Inspection on 23/10/07 for Canterbury Close 1 & 2

This inspection was carried out on 23rd October 2007.

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

The inspector 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

Canterbury Close 1 & 2 22/09/06

Canterbury Close 1 & 2 09/01/06

Canterbury Close 1 & 2 01/09/05

Canterbury Close 1 & 2 10/11/04

Canterbury Close 1 & 2 22/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Canterbury Close 1 & 2 Chaucer Rd Herringthorpe Rotherham South Yorkshire S65 2LW Lead Inspector Valerie Hoyle Key Unannounced Inspection 23rd October 2007 09:30 Canterbury Close 1 & 2 DS0000034513.V350118.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 Canterbury Close 1 & 2 DS0000034513.V350118.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. Canterbury Close 1 & 2 DS0000034513.V350118.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Canterbury Close 1 & 2 Address Chaucer Rd Herringthorpe Rotherham South Yorkshire S65 2LW 01709 379830/379129 F/P01709 379130 jameskane70@hotmail.com http/www.milburycare.com/home.html Milbury Care Services Limited 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) James Kane Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Canterbury Close 1 & 2 DS0000034513.V350118.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd September 2006 Brief Description of the Service: Canterbury Close is registered as a care home for up to ten persons who have a learning disability. The home was registered by the National Care Standards Commission of the 6th December 2002. It is owned by the national company, Milbury Care Services. The home comprises of two single storey purpose built bungalows, each accommodating five people. All people are accommodated in single bedrooms, all of which have en-suite facilities. There is a choice of two lounges and a dining area within each house. The home is located in the small community of Herringthorpe on the outskirts of Rotherham, and is easily accessed with a frequent bus service that stops outside the home. The home is set within its own grounds with car parking facilities available. The home benefits from neatly maintained gardens. Information gained on the 23rd October 2007 indicates that the current fees range from £1046.05 to £1804.47. Additional charges include transport, outings, and meals whilst out of the home and personal toiletries. The home provides information to people who use the service and their relatives prior to admission into the home. Service Users Guides are available in all bedrooms or on request from the manager. The last published inspection report is available on request from the manager. Canterbury Close 1 & 2 DS0000034513.V350118.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced visit took place over 6 hours, this included a partial inspection of the building. People who use the service had limited capacity; therefore relatives and advocacy services represented their views. Three staff was spoken to during the visit; their views are included throughout the report. Occupancy at the home remains high with all 10 beds occupied. There had been no new admissions to the home since the last inspection. Two peoples care plans were examined and policies relating to medication, complaints, and safeguarding procedures were looked at. Six staff recruitment and training records were examined to ensure people who use the service were protected. Care practices were observed throughout the visit to assess the quality of experiences of the people who use the service. Due to the limited capacity of the people who use the service, no CSCI surveys were sent out. Two relatives/carers were contacted by telephone to gain their views on the Service. The advocate who spends time with people who use the service was telephoned to gain her views of the people she represents. The registered manager was present throughout this visit and assisted with the inspection process. The registered manager had completed and returned the Annual Quality Assurance Assessment (AQAA) and the information gained is included in this report. What the service does well: Staff have worked at the home for a good number of years which means they know the people very well and understand how to meet their needs. Staff feel supported by the manager and good training and robust recruitment procedures ensures people are safe and protected. Relatives said the manager was approachable and listened to their concerns and tried to resolve any issues quickly, which made them feel valued. Staff were very good at communicating with the people who live at the home. Relatives said, “staff treated people with respect and promoted their rights and choices”. The advocate said “the home do their best to support residents’ and have their best interests at the heart of everything they do”. Activities were arranged which were suitable and the introduction of journals had been welcomed by relatives, as they helped to keep them informed about the kind of things going on at the home. Canterbury Close 1 & 2 DS0000034513.V350118.R01.S.doc Version 5.2 Page 6 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. Canterbury Close 1 & 2 DS0000034513.V350118.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 Canterbury Close 1 & 2 DS0000034513.V350118.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 and 5. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service was not admitted into the home without a full needs assessment taking place by the registered manager, to ensure their needs can be met. EVIDENCE: Although there had been no new admissions into the home since the last inspection, the process was discussed with the registered manager. The manager said admissions were not made to the home until a full needs assessment had been undertaken. The assessments were conducted professionally and sensitively and involved the individual, and their family or representative, where appropriate. Where the assessment had been undertaken through care management arrangements the manager would insist on receiving a summary of the assessment and a copy of the care plan. Two assessments were examined, although the information was dated as the admissions had taken place a number of years ago. Rotherham Borough Council placed nine of the ten people who use the service; Doncaster Metropolitan Borough Council placed the other person. Canterbury Close 1 & 2 DS0000034513.V350118.R01.S.doc Version 5.2 Page 9 Revised contracts had been developed which stated the up to date charges for the care provided to people who use the service. An additional charge of £24.95 was made for a contribution to the running cost of the homes minibus. Some people pay this contribution, although the opportunities for people to use the vehicle was limited due to the small number of qualified drivers. Therefore a review of this additional fee should be undertaken to ensure a fairer method of charging could be made for people who use the service. Canterbury Close 1 & 2 DS0000034513.V350118.