Inspection on 30/05/07 for Burlington Villa

This inspection was carried out on 30th May 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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Hillside

Applegarth

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Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Burlington Villa 15 Burlington Road Sherwood Nottingham NG5 2GR Lead Inspector Mary O’Loughlin Key Unannounced Inspection 30th May 2007 09:30 Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Burlington Villa Address 15 Burlington Road Sherwood Nottingham NG5 2GR 0115 982 6644 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) MGB Care Services Limited Mr Vijay Buljeean Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. MGB Care Services Limited is registered to provide accommodation and personal care at Burlington Villa Care Home, 15 Burlington Road, Sherwood, Nottingham for people whose primary care needs fall within the following categories and numbers: Learning Disability (LD) 8 New Service Date of last inspection Brief Description of the Service: Burlington Villa is a care home for up to 8 younger adults with Learning Disabilities, which was re-registered as a company in January 2007. The refurbished accommodation is sited over 3 floors with a shaft lift to assist independent access. All bedrooms are for single occupancy, they are well decorated, comfortably furnished and have en-suite facilities. There are two lounges, a large dining room and an activities room. There are additional toilets & a bathroom on each floor. The rear garden is pleasantly landscaped, private & fully enclosed. It would only be accessible to relatively ambulant residents. The home is situated a few hundred yards from the centre of Sherwood, which has a range of facilities and good public transport links. Fees range from £1100 to £2000 per week. Extra charges are made for toiletries. The acting manager makes information about the service, such as the service users guide, complaints procedure and statement of purpose available to prospective residents before being accommodated at the home. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection site visit was unannounced and took place during daylight hours including lunchtime. The main method of inspection is called case tracking, which involves selecting three residents and looking at the quality of the care they receive by speaking with them, observation, reading their records and asking staff about their needs. We case tracked two residents on this occasion, one person had been who was admitted as an emergency placement, whist the other person had been in residence for a longer period. Both people have a variety of differing support needs. A review of all the information we have received about the service was also considered when planning this visit and helped us focus on the areas which we look at. What the service does well: Information about the service and individual care plans are made available in formats suitable to aid the understanding of the residents. For example, in picture and graphic formats. Residents are consulted about all aspects of their support and fully involved in the review of their needs. In addition, their views and opinions are sought in relation to the running of the home and how and what they want to achieve in terms of chosen lifestyle. Reasons and rationale for any restrictions are openly discussed with residents and their involvement in agreements is obtained before implementation. Residents are supported to access the local community, maintain significant relationships, are respected by staff and supported to maintain a healthy lifestyle within the realms of choice. There is positive support to maintain appropriate levels of personal care and access to health care professionals when required. Residents make choices about clothing, rising and going to bed and who supports them with aspects of their care. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 6 The management of medication is well maintained to ensure the safety of residents and staff training in this and other relevant areas is available to ensure that staff are competent to support people accommodated effectively. There are robust systems for dealing with complaints and concerns and this along with good staff recruitment practices and clear policies on dealing with resident’s money protect residents from risk of abuse. The environment is well fitted, maintained and adapted to meet resident’s needs. Residents have freedom for personal expression in the décor of their private space and risk assessments have been completed to maintain residents safety. Staffing levels are calculated on the basis of residents needs and enables residents individual and joint needs to be met by an effective team. The service benefits from an experienced acting manager, who ensures that health and welfare of residents is managed effectively through supporting the staff team. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Records available do not support that residents have their needs assessed effectively and this could mean that individuals are not offered support according to their needs and aspirations. EVIDENCE: A resident spoken with told me that staff had visited her at her home and that she had been able to come and see the service prior to her coming in. She felt fully informed and able to make decisions about her life at the home. The same resident said they had been subject to an assessment through care management arrangements external to the home and came to stay for a trial period and said she had decided to stay because she liked being there. Staff at the home had used the assessment and care plans that had been drawn up prior to admission to enable them to provide appropriate care and enable them to meet the person’s needs and preferences. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 9 The assessment completed by staff at the home was not available and the manager reported that this is maintained at the organisation’s head office to determine the needs assessment and fee level. A blank assessment document was provided which did not reflect all of the requirements of Standard 2. (For individuals who are self funding), however residents are not self-funding at this time. The service user guide was provided to us and it is written in a suitable format, pictures and graphics, to aid the understanding of the resident. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 –7 – 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know that they have their needs reviewed regularly and that an individual plan of care is developed to ensure they are supported to make decisions and take risks as part of a chosen independent lifestyle. EVIDENCE: Records viewed indicated that a suitable care plan had been drawn up with full consultation and agreement of the residents. The plan was robust and set out how the staff at the home were to meet the person’s needs and preferences, it was in a suitable format that enabled the resident to participate in his care plan and understand what was in it. The care plan had been reviewed with the involvement of the resident and external professionals involved in their care. There were some restrictions on the person’s choice in some areas of life but this was seen to have been done in the best interests, to minimise risk and with the agreement of the resident. