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Inspection on 30/10/06 for Butterpark Residential Home

Also see our care home review for Butterpark Residential Home for more information

This inspection was carried out on 30th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents in all 4 units were pleased with the care that they were receiving. Staff were described as "very caring and extremely supportive in every way"` and " helpful and friendly". Relatives and visiting professional staff were also positive about the quality of care provided. One relative wrote, "The kind, attentive and professional nature of all the staff makes my mothers stay an enjoyable experience" Residents praised the variety and standard of the meals provided. . One resident who had been discharged from hospital recently said "its like coming from the workhouse to the Ritz." The premises are comfortable, clean and homely. There are pleasant communal areas and spacious gardens, which are safe and enjoyed by the residents. Butterpark provides a valuable multi-purpose resource for older people. It helps some people to return to and live in their own homes. It has a respite service that benefits both older people and their carers. Butterpark continues to provide a homely environment for eight residents who have lived in the home for several years. The home is well managed and there is a good balance of trained and experienced staff working in the home. Several staff said that there is good teamwork at Butterpark, which helps them to provide a good standard of care for the residents.

What has improved since the last inspection?

The lounge in Erme unit has been made more attractive and comfortable for residents to use. The entrance to Brooklands has been redecorated and made more welcoming, and has artwork produced by residents on display.

What the care home could do better:

Improvements should be made to ensure that prospective residents to Harford View receive good information about the unit from agencies who refer them. Improvements should be made to ensure appropriate referrals and admissions are made to Harford View. Although all service users have care plans that are reviewed, the care plans for the permanent residents in Brooklands unit are not reviewed on a regular monthly basis. Residents are still unable to use the shower in Stowford unit because the repairs have not been completed. All areas of the building should be free from unpleasant odours. There was an unpleasant at one end of the corridor in Brooklands . Brooklands unit would benefit from refurbishment to include additional electrical sockets in bedrooms, and improved bathroom facilities.

