Inspection on 14/10/05 for Brendoncare Alton

This inspection was carried out on 14th October 2005.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Brendoncare Alton 28/11/08

Brendoncare Alton 22/11/06

Brendoncare Alton 16/05/05

Brendoncare Alton 02/08/04

Brendoncare Alton 07/05/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Brendoncare Alton Adams Way Alton Hampshire GU34 2UU Lead Inspector Anita Tengnah Unannounced Inspection 14th October 2005 10:00 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 Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 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. Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Brendoncare Alton Address Adams Way Alton Hampshire GU34 2UU 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) 01420 549797 01420 549898 The Brendoncare Foundation Patrick Carr Care Home 75 Category(ies) of Dementia (30), Dementia - over 65 years of age registration, with number (30), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (30), Old age, not falling within any other category (45) Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Service Users in the DE category should not be admitted below the age of 55 years. Only one service user in the OP category (DOB 26.04.1946) can be admitted under 65 years of age. The Mental Health wing must have an RMN or suitably qualified nurse on duty at all times. The nursing wing must only be used to accommodate the 45 service users in the OP category. The mental health wing must only be used to accommodate the 30 service users in the DE(E), DE, MD & MD(E) categories for which the home is registered The overall manager of the overall service must be suitably qualified for the range of services offered. 16th May 2005 Date of last inspection Brief Description of the Service: Brendoncare Alton is a registered care home providing nursing and personal care for 45 service users in the older person category and 30 service users with mental health disorder. The home is owned by the Brendoncare Trust and has another home in the Hampshire area. Accommodation is provided on two floors with passenger lifts that allows access to all floors. All bedrooms are single and have ensuite facilities. There is a variety of aids and assisted baths to meet the needs of service users. The home also benefits from large well maintained gardens that are enclosed and accessible to wheelchair users. The service is situated in Alton with some local amenities close by. Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection took place over one day on 14th October 2005. This was the second inspection for this year. A tour of some part of the building was undertaken and the inspector spoke to 9 service users, 4 visitors, 8 staff and management. The inspection process included examining 7 care records and 4 staff records, discussions with service users, relatives and staff and staff. Service users and relatives expressed a high degree of satisfaction regarding the care that they were receiving. What the service does well: What has improved since the last inspection? Some of the care plans seen and the wound care assessments have improved with evidence of regular reviews. Advice is sought form other professionals such as tissue viability nurses to ensure that these reflect current practice. Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 6 The doors to the small kitchen in the units have been fitted with automatic door closures as identified at 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. Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 7 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 Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3. The information provided to prospective service users is good so that they can make an informed choice. The process of providing written contracts to all service users is well managed. The pre assessment process is good and service users are assured that their needs would be met. EVIDENCE: The home provides prospective service users with information to enable them to make an informed choice. One service user who has been recently admitted confirmed that she received appropriate information and would speak to the team manager if she had any issues. Service users are issued with a contact with the terms and condition of residency on admission. The administrator discussed that the service was updating the service users contracts. A copy of the contract was kept on file. Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 9 The team leader undertakes assessments of service users prior to admission in order to ensure that the home can meet their needs. A service user who was receiving respite care at the home confirmed that she had been assessed in hospital. Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10 The care planning at the home is good. However the lack of reviews of fall risk assessments may be detrimental to the service users’ welfare. Wound care management was good and advice from other professionals sought as required. It was evident from observations and comments from service users that they are treated with respect and their privacy is upheld. EVIDENCE: The care plans of seven service users were seen as part of the inspection process. Care plans were reviewed and there was some evidence of service users/ family consultation in the formulation of care plans. Assessments included personal care needs and psychological assessments. However this was not consistent as there was a lack of risk assessments reviews, in particular with regards to falls. This was discussed with the manager, as they did not reflect the current needs and may be detrimental to service users and fail to meet their needs. Service users access to external agency and GP are well managed at the service. There was record of advice sought from the tissue viability nurse Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 11 relating to the management of pressure ulcers for one service user. Equipment for the treatment and prevention of pressure ulcers were available. Staff should ensure that advice/ review from other professionals relating to wound care management are clearly recorded and action plan formulated to reflect current treatment. All the service users appeared appropriately dressed. It was evident that the core values of privacy and dignity were upheld. Comments from service users were” they staff are always kind and helpful, not patronising”. Two service users confirmed that they are addressed by their preferred name. Relatives confirmed that staff are very nice and “always kept informed of any changes” in his wife’s condition. Staff were observed to interact well with service users and it was evident that they had developed good relationship with each other. Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15 The activities at the home are well managed offering variety for service users. The home has an open visiting policy and service users benefit from maintaining links with family and friends. The meals at the home offer variety and choice. The procedure for saving hot meals and reheating them can put service users at risk. EVIDENCE: All service users spoken to said that they liked living at the home. A number of service users views were sought with regards to their expectations. Comments received were that the care was good. One service user says that she preferred to spend her time in her room and sometimes joined in the activities. The home employs activity coordinators and a variety of activities are organised on a daily basis. Service users did not know what activities were available although two of them said that they liked the quizzes and music and movement. It is recommended that the list of activity is displayed/ made available to service users. Other activities included films and crafts, painting. Staff said that an art teacher attended the home on Thursdays and organised painting sessions are undertaken. Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 13 The home has an open visiting policy. Service users spoken to reported that they were able to receive their visitors in the privacy of their rooms as they chose. Two relatives commented that they visited daily and there was no restriction on time or length of visits. The religious needs of service users are respected. The local vicar attends the home on a weekly basis on Fridays and service users take part in the service. Staff said that access to other religious denominations was available on request. The home has a set menu and a choice of meals was available for lunch and teatime meals. Hot and cold drinks were available at all times. Lunch was observed being served. Meals appeared appetising, well balanced and nicely presented. Most of the service users unable to say what was for lunch; others guessed that it was fish as it was Friday. Two service users said that they were asked for their meal choice the previous day and could not remember. The lunchtime menu was displayed outside the dining room. All service users commented that meals were very good and plentiful. It was noted that two hot meals were left out on the table unattended. Staff must ensure that hot meals are kept hot in the hot trolley until service users are ready and staff are available to assist them as necessary. One staff member was saving a hot meal in the fridge in the unit’s kitchen for another service users who was asleep. The staff member said that the meal would be heated in the microwave later. This was discussed with the home manager who will be reviewing the procedure of saving meals and reheating cooked meals to ensure that service users are not put at risk. Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The home has a procedure for dealing with complaints and service users are aware of this. However the lack of details in the log and lack of complaint recording can be to the detriment of service users. The procedure for adult protection is satisfactory. Evidence of staff training in the protection of adults is lacking. EVIDENCE: The home has a policy and procedure for complaints. The manager deals with all complaints. Service users spoken to said that they were satisfied with the service provided and had no complaints. They said that they would approach the nurse in charge or the team leader if they had any concerns. A complaint log was available. However this did not contain all the information relating to complaint investigation and outcomes. The manager is aware of this shortfall and must ensure that the log is maintained appropriately. It was also discussed that staff must have the complaint record forms available so that they can record any issues raised and refer to the manager as per the home’s procedures. Staff spoken to said that they would inform the manager verbally of any complaint and did not record this. The home has an adult protection procedure in place including the Hampshire procedure. There has been one complaint that has been referred to Social Services as adult protection. The manager reported that training in adult protection is available to staff. However there were no records available to demonstrate this. The manager is aware of the procedure to report and record all allegation of abuse to the appropriate authority. Staff spoken to say that they would refer any issues about adult protection to the manager and would Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 15 not report to Social services. The home has a whistle blowing procedure in place. Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,22, 24,26 The overall environment was safe and well maintained and furnishing was of good quality and appropriate to the needs of service users. However there were some service users’ bedrooms that were in need of redecorating. The home has appropriate specialist equipment to support service users’ independence. Service users have comfortable surrounding to live in and their bedrooms meet their needs. There are satisfactory infection control procedures in place to safeguard service users. EVIDENCE: Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 17 The atmosphere at the home was warm, comfortable and welcoming. Seating was available in the entrance lobby that appears to be in use at various times. Furnishing were of good quality, clean and appropriate to service users needs. Most of the service users bedrooms were personalised. Service users spoken to confirmed that they have brought into the home items of personal belongings. Comments were “ this is home and I like having my family around” while referring to pictures and family photos. Another service user said that the environment was “excellent”. Some rooms were less personalised in particular in the mental health unit. These service users are unable to advocate for themselves due to their mental incapacity, the home should involve family/ friends to ensure that their bedrooms are personalised and meet their needs. A refurbishment of this bedroom was discussed with the home manager as some other rooms where the walls were in poor state of repair. He reported that there is an ongoing programme of redecoration in place. The difficulty was redecorating the rooms whilst service users were in residence. The carpet in one room was worn and stained with spillage from peg feeds. Locks were available in all service users rooms and communal bathrooms/ toilets that were appropriate to their needs. The home has adequate bathrooms/ toilets that were equipped with assisted baths and grab rails to promote service users independence and passenger lifts were available to allow access to all the floors. The communal bathroom/ toilet on the first floor did not have grab rails. The home manager said that this would be addressed. Communal bathrooms and toilets should be clearly labelled to assist service users. The kitchen doors in the unit have been fitted with automatic door guards as these are identified as fire doors for the safety of service users. It was noted that some doors identified as fire doors continue to be wedged open. This had been highlighted at previous inspections and this was brought to the attention of the home manager. He reported that the service plans to address this issue. The manager must ensure that advice is sought and this issue is resolved in order to safeguard the welfare of service users. The home benefits from well-maintained gardens that were secure and accessible to wheelchair users. Service users spoke proudly of the nice garden and seating was available. One relative said that the bed had been positioned so that the service user who spent a lot of time in bed can see the garden. The home has information regarding infection control procedures. Staff were observed to follow these guidance. Protective equipment such as gloves and aprons were available. The service has procedures in place for the correct disposal of infected waste. It was noted that yellow bins were kept in an area Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 18 also used for storage of other equipment in the mental health unit. There was no external ventilation and the fan was out of order. This was discussed with the manager as an infection control risk as there was no hand washing facility in that room and there was a strong offensive odour present. The transfer of this bin to the sluice room was a possible alternative discussed. There were a number of toiletries found in one communal bathroom on the first floor that included sterident. Staff must ensure that toiletries are for individual service user’s use only and eliminate the risks to service users’ welfare. Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29,30 There is a planned rota in place. The staffing on day duty appears to be well managed. However the same does not apply on night duty and can be detrimental to service users. There is adequate recruitment procedure in place to safeguard the welfare of service users. The lack of training records does not demonstrate what training is available. This can be to the detriment of service users’ welfare and safety. EVIDENCE: The service has a rota for carers and a separate rota for ancillary staff. The duty rota shows that there is one trained staff and two carers in each of the elderly health unit. The mental health unit is staffed separately. On night duty there is one trained staff and four carers to provide cover in three units. Staff reported that there is a number of service users with high nursing care needs requiring the input of the trained staff. This resulted in carers working on their own. The staff also took emergency calls for the service users in the close care units in the ground and contact the doctor as needed and inform the person on call for close care. Service users commented that during the day call bells are answered promptly. Comments were “ no sooner have you rang the bell, a Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 20 staff appears.” However service users said that very often there is a long wait on night duty as staff are busy and that they ”do their best”. The provider must ensure that there are adequate staff at all times to meet the needs of service users and promoting the welfare and safety of service users, meeting their needs. The records of three newly appointed staff were seen as part of the inspection. All staff completed an application form and references are sought. Checks such as CRB and POVA first are undertaken. All the new staff had started work prior to receipt of CRB clearance. The team leader said that these staff members were supervised at all times until all checks are received. Confirmation in writing of POVA first checks must be maintained in staff records, as these were not available in all records seen. The home has a training plan and staff confirmed that regular training was available from a staff member employed by the company. There is an induction programme in place. Training records for mandatory health and safety training were not available to demonstrate that staff have the skills to provide the care safely. There was no manual handling training record for one newly appointed staff. This was discussed with management and the provider must ensure that accurate and up to date training records are available for all staff in order to safeguard the welfare of service users. Discussion was undertaken about the development of a training matrix so that this information is readily available for inspection and would assist in identifying training needs. Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 The home has a manager in place. The system for seeking service users views is good and promotes an open culture. The home has good system of accounting that promotes and protects the welfare of service users. The wedging of doors marked as fire doors can be detrimental to service users safety. EVIDENCE: The home has appointed a home manager who will be responsible for the overall management of the service. The team leader has been promoted to manager. The management structure was discussed and the manager who is a nurse will be responsible for the nursing input/ management. An application is in progress for the manager to register with the commission. Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 22 Service users spoken to were complimentary with regards to the team leader and staff. Comments included ” I can speak to the staff anytime” “They always inform me of any changes in my wife’s condition”. All said that they would approach the team leader/ manager if they had any problems. Thirteen comments cards were received from service users. All said that they were satisfied with the care provided. It also confirmed that the service holds regular meeting with service users to seek their views as part of the home’s auditing. Comments about the timing of these meetings suggest that these are always held during working hours and they would like them in the evening. The home does not manage any service user’s money except for personal allowance. Records and receipts of all transactions are maintained. Records were kept safely and securely. Service users records showed that they are issued with the terms and condition of residency on admission. Details of extras charges that are not covered by the fee are clearly stated. The schedule of fees provided to all service users include a breakdown of charges such as nursing care, personal care and other services. The service has policy and procedures in place in order to safeguard the safety of those accommodated. A sample of servicing certificates was seen. There is an ongoing programme of servicing of all equipment. Records of policy and procedures showed that these were last reviewed in April 2003. The provider must ensure that these are reviewed at least yearly in order to take into account any changes in legislation and staff are updated. It was noted that there are a number doors designated as fire doors that were wedged and can be detrimental to the safety of service users. Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 23 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 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X 3 3 X 3 X 3 STAFFING Standard No Score 27 2 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 24 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 7 Regulation 13(4) (c) Requirement The provider must ensure that risk assessments relating to falls are reviewed and updated and must reflect current service users needs for their welfare and safety. The provider must ensure that the complaint log contain details of all complaints and action taken. The provider must ensure that there are adequate number of staff at all times in order to meet the assessed needs of service users. The provider must ensure that training records are available and all staff have an individual training and assessment profile. Measures to eliminate the wedging of fire doors must be taken for the safety of service users. Previous timescale of June 2005 has not been met. Timescale for action 30/11/05 2 16 17 schedule 4 (11) 18(1) (a) 30/11/05 3 27 30/11/05 4 30 18(1) (c) 30/11/05 5 38 23(4) 30/11/05 Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 25 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 Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 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 Brendoncare Alton DS0000012203.V258420.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!