Inspection on 19/09/06 for Cavendish Care

This inspection was carried out on 19th September 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 no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cavendish Care 30/01/08

Cavendish Care 16/01/06

Cavendish Care 22/08/05

Cavendish Care 19/08/04

Cavendish Care 15/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Cavendish Care Cavendish care 10 Cavendish Road Redhill Surrey RH1 4AE Lead Inspector Deavanand Ramdas Unannounced Inspection 20th September 2006 10:00 Cavendish Care DS0000047704.V310305.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 Cavendish Care DS0000047704.V310305.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. Cavendish Care DS0000047704.V310305.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cavendish Care Address Cavendish care 10 Cavendish Road Redhill Surrey RH1 4AE 01737760849 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) Cavendish care Mrs Sonia Beryl Williams Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Cavendish Care DS0000047704.V310305.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd August 2005 Brief Description of the Service: Cavendish Care is registered with the CSCI (Commission for Social Care Inspection) to provide accommodation and care to six service users with a learning disability. The premises is located in a residential area, close to public amenities and is in keeping with the local community. Accommodation is provided on three floors accessed by stairs and comprises of a communal lounge, kitchen/dining area, bathrooms, toilets, laundry room, conservatory and six bedrooms with en-suite facilities. The home has gardens to the front and back of the property with a private drive for parking. The gardens at the back of the property are attractive, private, secure and accessible by service users. The scale of charges by the home range from £1300 to £2200 per week. The registered manager is Mrs. Sonia Williams. Cavendish Care DS0000047704.V310305.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes key inspection by the CSCI (commission for social care inspection) and carried out by one inspector over a period of six hours. The site visit commenced at 10:00 hours and finished at 16:00 hours. A partial tour of the premises took place, staff and service users were spoken to, and documents and records were examined. The inspector noted some service users living at the home have communication difficulties and judgements were made about them based on their mood, behaviour and information given by staff. The inspector would like to thank the manager, staff, service users and relatives for their contribution to the inspection. What the service does well: What has improved since the last inspection? Cavendish Care DS0000047704.V310305.R01.S.doc Version 5.2 Page 6 The home has met the previous requirements made by the CSCI (Commission for Social Care Inspection) to improve practice at the home. 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. Cavendish Care DS0000047704.V310305.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 Cavendish Care DS0000047704.V310305.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes statement of purpose and service user guide is good however, information about fees’ needs to be included in the service user guide to ensure service users have up to date information on which to make decisions about admission to the home. The arrangements for assessing needs are good ensuring prospective service users’ aspirations and needs are assessed before admission to the home. EVIDENCE: The home has a statement of purpose and service user guide which is written in plain English, nicely presented and available in the home for information. The manager is aware of the disability of service users and information was in a widget format (a method of communication using pictures and symbols) to make the information understandable to service users. Following discussions with the manager a requirement has been made for information about fees to be included in the service user guide. The manager stated prospective service users would be admitted to the home after a full assessment of needs and commented service users have individual care plans based on the home’s needs assessment. The inspector sampled records and noted needs assessment covered the areas of personal support, health care needs and social activities. A service user commented ‘‘staff care for me very well, absolutely’’ and ‘‘my key worker is friendly and chats to me quite a lot’’. A Cavendish Care DS0000047704.V310305.R01.S.doc Version 5.2 Page 9 review of procedures indicated the home had an admission and discharge policy and the inspector noted assessments on prospective service users would be carried out by the general manager and manager of the home to ensure all aspect of needs assessment are considered prior to admission to the home. Cavendish Care DS0000047704.V310305.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7&9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems for care planning are good ensuring the needs of service users are reflected in their individual care plans. Decision making in the home is good ensuring service users make decisions about their lives with assistance as needed. The arrangements for risk taking are good ensuring service users are supported to take risks as part of an independent lifestyle. EVIDENCE: The manager stated the home had individual care plans to record the changing needs and personal goals of service users. The inspector sampled individual care plans which were nicely presented and reflected person centred planning. The home had a key worker system to promote consistency of care and support and during discussions a member of staff commented ‘‘the home has a key worker system and I come in to do things for continuity’’. The manager commented staff respected service users’ rights to make decisions and the home has service users’ meetings to promote decision making. The inspector sampled minutes of service users’ meetings and noted service users discussed Cavendish Care DS0000047704.V310305.R01.S.doc Version 5.2 Page 11 a number of issues to do with the running of the home and the minutes were available for information. It is recorded service users went on holiday to France and were involved in the decision-making process. The manager stated the home had a policy on risk taking and a review of records indicated staff have training in risk assessment. The inspector sampled risk assessment documentation and noted it reflected actions to minimise risks and promote the independence of service users. Observations confirmed staff supporting service users to access the community in line with written risk assessments to promote independence and safety. Cavendish Care DS0000047704.V310305.