CARE HOMES FOR OLDER PEOPLE Butterpark Residential Home Brook Road Ivybridge Devon PL21 0AX Lead Inspector Margaret Crowley Unannounced Inspection 30th October 2006 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 Butterpark Residential Home DS0000032410.V303129.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. Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Butterpark Residential Home Address Brook Road Ivybridge Devon PL21 0AX 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) 01752 891025 01392 385136 http/www.devon.gov.uk/adoption.htm Devon County Council Mrs Paula Ann Hannaford Care Home 30 Category(ies) of Dementia (9), Old age, not falling within any registration, with number other category (30), Physical disability (30) of places Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. In Harford View, a total of 8 older people who may also have a physical disability may be accommodated to receive intermediate care. In Harford View, people who are aged 55 and over, and who may have a physical disability may be accommodated to receive intermediate care In Brooklands, a total of 13 older people who are aged 65 and over who may have a physical disability may be accommodated to receive long term or respite care In Stowford, a total of 5 older people who also have dementia may be accommodated to receive intermediate care In Stowford, people who are aged 55 and over who also have dementia may be accommodated to receive intermediate care In Erme, a total of 4 older people who also have dementia may be accommodated to receive respite care In Erme, people who are aged 55 and over who also have dementia may be accommodated to receive respite care 21st March 2006 4. 5. 6. 7. Date of last inspection Brief Description of the Service: Butterpark is a care home for 30 older people, which is owned and managed by Devon County Council. It is located within the town of Ivybridge and has easy access to the town centre and community facilities. Butterpark is a two storey building that has a large enclosed garden to the rear with level access. The home is divided into the four units, which are accessed through the main entrance. These four units comprise: Harford View, a self-contained unit on the ground floor and which provides intermediate care for eight older, frail people and who may a physical disability. Stowford, an assessment unit for five people who have dementia and which is situated on the ground floor. Erme, a respite unit for four service users who have dementia. Erme adjoins Stowford and the units share some communal facilities. Brooklands accommodates up to thirteen older people who are frail and who may have a physical disability. It is situated on the first floor and provides long term care and respite care. The unit currently accommodates eight long stay residents. No new residents requiring long term care are now admitted. The fees vary according to the role of the unit. There is no charge made for Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 5 intermediate care. The fees for respite and residential care vary between £274£363. Written information is available for prospective residents regarding Butterpark and the services provided. Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place took place over 10 hours on 30th October and 1st November 2006. The inspector was assisted by Paula Hannaford, the registered manager, who was on duty on 30th October, and by senior staff. A tour of the premises was made. Fourteen of the 18 residents in the home on those days were spoken to, including 6 in more depth, regarding the lifestyle in the home and the care services they were receiving. In addition, 2 relatives were spoken to and a social worker. Eight staff were observed and spoken to in the course of their daily duties. Records were inspected including care, medication and staff records. Comment cards were received 6 residents and 2 relatives and from the community nursing, general practitioner and social services. Feedback questionnaires were received from 10 of the sample of 15 staff that were contacted. In addition, Valerie Caulfield, the area resources manager, briefed the inspector regarding anticipated changes in the provision of residential care by Devon Social Services which affect include Butterpark. What the service does well: Residents in all 4 units were pleased with the care that they were receiving. Staff were described as “very caring and extremely supportive in every way”’ and “ helpful and friendly”. Relatives and visiting professional staff were also positive about the quality of care provided. One relative wrote, “The kind, attentive and professional nature of all the staff makes my mothers stay an enjoyable experience” Residents praised the variety and standard of the meals provided. . One resident who had been discharged from hospital recently said “its like coming from the workhouse to the Ritz.” The premises are comfortable, clean and homely. There are pleasant communal areas and spacious gardens, which are safe and enjoyed by the residents. Butterpark provides a valuable multi-purpose resource for older people. It helps some people to return to and live in their own homes. It has a respite service that benefits both older people and their carers. Butterpark continues to provide a homely environment for eight residents who have lived in the home for several years. The home is well managed and there is a good balance of trained and experienced staff working in the home. Several staff said that there is good teamwork at Butterpark, which helps them to provide a good standard of care for the residents. Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 7 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. Butterpark Residential Home DS0000032410.V303129.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 Butterpark Residential Home DS0000032410.V303129.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): 1,3,6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Assessments of prospective residents are undertaken prior to admission. However, at times pre- admission assessments from professionals making the referral is limited and does not ensure that the person’s needs can be met and could place the service user at risk. EVIDENCE: New residents in all 4 units were spoken to and all said that staff had been welcoming and kind when they had arrived at Butterpark. Residents who had been admitted recently to Harford View intermediate care unit said that they were confident that the unit could assist them in returning home. Some who had been admitted from hospital said they had been given little information about Harford View. They had been pleasantly surprised by their surroundings and the re-ablement services provided. Although Butterpark has written information for prospective service users this is not always made available via hospital staff, or on arrival at Harford view. Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 10 At the time of the inspection there were only 2 residents in the Stowford intermediate care unit for people with dementia, who were enjoying very individualised care. The manager and staff said recent changes in the referral process, outside of their control, had had an impact on referrals. However, 4 new referrals were received during the inspection. The unit works closely with the community psychiatric team, which undertakes a pre-admission assessment. There was one service user in Erme respite unit for service users with dementia. She was also receiving individualised care and also enjoying spending time with the service users from Stowford unit. The unit adjoins Stowford unit and the units share communal facilities. Since the last inspection Erme unit has begun providing respite care for people with dementia only. Staff were positive about this change. The needs of residents in both units can now be catered for more appropriately. The assessment processes and tools used vary in the 4 units, partly because of their different functions. The records inspected showed evidence of some good assessments, which had also involved multidisciplinary colleagues. In all of the units the quality of the assessments was also dependent on the quality of the information provided by the referrer. This has been a particular concern in Harford View. Staff and community health professionals commented on the difficulties in meeting prospective residents needs that can be caused by poor admission information. The inspector received feedback that questioned the appropriateness of some admissions and the level of medical cover needed, which has been raised with the local Primary Care Trust. . Butterpark Residential Home DS0000032410.V303129.