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 and 9. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home promotes philosophies to enable people at the home to meet their full potential, with clear care plan instructions and risk assessments to maximise their safety and protection. EVIDENCE: Two care plans were examined and they follow good practise guidelines to ensure the plans were person centred. Staff were able to describe in detail the needs of people who live at the home. One staff member said she had supported one of the persons for over twenty years and felt she knew the person very well. She said the person’s state of wellbeing had improved greatly following a more to the home from another long-term care setting. Journals had been developed since the last inspection, following consultation with relatives and carers of people who use the service. The journals showed pictures of people enjoying activities and outings, and also gave a daily record Canterbury Close 1 & 2 DS0000034513.V350118.R01.S.doc Version 5.2 Page 11 of activities undertaken. Relatives said they found the journal useful to keep them informed of activities taking place at the home. Care plans were regularly evaluated, although multi agency reviews led by the social services department had not taken place for a number of years. Staff was observed throughout this inspection using various methods of communication to promote peoples rights and interests. Care plans also detailed abbreviated words and actions, which the person might use to express their wishes. The risk assessments seen were relevant to the people and they were detailed enough to make the reader aware of potential hazards with the activity. Some of the risk assessments were of a general nature so that they can be applied to everyday life for the person as apposed to specific outside activities. Advocacy services play a major role in the home to ensure people’s (with limited communication skills) views and rights were represented. The advocate said the care provided was specific to their needs. She said staff knows the service users very well, and strived to raise their quality of life. Canterbury Close 1 & 2 DS0000034513.V350118.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 and 17. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to make decisions about their lifestyle, with the support of staff that knows them. EVIDENCE: People who use the service were encouraged to make choices about how they spent their leisure time. Three people were able and supported to attend local training centres, while other spend time using local leisure facilities. Bowling, pub lunches and trips to country parks and ‘the Deep’ had been more recent venues. One person was on holiday at Skegness, while others had, had a short break at Blackpool. One relative said activities was important to people who live at the home, and this could be improved as the use of the mini bus was limited due to the lack of drivers. Another relative said they depended on staff to bring Canterbury Close 1 & 2 DS0000034513.V350118.R01.S.doc Version 5.2 Page 13 their relative for visits, although visits were restricted to when a driver was available. Mealtimes are organised around the routines of the people who live at the home. The main meal is provided at teatime when it is expected that all the people will be at home. Canterbury Close 1 & 2 DS0000034513.V350118.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 and 20. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health, and personal care that people receive is based on their individual needs. However medication procedures need improvement to ensure records are accurate, and people who use the service remain safe. EVIDENCE: People’s personal support needs and emotional needs were recorded in the care plans examined and were comprehensive. Records of healthcare appointments, the treatment offered and follow up action were maintained demonstrating that people had good access to a range of healthcare professionals. Positive and appropriate relationships were observed between the staff and people who use the service. Throughout the visit the staff were observed to treat people with respect and in a manner that respected their privacy and dignity. Although people had limited communication skills staff clearly understood when people were happy and how to minimise any agitation. Canterbury Close 1 & 2 DS0000034513.V350118.R01.S.doc Version 5.2 Page 15 Medication procedures were generally well managed although some action must be taken; to ensure all reasonable steps are considered to prevent covert (hidden) administration of medication. Health professionals and relatives must be consulted and their views and wishes must be recorded in the persons care plan. Controlled drugs were stored appropriately, although one unit only had the signature of one staff member due to the working arrangement on that unit. This means that there is more risk of mistakes taking place, which poses significant risk to people who use the service, as there is no safety check. Risk assessments must be undertaken which include additional audits to ensure the safe administration of medication when staffing levels are reduced. An audit of PRN (as required) medication showed that there were no clear methods of auditing the stock. This could lead to an accumulation of stock and misuse of medication, posing a risk to people who use the service. The storage of medication in both units was discussed with the manager and consideration should be given to add further security to the room. Canterbury Close 1 & 2 DS0000034513.V350118.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 and 23. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service could access the complaints procedures and the manager ensures any concerns were recorded and investigated appropriately. Adult protection policies, procedures and training of staff promote the protection of people from abuse. EVIDENCE: Safeguarding procedures were available in the office and accessible to members of staff. Protection of Vulnerable Adults training was provided for all staff by Milbury Care services. Staff were observed interacting with the people in a manner that showed that they understood what was wanted and that the people were comfortable with the staff. The majority of staff had worked with the people for many years and was familiar with their different behaviours. As a result they could meet the needs of the people quickly. There was a complaints procedure that was available to people who use the service and visitors. The procedure was also referred to in the service users guide, identifying the stages to follow; this included the time scales to respond to complaints. The address and telephone number of the Commission for Social Care Inspection was included in the procedure. Examination of the complaints Canterbury Close 1 & 2 DS0000034513.V350118.R01.S.doc Version 5.2 Page 17 records showed that there had been one complaint since the last visit to the home. The complaint was investigated by the home to the satisfaction of the complainant. Relatives said they were confident that any concerns raised with the manager would be investigated. They said regular meetings with the managers helped to resolve problems. Canterbury Close 1 & 2 DS0000034513.V350118.