Inspection on 08/10/07 for Broomfield Lodge

This inspection was carried out on 8th October 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Broomfield Lodge 18/09/08

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Broomfield Lodge 1 Hunters Forstal Road Herne Bay Kent CT6 7DN Lead Inspector Justine Williams Key Unannounced Inspection 9:45 8th October 2007 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 Broomfield Lodge DS0000069842.V350457.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. Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Broomfield Lodge Address 1 Hunters Forstal Road Herne Bay Kent CT6 7DN 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) 01227 740417 01227 741260 H U Investments Limited Mrs Susan Carol Gould Care Home 21 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0) of places Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 2. Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 21. Date of last inspection N/A Brief Description of the Service: Broomfield Lodge is a care home providing care and accommodation for 21 older people with dementia. Ownership of the home has changed recently from Charing Field Investments to HU Investments Ltd. The Manager has remained in post as have the staff team. The home is located in a residential part of Broomfield village. The home is a large detached property with gardens to the rear and car parking facilities at the front. Accommodation is over 2 floors with access to the 1st floor via passenger lift. The fees range from £377.00 to £562.02 per week, and hair-dressing, chiropody etc are not included in the fees. Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection was carried out on 8th October 2007 between 09.45 am and 3.00pm by regulatory inspector Justine Williams. During that time residents, staff and the manager agreed to speak with the inspector both in public and privately. This report contains assessments made from observations, conversations and records, case tracking and a tour of the premises. Feedback was given during and at the end of the inspection. As part of the inspection process surveys were sent to service users, GP’s, health care professionals, care managers and relatives of residents. Some specific comments made included: “they care for their clients with dignity and respect” “I cannot suggest any areas for improvement because the whole atmosphere and care of the clients is so good” “more staff would improve things for residents” “the home manager presents as very dedicated and caring” “I miss my (relative) terribly but don’t have to worry about him as they take very good care of him” “nothing is too much trouble for the staff, they give 100 ” “the furnishings are looking very drab but I understand the home will be undergoing refurbishment soon” What the service does well: Broomfield lodge provides a high standard of individualised care to residents with varying degrees of dementia. The homes admission procedures help support residents and their relatives through what can be a upsetting and disturbing time, and help them settle as quickly as possible. Relatives and visitors to the home feel confident in the manager and staffs ability to deliver the care their relative needs, and feel welcomed when visiting Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 Page 6 the home. Relatives and residents feel involved in the running of the home, and feel listened to. Residents enjoy the variety and frequency of activities, and benefit from the quality of meals provided at the home. Staff are safely recruited and residents are protected by their robust recruitment policies. Following conversations with the new owners of the home they have already made improvements to the décor and physical environment and plan to have many of the improvements completed by the end of January, brining the homes environment up to at least a good standard. What has improved since the last inspection? What they could do better: Careful consideration should be given (and documented) when residents are offered 1 of the 2 bedrooms with adjoining doors, as the doors can apparently not be locked due to fire regulations making it possible for residents to gain easy access to the other bedroom, the gender of the resident should be carefully considered. The standard of décor in some areas is poor with stained carpets and stained arm chairs. The curtain are poorly fitted in some bedrooms and much of the bed linen is worn and discoloured from multiple washes and could be replaced. Some infection control issues were identified, the laundry room is in need of a thorough clean and the floor surfaces must be impermeable. Resident’s records especially those containing sensitive information must be separate, and must be kept securely to protect their privacy and right to confidentiality. Consideration could be given to repairing the automated commode washer rather than removing it, this eliminates the need for staff to wash commode pots by hand and is best practice. Following conversations with the new owners they plan to remove this in the short term and replace it in the future. Broomfield Lodge DS0000069842.V350457.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. Broomfield Lodge DS0000069842.V350457.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 Broomfield Lodge DS0000069842.V350457.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. Residents benefit from sound admission procedures when moving into the home. EVIDENCE: The manager said the contracts for all the residents are being revised as the home now has new ownership. Prospective residents and their families are given copies of the homes statement of purpose and service user guides, to help them make a decision about whether to move in. The home asks the families and professionals involved in the care of prospective residents about how to orientate new residents to the home, and based on these discussion may organise several Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 Page 10 trial days where the resident can stay for lunch, meet the staff and other residents etc. Residents have their needs assessed prior to moving into the home by the manager or deputy manager. The assessment broadly covers the items in standard 3. The home requests copies of any assessments undertaken by social services. Broomfield Lodge DS0000069842.V350457.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. Residents health and personal care needs are well managed. Residents are treated with respect and dignity. EVIDENCE: Each residents has a comprehensive care plan for staff to follow, care plans clearly set out the care needs of each resident and are individualised up to date and regularly reviewed. Residents or their relatives sign care plans to indicate they have been involved in them being drawn up. All the care plans contained risk assessments for falls, development of pressure sores, nutrition, etc. Despite the large amount of information in the care plans “needs assistance with washing and dressing” was seen for some residents personal care needs. Specific information should be recorded as to the resident’s abilities and preferences, and what their specific needs are. Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 Page 12 Residents have good access to healthcare from their GP, and with hospital Consultants, the home works closely with both these and Community Psychiatric nurses and District burses and other health care professionals to meet the needs of the residents. Clear written records of visits to and from health care professionals are recorded. Risk assessments, which highlight high or moderate levels of risk for instance with regard to pressure area care are acted upon, and equipment such as special mattresses and cushions are provided through the community store. The home has a medication policy, which includes the use of homely remedies. The policy is adhered to, and records of medicines entering and leaving the home are kept along with an accurate CD book. Staff receive training in medication before they are allowed to administer medicines and the training is competency based. The storage of some medicines must be reviewed in order to comply with good practice guidelines. Staff were observed interacting with residents, and were friendly, courteous. Residents and relatives spoken with spoke highly of the staff, and said they or their relatives are treated with respect, at all times. 2 of the bedrooms have adjoining doors to another bedroom which according to the manager cannot be locked or blocked in, due to fire regulations, thought should be given to who is given these rooms and the gender of people who have adjoining doors to help protect their privacy, and dignity. Broomfield Lodge DS0000069842.V350457.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 good, This judgement has been made using available evidence including a visit to this service. Residents have a relaxed comfortable lifestyle with opportunities to occupy themselves with a range of interests. EVIDENCE: The home does not have an activities coordinator though the creation of a post is being looked into; currently staff who wish to work additional hours are providing activities most afternoons. The life stories for residents are recorded and efforts are made to incorporate residents former hobbies and interests into the activities provided. The home has activities plan though this is flexible depending on what residents wish to do. An aroma therapist visits on Tuesdays and the home invites the local playgroup and school in regularly throughout the year. Trips are organised occasionally for small groups, and they visit the local garden centre, or go shopping etc. A range of external entertainment is organised and visit the home regularly. Residents and relatives confirmed that Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 Page 14 the routines of the home are flexible and choice is offered to residents about how they spend their days, what time they get up, etc. The home has a resident cat and one resident moved in with her pet dog, which the staff help to look after. Residents visitors said they are always made welcome offered a drink and are frequently offered a meal or snack. The office is made available for private conversations and no restrictions are imposed on visiting. Residents are encouraged to bring in their own furniture and personal items if they wish, and the rooms were personalised. Residents and relatives said the quality of the food is very good, with a choice at every meal time. Meals are nicely presented and special diets are catered for. The home has conducted a survey in the past about the quality of food and the results indicated satisfaction with the meals. Fresh fruit and vegetables are delivered throughout the week. The home has a 4 week rolling menu which changes seasonally, the menus were produced with input from a specialist expert in nutrition. Broomfield Lodge DS0000069842.V350457.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. Residents have access to people who listen to any concerns and who will take action to ensure they are protected from abuse. EVIDENCE: The home has a clear complaints policy, which is on display and is included in the service users guide. The manager keeps are complaint file with details of any complaints made and clear documentation with relation to any investigation conducted. The home has received 1 complaint not directly about the home since the last inspection. Residents and relatives said they felt confident that any complaint they may have would be dealt with and they felt the manager was very approachable. Thought could be given to recording minor expressions of dissatisfaction as well as formal complaints and any actions taken to address them, and this information could be fed into the homes quality assurance systems. The manager and staff spoken with had good knowledge of their responsibilities regarding reporting and acting on allegations of abuse. The home has a clear adult protection policy, which fits in with the Kent and Medway policy. Training in adult protection is provided at induction, and Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 Page 16 training and updates are arranged regularly for all staff. The home recruits staff safely. Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 Page 17 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): 19,22,26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Residents have a homely environment in which to live, but many areas of the home are in need of redecoration and refurbishment, resulting in some infection control hazards. EVIDENCE: The home is not purpose built and as such present some challenges for the staff. Storage is minimal and as stated in previous standards 2 bedrooms have adjoining doors and the bathroom. The grounds were tidy and safe for residents to use. The manager is considering a sensory garden in the future. The manager said the building complies with the requirements of the local fire Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 Page 18 office though some issues arising from a recent inspection remain outstanding. The manager said these are in hand. The lounge carpet and some of the bedroom carpets are stained and worn, and some areas of the home such as corridors and communal areas are shabby with damaged and chipped paintwork, etc. Some of the armchairs in the lounge are stained and looking old. The curtains are poorly fitted in some bedrooms and the bed linen was worn and discoloured. As stated in a previous standard some bedrooms have an adjoining door into another bedroom. The home has an assisted bathroom and an assisted shower room, one bathroom upstairs is seldom used as there are few residents who are independent getting in and out of the bath, the manager plans to turn this into an assisted