruitment procedures have altered since the last inspection. Two people living in the home are invited to join the interview panel so that they can assist with the decision on whether the person to be employed would be suitable to work at the home. A sample of personnel files was looked at during the site visit. These contained all of the necessary information required to make sure that the person was suitable to work in a care home. Members of staff spoken with said they are supported in doing their training. There was evidence that training is offered to staff. This includes first aid, fire training, medication and diabetes training. All staff have had training in moving and handling techniques so people living in the home can be confident they will not be put at risk of injury or harm. Staff also said that they were supervised regularly and felt this was important as they felt it provided support and an opportunity to discuss their own learning needs Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home is based on openness and respect and there are good quality assurance systems in place so people living in the home can be confident that it is run in their best interests. EVIDENCE: The manager of the home has worked there for some time, is experienced and competent in running the home. People living in the home knew the manager well and felt that they could approach her at any time. Staff working at the home said there is a good atmosphere and all said they could approach the manager if they had any concerns or issues to discuss. Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 21 There is a good quality assurance system in place, which is based on seeking the views of the people living in the home. Questionnaires on the quality of the service have been sent to people living in the home to complete. The manager is in the process of gathering this information. In addition, an auditor has visited and conducted an audit on all aspects of the running of the home. A report has been produced and some recommendations made. The manager said she was pleased with the outcome of the audit as it identified they were meeting or partly meeting all of the areas that were looked at. The manager also checks regularly to ensure that staff are working according to procedures and that the people living in the home are being cared for appropriately. Resident’s meetings are held regularly. One of the people living in the home takes the minutes of the meetings. Staff at the home try to action any suggestions that are made. Staff meetings are also held regularly. Staff at the home look after small amounts of money on behalf of the people living there. Good records are kept for all transactions. Wherever possible members of staff try to assist those people living in the home that wish to look after their own money. For one person living in the home, a member of staff goes with them to the bank when they wish to deal with their money. The health and safety of the people living in the home is maintained. All essential equipment is serviced. A fire safety officer visited last October but the report has not been received. The manager confirmed that the fire safety officer was satisfied with the systems in place. Fire safety checks are carried out regularly and staff have attended fire safety training. All staff have had training in moving and handling techniques. Bradwell Court DS0000067359.V334871.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP12 Regulation 16 (2) (n) Requirement People living in the home should be provided with regular activities in accordance with their wishes so that they can keep as active and stimulated as possible. This assists with maintaining general health and well-being. (Previous timescale 31/1/07 not met) Timescale for action 07/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Bradwell Court DS0000067359.V334871.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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