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 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service were provided with a clean, comfortable environment, although some refurbishment was planned to improve the decoration of the home. There was sufficient staff to maintain good hygiene standards. EVIDENCE: A partial tour of the building found bedrooms to be homely and personalised to individual taste; and were clean and tidy. Staff had responsibility for maintaining good hygiene standards along with the care duties. The manager said a rolling programme of decorating peoples bedrooms had been authorised and work was due to commence in the near future. All outstanding requirements from previous inspections had been met, including work on outbuildings and attention to the shower room floor, making the environment fit for people who live at the home. The appointment of a handyman has enabled small repairs to take place quicker. The gardens were Canterbury Close 1 & 2 DS0000034513.V350118.R01.S.doc Version 5.2 Page 19 well maintained and one person took advantage of the fine weather to spend quality time on a swinging seat in the garden, which staff said he enjoyed very much. Canterbury Close 1 & 2 DS0000034513.V350118.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 and 35. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have the skills and knowledge to fulfil their roles within the home, a stable staff group ensures continuity of care by staff that know the people who use the service. Recruitment policies were followed ensuring the safety and protection of people who live at the home. EVIDENCE: Training records examined show staff have the required skills and competencies to deliver a good service. Discussion with the manager and staff confirmed that there was a stable staff group who had worked at the home for a good number of years. Staff said they enjoy working at the home, and feel supported. There was a robust induction and probationary package, which is service specific. The manager only confirms permanent employment when satisfied that competence and progress has been shown to be satisfactory against their high standards. Canterbury Close 1 & 2 DS0000034513.V350118.R01.S.doc Version 5.2 Page 21 Information received on the Annual Quality Assurance Assessment (AQAA) confirmed that thirteen of the twenty-four staff employed at the home held NVQ Level 2 or above, while four other staff are working towards an NVQ award in care. Staff rotas and observation during this visit showed there were sufficient staff to meet the needs of people who live in the home. There were robust recruitment and selection procedures that ensure people who use the service were safe and protected. A number of staff recruitment files were examined, and there was evidence that all the required employment checks had been undertaken prior to commencing work at the home. Evidence confirmed all staff had a Criminal Record Bureau (CRB) check. The manager should check the date on all existing CRB’s as good practice suggests that a new CRB check should be carried out every three years, to ensure the information is up to date. Canterbury Close 1 & 2 DS0000034513.V350118.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 and 42. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were protected by sound management practices, and their views were actively sought to improve the service. Good health and safety procedures ensured they are protected. EVIDENCE: The registered manager had returned to the home following a secondment to another service within the organisation. He has a wealth of experience and staff and relatives spoke highly of his ability to direct the home, to provide a good standard of care. He holds a relevant management qualification and undertakes relevant training to maintain his skills and knowledge. Canterbury Close 1 & 2 DS0000034513.V350118.R01.S.doc Version 5.2 Page 23 The manager had developed a quality assurance survey with the agreement of the carers/relatives and advocacy services. The organisation also surveys key stakeholders to ensure views are sought. Relatives said meetings and regular discussion with the manager helped them to feel involved with their relatives care. The introduction of a journal also helps provide information about activities within the home. The policies and procedures of the company identified during the inspection were seen to be implemented by the staff. The Milbury Care representative makes the required monthly visits and provides a report for the manager and staff. Recent reports were examined and confirmed good standards of care were maintained. Canterbury Close 1 & 2 DS0000034513.V350118.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 3 3 X 4 X 5 3 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 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 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 2 X 3 X 3 X X 3 X Canterbury Close 1 & 2 DS0000034513.V350118.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 24 Requirement Yearly multi-agency reviews must take place to ensure the person is placed in an appropriate environment, and their needs can be fully met. A multi-agency review must be undertaken to establish an agreement regarding the covert (hidden) administration of medication. Timescale for action 01/01/08 2. YA20 13 01/12/07 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 YA5 Good Practice Recommendations Review the contractual agreement with regard to the additional fees of £24.95 charged towards the use of the homes mini bus as some people do not have regular opportunities to use the vehicle. A review of suitability of the homes transport should take place to ensure people who use the service have regular access to outings and social events. The number of available drivers should reflect the needs of people who DS0000034513.V350118.R01.S.doc Version 5.2 Page 26 2. YA15 Canterbury Close 1 & 2 3. YA20 use the service. There must be clear methods of auditing PRN medication, as a stock of medication may be used over a number of months. A review of the security of the room used to store medication should be undertaken to ensure medication is safely stored. 4. YA20 Canterbury Close 1 & 2 DS0000034513.V350118.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Canterbury Close 1 & 2 DS0000034513.V350118.R01.S.doc Version 5.2 Page 28 - 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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