shower and bathroom, with an overhead hoist. The shower room tiling grout has become discoloured and many of the toilets and bathrooms looked very uninviting and institutional. The weighing scales have not been calibrated recently and need to be on an ongoing basis. The laundry room is very compact but well organised. However a deep clean is needed, the walls and floor are not impermeable and must be made so. The washing machines have a sluicing cycle and staff were aware of the need to wash soiled items on the sluicing cycle. The home has an automated commode washer which is out of order and due to be removed, serious consideration should be given to repairing or replacing this as it is good practice to have an automated washer rather than rely on staff to hand wash bed pans, commodes etc. The manager must obtain a copy of the Kent Health Protection unit infection control guidelines. The new owners have expressed a commitment to making drastic improvements in the standards of décor and furnishings as well as some building work, the majority of which they believe will be completed by the end of January. Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 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. 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. Residents are cared for and supported by properly recruited and trained staff. EVIDENCE: The home employs care staff in sufficient numbers to meet the needs of the residents, currently the staffing levels are 4 in the morning, 3 in the afternoon and 2 at night. In addition the manager is in the home from Monday to Friday. The home has a maintenance man 2 days a week and cleaning and kitchen staff. Night staff are expected to undertake some laundry task as are day care staff, although the new owners are looking into having laundry sent out to a private firm. Residents and relatives said that staff are available and visible and they do not have to wait long for assistance. Residents also confirmed that they are assisted to get up at a time they prefer. The home has just over 50 of care staff with NVQ and continues to support staff to begin NVQ training. The home has not used agency staff for many years, with regular staff covering the shifts. Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 Page 20 Staff are safely recruited with the required checks being made before they begin work. Staff records contain 2 written references, evidence of CRB and POVA checks, proof of identification etc. Staff receive training appropriate to their role and receive regular “core” training in fire, health and safety, first aid etc. The majority of the staff have attended dementia study days with only new staff having this training outstanding. The manager keeps a training matrix to enable her to keep staff up to date with core and other training. Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe and well managed home. EVIDENCE: The manager has been in post for around 3 years, prior to this she was the homes head of care. The manager has obtained the Registered Managers Award. There are clear lines of accountability in the home and staff and residents benefit from the competency of the manager and inclusive atmosphere at the home. Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 Page 22 The home has some quality assurance processes in place with surveys going out regularly to relatives and residents and regular documentation audits being done. The manager carries out an investigation into accidents to look for trends. The surveys could be further developed to be sent out to stakeholders, and the information from the audits should be collated into a development plan. The home looks after small amounts of cash for residents, which is safely stored separately in a lockable safe, separate balance sheet are kept as are receipts. The manager and deputy can access these monies, and staff may accept monies from relatives to put into the accounts, however the residents cannot access their money unless the manager or deputy are on duty. Whilst this has not presented any problems yet, thought should be given to enabling resident’s access to their money at any time. The manager undertakes supervision for all staff and these meetings are carried out 6 times per year. Some confidential records are kept in the manager’s office, such as weight records, bowel charts as well as specimen forms which are on view. This breaches resident’s confidentiality, any record kept in respect of a resident should be kept on separate records and stored safely. The manager ensures safe working practices with respect to moving and handling, first aid and food hygiene through the homes policies and staff training. As stated in standard 26 some infection control issues were identified though these relate more to the physical environment rather than staff actions. Some actions regarding the recent fire inspection need to be completed. The manager stated that checks and servicing on equipment and maintenance are up to date. Broomfield Lodge DS0000069842.V350457.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 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 X X 2 X X X 2 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 3 X 3 X 3 X 2 3 Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? no 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 OP10 Regulation 12 (4) Requirement The registered manager shall make suitable arrangements to ensure the home is run so as to protect the privacy and dignity of service users in that, • Thought should be given as to which residents are offered bedrooms with adjoining doors, taking into account their gender etc. Timescale for action 30/11/07 2 OP19 23 (2)(b)(d) 3 OP26 13 (3) 30/01/08 The registered manager shall ensure all parts of the care home are kept clean and reasonably decorated, and in a good state of repair in that • Stained carpets and furniture is replaced or made good • Poorly fitted curtain are made good • Discoloured worn bed linen is replaced. • Areas of the home with damaged paintwork and shabby décor be redecorated The registered person shall make 30/11/07 suitable arrangements to prevent infection, toxic conditions and DS0000069842.V350457.R01.S.doc Version 5.2 Page 25 Broomfield Lodge 4 OP37 17 (1)(a)(b) the spread of infection at the care home in that • The laundry room floor finishes be impermeable and readily cleanable • Bad odour in the lounge be addressed and made good The registered person shall ensure records relating to service users are kept secure 30/10/07 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 OP19 Good Practice Recommendations It is recommended that the automated commode washer be repaired and kept to prevent staff from having to clean commodes by hand. Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Broomfield Lodge DS0000069842.V350457.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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