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. Resident’s health and personal care needs are met with respect and privacy. The systems for the administration of medication are satisfactory with arrangements in place to ensure that service users’ medication needs are met. EVIDENCE: Residents in all units said that they were well cared for and made comments such as “can’t praise it enough here”, “everything is 100 ”, and “very happy with the care and staff who have helped me once again”. This was echoed by relatives who were “very satisfied with the care”. Feedback from the district nursing service described the quality of care for the long stay residents as “excellent” and said that staff are very aware of residents individual needs. There was also positive feedback from social services care managers. The inspector observed all staff interacting with residents in a friendly manner and respecting their privacy when entering their rooms. There have been recent difficulties at Butterpark in obtaining general practitioner cover from local G.P. practices for the short-term residents Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 12 registered with G.Ps in other parts of the area. However, the manager said that satisfactory alternative medical cover for residents not registered with the local g.p practices is being provided by an on-call service that visits the home daily. Records inspected contained clear care plans to enable health and personal care needs to be addressed. Care plans are reviewed at a frequency that varies according to the unit’s function. However, the care plans examined for the permanent residents in Brooklands unit were not reviewed on a regular monthly basis, nor was there evidence that residents’ weight is monitored. Daily records showed that concerns are recorded and dealt with. There are different recording systems within the four units, which can be unwieldy if a service user transfers between units. There are clear systems and instructions for the storage and administration of medicines. Medication records were in order. Staff who administer medication receive appropriate training. The inspector was previously notified of an incident where medication was incorrectly administered. This matter has been addressed by the manager via the disciplinary process and further training for the member of staff. Butterpark Residential Home DS0000032410.V303129.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 are enabled to live a flexible lifestyle with activities available to provide interest for them. Residents are provided with a nutritious and well-balanced diet. EVIDENCE: Routines within the home are flexible to ensure that residents can choose how they spend their time. Activities take place within each unit and events such as coffee mornings and bingo sessions are advertised and shared between units. A Halloween party was being prepared during the inspection and residents assisted in making the decorations. Residents in Stowford/Erme units were seen enjoying individual time with staff and going out for coffee. There is an open visiting policy. Residents said that their visitors are always made welcome, and feedback from relatives confirmed this. Residents praised the quality and variety of the meals. They said that their individual choices could be catered for, even at short notice. The meals seen during the inspection were of a good standard. A balanced and varied diet is provided. Residents are encouraged to maintain their skills and their independence. This is particularly important in the intermediate care units where service users are Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 14 enabled to do tasks such as preparing drinks and snacks in preparation for their return home. Butterpark Residential Home DS0000032410.V303129.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. Service users can be confident that procedures are in place to enable them to complain and to protect them from abuse EVIDENCE: The Commission has received not received any complaints since the last inspection. A record of complaints and concerns is kept in the home and one complaint had been received since the last inspection. The manager deals with any concerns promptly and feedback is given to staff. Residents spoken to said they would address their concerns to care staff, or any member of management. Butterpark follows the Devon Social Services vulnerable adults protection policy and procedures. All staff attend adult protection training as part of a rolling programme. Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,22,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are provided with accommodation that is comfortable and homely. EVIDENCE: Butterpark is decorated in a homely style and has pleasant communal areas and attractive gardens for residents to enjoy. The home has its own maintenance worker and routine work is attended to systematically. The entrance to Brooklands unit has been re-decorated since the last inspection and artwork produced by the residents has been displayed there. The lounge in Erme unit has been made more welcoming and comfortable for residents. It is no longer appears like a storage area. The plans to provide major refurbishment of Brooklands to bring the accommodation in line with National Minimum Standards have been cancelled Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 17 because of Devon County Council’s intention to seek alternative providers for its care homes. The bedrooms in Brooklands are small and have insufficient electrical sockets. The unit has only one bathroom for 13 bedrooms. A replacement bath is to be fitted in this bathroom. Residents are still unable to use the shower in Stowford which has been out of use for more than 18 months. It is currently waiting for a door to be fitted. Residents who prefer to shower have to use a facility in another unit. The premises were clean and free from unpleasant odours except on one part of the corridor in Brooklands. The corridor is due to be re-carpeted shortly. A resident in Harford View commented in the questionnaire that their room had smelled of urine on arrival. Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27.28,29,30 Quality in this outcome area is good . This judgement has been made using available evidence including a visit to this service. Service users are cared for by staff who are trained and experienced. The procedures for the recruitment of staff are robust, offering protection to people living at the home. EVIDENCE: There is a good level of skills, experience and National Vocational Qualifications in care within the staff group. 60 of care staff have NVQ qualifications and 2 are undertaking training. There has been a range of training opportunities provided for staff since the last inspection including in safe working practices and the protection of vulnerable adults. Staff receive regular supervision which is recorded. There have been staff shortages due to sickness and vacant posts, which has meant and staff have had to be transferred between the units at times. Staff have concerns regarding staffing levels in the daytime and said that they do not have as much time to spend with residents because of this. The manager said that staffing levels are maintained at an appropriate level that the deputy manager and the manager supplement the care rota, if necessary. Since the last inspection an additional night care staff post has been created. Three waking night care staff are now employed and located in Erme/ Stowford, Harford View and Brooklands. Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 19 Residents spoken to said that staff were accessible and available without undue delays if they needed to call for assistance. Feedback from staff questionnaires showed that staff generally feel positive about working at Butterpark. They value the training opportunities available and said they work well as a team. Most commented that residents receive a good standard of care in the home. There are comprehensive recruitment policies and procedures, and staff records inspected showed that the necessary references are obtained and Criminal Records Bureau checks undertaken. Records are well organised and stored securely, protecting confidentiality. Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from being in a care home that is well managed and where attention is given to their health, welfare and safety. EVIDENCE: Paula Hannaford has been registered as the manager of Butterpark. She holds the Registered Managers Award and NVQ 4 in Care. She has many years experience in working in the care of older people including several as a manager. Butterpark is managed efficiently. The manager and staff team work together to create a homely and open environment. The future change likely in the ownership of the care home has created uncertainty among staff, but the Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 21 manager is sensitive to the impact on staff morale and is determined to keep staff well informed. Service users are encouraged to control their own money, if possible. Any money held on behalf of service users is kept in an interest bearing account. Records inspected showed that clear processes were in place. Routine health and safety issues are managed satisfactorily and records are maintained up to date and accurate. Accidents are recorded appropriately and accident levels monitored. Fire prevention measures are in place, and it was evidenced that equipment is regularly tested. Staff receive regular mandatory training in safe working practices. Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 x 2 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x 2 x 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 x 3 Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 2 3 4 5 Refer to Standard OP1 OP3 OP21 OP26 OP7 Good Practice Recommendations Improvements should be made to ensure that prospective residents to Harford View receive good information about the unit from agencies who refer them. Improvements should be made to ensure appropriate referrals and admissions are made to Harford View The repairs to the shower unit in Stowford should be completed. The premises should be kept free from offensive odours Care Plans should be reviewed a minimum of monthly Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Butterpark Residential Home DS0000032410.V303129.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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