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 11 One resident spoken with did express concerns to us about these restrictions and we looked into how these were being addressed by staff at the home. There was good evidence that staff had involved all appropriate professionals and had acted appropriately to prevent any harm to the resident and considered its duties and responsibilities under law. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 – 13 – 15 – 16 – 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The rights and independence of the residents are fully considered and respected by the staff team. Residents are supported to maintain links with family, friends and the local community and individual dietary preferences are catered for. EVIDENCE: We looked at the home’s written service aims, which state that residents are offered a lifestyle comparable to all citizens. Through case tracking and talking to residents along with observing the staff interaction we found that residents are able to develop their skills, including social, emotional, communication, and independent living skills. Residents are supported to identify their goals, and work to achieve them. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 13 Residents described how they have the opportunity to decide how their personal support is managed to encourage their independence and gave examples of how staff had supported them to develop and maintain their social and personal lives, visiting relatives and friends in the community. The staff have developed good integration into the community for everyone at the home through attending local residents meetings and displaying minutes from the meetings for all residents to see. Residents said they were able to attend the local shops and facilities. Staff were observed continuously interacting with the residents and not with each other, whist residents were observed to walk around the home freely and able to choose to be alone or in company. Dietary preferences were seen to be recorded in individual care plans and the residents said they liked the food provided and that they choose on a daily basis what they want to eat. Residents are also supported to be involved in meal preparation and shopping. The care plans contained evidence that each resident is weighed monthly and checks undertaken on dietary problems. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 – 19 – 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff ensure that the residents health is reviewed and maintained and that they receive medicines as prescribed by their doctor. EVIDENCE: Residents spoken with said they could choose their key worker and choose the person they preferred to deliver personal care. Residents are dressed in their own clothes and their appearance was individual and in keeping with their personality. Residents said they could decide when to go to bed and when to get up. The relatives spoken with said that staff welcomed them and involved them in the care. Plans contained evidence that residents had access to the GP and the primary care team as required. In addition, one resident has received speech therapy visits at the home. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 15 The home’s care plans were not fully completed with regard to the health care support provided and the manager confirmed that some areas within the plans required more information such as annual health checks, well woman and well man surgery appointments. For those case tracked there was clear guidance on the management of conditions such as epilepsy including safety training for all fellow residents to ensure they recognised and understood the problem and were able to alert assistance if necessary. Each care plan contains information about who the designated Dentist, Optician and GP are. The medicines were appropriately managed. They are stored appropriately and an audit trail is available indicating supplies into and out of the home. Residents have an individual medicine administration record that indicates receipt of medicine as prescribed by the Doctor. One recently admitted resident had a hand written record sheet with no signature of the person writing this and no witness signature that would reduce the risk of error. The manager said she would ensure this was completed in future. Staff training records indicated that staff receive training in the safe administration of medicines. The records of the residents did not indicate that a risk assessment had been completed for those residents wishing to manage their own medicines, however the manager had taken information from the care management assessments to determine if residents would be able to undertake this safely. No residents were self-administering medicines at this time. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 – 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Strategies are in place to enable residents to express their views and have their concerns taken seriously and acted upon. There are robust complaints procedures and a trained staff team, which help protect residents from abuse. EVIDENCE: The complaint procedure is available in a suitable format to assist the understanding of the residents. This procedure is made available to all new residents within the service user guide. The manager was advised to ensure this was also displayed in the home. The manager said that she had not received any complaints since the home’s registration and the Commission for Social Care Inspection have not received any concerns about the home. The residents have regular meetings at the home enabling any concerns to be addressed at an early stage before they develop into problems or formal complaints. Evidence of residents meetings was seen and residents were able to confirm that they attend. The residents are given written information on local advocacy services. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 17 The manager confirmed that the home has robust procedures for responding to any suspicion or allegation of abuse. Staff training records indicated that all staff receive training in adult protection issues and also on managing aggression. The manager and trainer at the home have recently completed a teacher training course which enables them to teach staff the principles of a recognised strategy for crisis intervention and prevention. The manager said they do not use any physical interventions or restraint of any kind, but there is a restraint policy in place. The home has policies on ensuring residents have access to their personal monies and care plans indicate that residents have appropriate access to their money. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 – 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The residents’ privacy is considered important and single ensuite rooms that are fitted with good quality furnishings and allow residents to personalise them. The environment is clean and maintained to a very good standard and appropriate for the lifestyle of the residents. EVIDENCE: We undertook a partial inspection of the home, looking at the dining room, kitchen, lounge areas, laundry room, bathroom and toilet, two residents’ bedrooms and the enclosed rear garden. The home is excellently maintained, in keeping with the local housing and suited its stated purpose. The premises have recently been inspected by the local fire service but no report was available to view, however the manager said that there were no requirements made at that visit. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 19 The furnishings and fittings were very good quality, the home was bright, clean and fresh smelling. Individual rooms are appropriately furnished, in excellent decorative order and are personalised and lockable. The laundry room is fitted with industrial machines and can only be accessed by residents via a passenger lift. The door to the below ground laundry room is fitted with a keypad lock to ensure residents are safe from falling down the stairs. Chemicals are stored within the home’s sluice room and this is locked. Bathing facilities are adapted and the manager said that they are re-fitting a bathroom and making it into a shower room following requests by residents to have a shower. The dining room was homely and nicely furnished. There are comprehensive environmental risk assessments in place and these were examined. The premises were clean and hygienic. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 – 34 – 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures that residents are protected from staff that may be unsuitable to work with them by a thorough and complete recruitment process that also provides staff with appropriate training in the skills they need to undertake their role. EVIDENCE: There were 6 residents accommodated at this time and duty records seen show the number and designation of the staff on duty throughout the 24hr period. The manager said that staff numbers are calculated according to the needs of the residents accommodated. The home was clean throughout and well maintained indicating that sufficient time was allowed to do domestic work. The manager is considering employing separate domestic/kitchen staff but at the moment feels it has been more beneficial involving the residents in the housekeeping duties along with the staff and that this is working well. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 21 The records indicate that there is sufficient staff employed to enable them to undertake their respective roles and responsibilities. Residents spoken with did not indicate that there was any staffing problem. Activities were supported appropriately inside and outside of the home. Residents also confirmed that staff were able to escort them on visits home and to family occasions. The staff files were not all complete on the premises as the company head offices in Nottingham were holding some information. The training manager delivered all the records during this inspection and these demonstrated that the two files examined contained evidence that appropriate, safe recruitment practice is undertaken. The manager said that the staff have a year long probationary period. Staff files demonstrated that all have contracts of employment and have 2 written references along with ID. The organisation has an appointed training department and responsible trainer. The newly appointed care staff member (second day in post) was spoken with and confirmed the recruitment process that was undertaken and that he is booked on a one day induction day at the training department. The trainer confirmed that the induction process being implemented was recognised and approved in line with Skills for Care and evidence of the staff attending skills for care training sessions was seen. The appointed trainer confirmed the training used was Learning Disability Award Framework approved and this was confirmed by looking at the documentation in place. Each staff member has an individual training record and this demonstrated that all relevant training and foundation training in the needs of those accommodated was and is being provided. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37 – 39 – 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The acting manager in post has not yet registered with the Commission but policies and practices of the home were safely managed along with comprehensive health and safety monitoring that protects residents from harm. EVIDENCE: The registered manager is no longer in post and he, as director of the company has appointed Jane Greenwood as the manager. Jane was present at this inspection. Jane said that she has applied to register with the Commission. Jane said that she has worked for the company for many years managing other homes in the group. She said that she was a qualified Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 23 nurse in Learning Disability with 20yrs experience, and also has achieved her registered managers award. Evidence was seen that staff value the feedback received from residents at weekly meetings, which enables them to assess the quality of the service provided. The views of families and friends are sought both in written and verbal discussion. The training manager completes regulation 26 visits and a copy was made available to us, this shows that residents, relatives and staff were consulted on the quality of the care provision along with observation of the environment and any necessary improvements were documented in this report to the manager. We looked at the health and safety practices in the home and found that staff have received training in Health and Safety, First Aid, Moving and Handling, Fire Awareness and Infection Control. The fire records were examined and show that a weekly fire test is undertaken along with monthly emergency lighting tests. There are comprehensive up to date Fire risk assessments in place. The manager also produced records of environmental risk assessments including the management of the kitchen cleaning. In addition, food, fridge and freezer temperatures were recorded daily. Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 2 3 X 4 x 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 x 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NA 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 YA2 Regulation 14(1) Requirement Provide written evidence of comprehensive assessment of residents needs and retain under records management requirements with the home Timescale for action 17/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA2 Good Practice Recommendations Develop assessment document for self-funding residents, which covers all areas identified within National Minimum Standard 2.3 Burlington Villa DS0000069009.V336822.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Burlington Villa DS0000069009.V336822.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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