Inspection on 18/04/07 for Cambuslodge Uk Ltd

This inspection was carried out on 18th April 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cambuslodge Uk Ltd 07/11/05

Cambuslodge Uk Ltd 01/11/04

Cambuslodge Uk Ltd 23/06/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Cambuslodge Uk Ltd Cambuslodge 151 Wandsworth Bridge Road Fulham London SW6 2TT Lead Inspector Ann Gavin Unannounced Inspection 18th & 23rd April 2007 09:30 Cambuslodge Uk Ltd DS0000019137.V333304.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 Cambuslodge Uk Ltd DS0000019137.V333304.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. Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cambuslodge Uk Ltd Address Cambuslodge 151 Wandsworth Bridge Road Fulham London SW6 2TT 020 7731 5814 020 7315814 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) Cambuslodge (UK) Limited Ms Margo Monica McLaughlin Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of persons shall not exceed five residents with learning disabilities The home to notify the Inspection Unit of all vacancies before filling them 7th November 2005 Date of last inspection Brief Description of the Service: Cambuslodge is a registered care home providing personal care and accommodation for five people with a learning disability. At the time of this inspection there were three men and two women living in the home and no vacancies. The home is located in a terraced house on the Wandsworth Bridge Road, with easy access to local shops in Parsons Green and the shopping centre at Wandsworth. There are good transport links and many local amenities such as parks, restaurants and leisure centres available for service users’ use. The home opened in 1989 and is owned and run by Cambuslodge (UK) Ltd. All five service users have lived together for more that ten years. Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Wednesday 18th April 2007 from 9.30 to 3pm and on Monday 23rd April 2007 from 10.15 to 12. 15pm.The inspection was spread over two days in order to see the people who live in the house. The Inspector spent time talking with two people living in the home, the owner, manager and one member of staff. There were five questionnaires returned from the people living in the house, three from health professionals and three from relatives. All the feedback received was very positive about the standard of care in Cambuslodge and the commitment of the manager owner and staff. People living in the home spoke very positively about the support they receive. The home provides very good standards of care and accommodation. Two requirements were made following this visit. What the service does well: What has improved since the last inspection? What they could do better: The manager will link into local social services training for the protection of vulnerable adults to make sure that it is part of staff annual updating. There was one incident of missed medication, which needed to be reported to the commission. Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 6 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. Cambuslodge Uk Ltd DS0000019137.V333304.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 Cambuslodge Uk Ltd DS0000019137.V333304.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 good. This judgement has been made using available evidence including a visit to this service. The same group of people have lived in the home for the past 10 years. Cambuslodge has procedures for assessing prospective residents. EVIDENCE: ‘I have lived here at Cambuslodge since 1988 ‘ ‘Me and my mum, they asked us if I wanted to live here ‘ The same five people have been living together at 151 Wandsworth Bridge Road for more that ten years. All of the people are involved in planning and reviewing their care. There are procedures in place for referral and admissions. Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 9 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): 6,7,8,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are involved in developing and reviewing their care. There are clear guidelines to make sure people are supported to take those risks which are part of independent living. EVIDENCE: ‘ My ISP (individual service users plan) review is in May and I hope to work towards getting another job in six months… I know I can do it..’ ‘I need staff to go up and down the stairs’ (Quotes from people who live in Cambuslodge) ‘ When my relative needed anger management it was provided with good results’ The care of two people living in the home was tracked through looking at all the paperwork, talking to staff and talking with one of the people concerned. Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 10 Each person has an excellent care plan and accompanying risk assessment with action plans for those areas where people need extra support to carry out an activity safely and independently. The care plans were clearly written with good attainable goals that were reviewed regularly. Examples of some of the goals to complete were reading Harry Potter, to take up swimming on Saturdays, to complete an NVQ 1 in cleaning. Sadly the last goal about the NVQ1 had to be cancelled as funding for the project that offered it was withdrawn. The person completing the NVQ was very disappointed. The person I spoke with told of their goal to be able to work in a supermarket, which has always been their dream. Now they feel that their work experience in other jobs has made them ready for it. Their confidence reflected the amount of support and encouragement they had received from the staff at Cambuslodge to help them plan for this. It was clear from discussions and the care plans and that people are also fully involved in creating their strategies to minimise any risks in daily living. One person has a new fire risk assessment and action plan, as they did not respond to the fire alarm. Another person had an updated travel assessment and a plan to help remind the person to keep their mobile phone charged and topped up. It was evident that all these strategies were in place to increase people’s skills and confidence in daily living skills. The manager said they have introduced a monthly progress report. This is to maintain contact with tutors and employers. Through this the manager picked up that one of the people in the home were struggling to keep up in a dance class that they really enjoyed. As a result the manager was able to offer support to the person, which they accepted. They are now able to continue to enjoy the class. Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 11 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): 11,12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people who live in Cambuslodge are part of the local community. They are encouraged and supported by the staff to enjoy a wide range of leisure, employment and educational activities. The residents plan and prepare the menus and meals. EVIDENCE: ‘I had a Cliff Richards holiday in Blackpool. I really enjoyed it!’ ‘ I have a full week’ (Quotes from people who live in Cambuslodge) ‘They always encourage people to try new ventures and receive training where necessary’ (Local resident involved in community work) ‘My relative is very well looked after. (As are the other residents) Their needs are met in every way possible. For example, voluntary work, Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 12 social clubs, having get togethers around the house at birthdays etc with relatives and friends invited. My relative rings me often and comes to see me. (Mother) It was clear from discussing with the people who live in the home that they are encouraged and supported to develop themselves and to also try new things. One person is learning to read and has naming cards on key objects in their room. Another person who had just returned from a themed holiday talked of how much they enjoyed having a whole week of Cliff Richards. The person they went with had been on another holiday earlier in the year. The theme of that holiday was dance from salsa to line dancing. Most years they also go on holiday as a group as they enjoy each other’s company. One person went through their weekly timetable with me and spoke of how they are supported and the way they choose to relax. All was echoed in their care plan. They explained how they have a set day each week to do various tasks around the home. This includes their laundry, cleaning, washing up, shopping and preparing an evening meal. They said that the residents choose the menu and the staff look to see if there is enough fruit and vegetables. The staff support the residents in shopping and preparing the evening meal. At the weekends the staff tend to do most of the cooking. The menus seen were well balanced. There are residents meetings and a house representative who is chosen by the residents. The notes of the meetings seen were written in symbols and covered a wide range of topics from holidays, what to do over the Easter break and the cost of some of the local cafes. The staff write daily records that give a good picture of how people have spent their day. Friendships are important and are encouraged. People bring their friends round and one person long-term friend visits at weekends. Family links are maintained. Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 13 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. People’s health is well looked after. There are good links with local GP and learning disability services. Any missed dose of medication must be reported to the Commission. EVIDENCE: ‘As far as I know Cambuslodge meets the health care of the residents. They have a very good relationship with a local G.P… they use the learning disability services appropriately and I am aware that clients attend dentist, opticians, outpatients appointments as and when required.’ The service always asks for help appropriately to support the health care needs of the people… good communication with clients and staff within multidisciplinary team. Very caring, very humanistic approach. Very tolerant of clients and keen to ask for help when and if a new approach is needed’ (Quotes from health professionals) Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 14 All the people who live in Cambuslodge have a yearly OK health check. There are feedback forms following GP appointments to make sure any advice and treatment plan is clear to all who maybe supporting residents. The care plans noted regular checks with the dentist, ophthalmologists, podiatrists and other appointments as necessary. One person had as one of their goals being prompted and encouraged to wear their glasses. One of the people finds it very difficult to go to the dentist regularly. The manager said that they sought out a discolouring solution the person can put on their teeth which highlights plaque. One person underwent a radical change over the last year and requires extra support as their behaviour has been unpredictable. The staff felt that the support to respond to this person was slow in coming and the other people in the house have, and are, quite affected by the change. Staff are supporting all the people in the house and now have a waking staff member on at night along side a sleep in staff member. The medication cupboard was seen and the records checked. There were some missed doses of medication which although had been marked on the medication sheet had not been reported to the commission. Any missed dose must be reported. Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 15 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. The people in the house are able to express any concerns and feel they are listened to and complaints acted upon. POVA training must become part of the annual update for staff. EVIDENCE: ‘ I know who to talk to if I have to complain’ ‘Staff are ok. I have no complaints. I find it really nice and have no problems’ (Quotes from people who live in Cambuslodge) The people living at Cambuslodge made it clear in their returned questionnaires that they knew who to speak to if they were unhappy or had any concerns or complaints. The manager spoke of how the people in the house will talk over things together at dinner in the evening. Staff encourage people to talk and express any concerns or complaints and will seek to resolve as soon as possible. Most complaints are pre-empted due to the ethos of working together and genuine promoting of people expressing themselves. There have been no formal complaints since the last inspection. Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 16 There is a questionnaire for people to complete at every update of their care plan. Also relatives and professionals have the opportunity to complete questionnaires. One staff member has recently completed a protection of vulnerable adults (POVA) training with care consortium. Discussing with the manager it was decided that staff should make POVA training part of their yearly updates and link into the local authority training. Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 17 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, 25,26,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Cambuslodge is a bright, clean well kept and homely. All areas of the room reflect the character and personalities of the people living there. EVIDENCE: A tour of the building highlighted the personalities of the people who live at Cambuslodge. The bedrooms reflected people’s interests and personal tastes. All but two people have double beds. One of the people said how they had chosen their colour and decorations. The kitchen was spacious and well equipped. One of the residents is really keen on music and there is a large multi media music centre with many c.d’s and vinyl records. Everywhere is bright, clean well kept and homely. It is clearly home to the people who live there as is evidenced by their personalised bedrooms and shared spaces. Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 18 There is a small garden with a BBQ which people enjoy using. There is a rail along the stairs to aid access. One person in the house uses a walking aid but is able to manage within the home and is escorted when they go out. Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 19 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): 31,32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff are clear on their role and are well supported. There are clear recruitment procedures in place. EVIDENCE: ‘I cannot praise Cambuslodge and the staff enough’ (Quotes from relatives) ‘Recently some issues in term of ‘catching up’ with a fairly sudden changes in one tenants behaviour finding resources for training and finding appropriate staff. My opinion is that Cambuslodge dealt with this as well as could be expected. (Quotes from health professional) Cambuslodge has clear procedures and support for staff. There are notes of general tasks to be carried out. Also the care plans are easy to read with clear actions and goals for staff to follow with the residents. Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 20 Discussion was held with the manager, the owner and one member of staff. The other staffs were out supporting the residents. There are regular staff meetings held every three to four weeks. The minutes of the meeting were seen. The manager said that there is a set format and staff are always asked to add items to the agenda if they wish. The records of two staff members were seen and all documentation was in place. There were notes of regular supervision sessions and annual staff appraisals. There have been a number of changes in staff since the last inspection and the information relieved prior to the inspection gave clear indications of why staff had left. The manager always updates the commission regularly regarding any staff changes. The homes owner and the manager carry out recruitment and had been using the local job centre and agencies. The last two staff in post were recruited from an agency. All the procedures for good equal opportunity based recruitment are in place. References are checked and Criminal Records Bureau (CRB) obtained. There is currently a full time vacancy and interviews were undertaken last week and it is hoped to appoint subject to references and CRB check. The staff have all carried out, or are scheduled to carry out their annual mandatory updates. Two staff have NVQ 2, one staff member has NVQ3 and two staff are completing Learning disability Award Framework (LDAF). Most of the updates are in house. There have been some problems with gaining funding for specific training for a particular residents needs. Feedback from a healthcare professional said that they felt the staff might benefit from some rolling programme around dealing with aggression/anger/distress. The professional is aware that the manager is looking into this. Discussed with the homeowner linking into training provided by the local Social Services. Since the last inspection the home have increased their night staff. Previously they had a member of staff sleep in. However with the change of circumstances with one of the people in the house they now require also a waking staff in order to meet their needs. It is uncertain as yet how this person needs will develop but clearly the need for two staff members to be in the home at night is clear in order to meet their needs and that of the other people in the house. Two staff members are due to undertake a challenging behaviour course in order to further support this particular resident. Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 21 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): 37,38,39,40,41,42, Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Cambuslogde has a manager who is experienced and very knowledgeable of the people in her care. The home is a well run and puts the development of the residents at the heart of the service. EVIDENCE: ‘The manager is excellent… ‘ ‘Being a regular visitor I have nothing but praise for Cambuslodge in every way’ (Quotes from relatives) Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 22 ‘ This is a good service probably the best I work with’ (Quotes from health professional) Discussions with the manager and later with the homeowner confirmed the strong leadership within Cambuslodge. There is a positive ethos of promoting the development of the people who live there. The residents contribute to the development of the home and are at the heart of any changes. The staff are clear of their roles and have good information on the general running of the home. The procedures are clear for all. There are good accessible records, which are well maintained. The manager is currently completing an introductory certificate in first line management at the Institute of Leadership and Management. Cambuslodge has investors in people that ensures their external quality control. A discussion was held where the owner and manager are very aware of the need to maintain an outside independent quality assessor. They may talk to other providers to see what scheme they use. There are regular questionnaires and feedback from the residents their families and professionals working with the service. The fire records were checked and were clear and up to date. They showed regular checks of fire points, equipment and fire drills. All bedrooms, except one on the ground floor have fireguards which are linked to the fire system. Cambuslodge Uk Ltd DS0000019137.V333304.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 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 3 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 4 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 4 4 4 3 3 3 X Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? 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 YA20 Regulation 37 Requirement Any missed dose of medication must be reported to the Commission. POVA training must become part of the annual update for staff. Timescale for action 31/05/07 2 YA23 13 31/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Cambuslodge Uk Ltd DS0000019137.V333304.R01.S.doc Version 5.2 Page 26 - 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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