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16&17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for occupation are good ensuring service users participate in fulfilling activities. Community links and social inclusion are good ensuring service users are part of the local community. The arrangements for relationships are good ensuring service users maintain family links and friendships. The daily routine of the home is good and promotes the independence of service users. Meals at the home are good and offer variety and choice. EVIDENCE: The manager stated service users participated in fulfilling activities and a review of the homes activity programme indicated service users attended local colleges and one service user had paid employment. During discussions a service user remarked ‘‘I go to college and do citizenship and current affairs’’ and ‘‘I find it interesting, it keeps me busy’’. The manager commented staff supported service users to participate in the local community and a review of the homes’ records indicated service users made use of the local shops, pubs, cinema and other facilities. The inspector noted staff working at the home Cavendish Care DS0000047704.V310305.R01.S.doc Version 5.2 Page 13 have training in equality and diversity and encouraged service users to participate in community life. The manager stated service users were on the electoral register and voted at local elections to promote individual rights and choices. The manager remarked staff supported service users to maintain family links and a review of records indicated relatives visited the home regularly. During discussions a service user commented ‘‘I travel by bus to see my dad’’. The manager commented the daily routine of the home promotes independence and observations confirmed service users moved freely in the home. The inspector noted staff interacted appropriately with service users and addressed service users by their preferred names. A review of records indicated service users had responsibilities for housekeeping tasks which included shopping, cooking and cleaning to promote independence. The home had a menu plan displayed in the kitchen area for information and service users participated in planning the menu. The menu offered variety, choice and healthy eating options. During discussions a member of staff stated ‘‘food is very good, nicely made and tasty’’ and a service user commented ‘‘they make nice food here’’. Following discussions with the manager a recommendation has been made for menu plans to have input from a dietician to ensure it is adequate to meet the nutritional needs of service users. Cavendish Care DS0000047704.V310305.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 at least once during a 12 month period. 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. The arrangements for personal support are good ensuring service users receive personal support in the way they prefer and require. Access to healthcare is good ensuring service users physical and emotional needs are met. The management of medications need strengthening to promote health. EVIDENCE: The manager stated staff provided flexible support to service users based on personal choice and personal care is provided in private to promote the dignity of service users. Observations confirmed service users had good personal hygiene and were appropriately dressed in clothing of their choice and the home had a policy on privacy and dignity. The manager remarked service users are registered with a GP and have access to a dentist, chiropodist and optician. The inspector sampled records and noted the home had input from a psychiatrist to review the medications of service users and one service user with a medical condition was seen by a specialist from the local PCT (primary care trust) to promote health. The home had a policy on medications and the inspector noted staff are in the process of completing accredited training in Cavendish Care DS0000047704.V310305.R01.S.doc Version 5.2 Page 15 medications. Following discussions with the manager a requirement has been made for staff to complete training in medications within the next three months to promote the health of service users. The inspector sampled records and noted medication record sheets had a recent photograph of service users and were dated and signed by staff. The manager commented the home had a service level agreement with a local chemist and a named staff with responsibilities for medications. A review of records indicated staff amended prescriptions at the home and a requirement has been made for such changes to be witnessed, dated and signed by a second member of staff to safeguard the welfare of service users. The home had controlled drugs which were appropriately managed and kept a record of all medications received by and disposed of by the home to prevent mishandling of medications and promote health. Cavendish Care DS0000047704.V310305.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 at least once during a 12 month period. 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 complaint process at the home is good ensuring complaint information is available to staff, service users and relatives. The arrangements for protection need strengthening to safeguard the welfare of service users. EVIDENCE: The manager stated the home had a complaints policy and staff have training in complaints. The inspector noted staff have an understanding of the disability of service users and the complaints policy was in a pictorial format to reflect the communication needs of service users in the home. The home had a complaints register and no complaints were recorded about the home. The service user guide has information about complaints and during discussions a member of staff stated she was ‘‘aware of the complaints policy and procedures’’. The home has a policy on the protection of vulnerable adults and a whistle blowing policy to protect service users from abuse. The inspector sampled documents and noted the home had a copy of the local authority (Surrey County Council) procedures on safeguarding adults. A review of staff training records indicated staff were in need of training in safeguarding adults and action has been required in respect of this matter. The inspector noted no record of any safeguarding adult matters were raised since the last inspection by the CSCI (Commission for Social Care Inspection) and staff have training in managing challenging behaviour to ensure physical and verbal aggression by service users is understood and dealt with appropriately. Cavendish Care DS0000047704.V310305.R01.S.doc Version 5.2 Page 17 Cavendish Care DS0000047704.V310305.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for the premises are good ensuring the home is safe and comfortable for service users. The systems for hygiene are good ensuring the home is clean and hygienic for service users. EVIDENCE: On the day of the inspection the home was clean, nicely presented and free from offensive odours. Observations confirmed the home had a good standard of décor and was bright and airy. Furniture and fittings were of good quality and the home was in keeping with the local community. The inspector noted the home operated restricted access to the front entrance of the home to promote the safety of service users and the maintenance of the home was satisfactory. The gardens were attractive, private and accessible to service users for their enjoyment. The home had adequate laundry facilities and observations confirmed hand washing facilities were prominently sited in the kitchen, toilets and bathrooms and staff practiced infection control measures by washing their hands regularly. The manager stated the home had a policy on control of infection and staff had training in infection control to ensure the environment is clean and hygienic for service users. Cavendish Care DS0000047704.V310305.R01.S.doc Version 5.2 Page 19 Cavendish Care DS0000047704.V310305.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34&35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for NVQ (National Vocational Qualification) training need strengthening to ensure service users are supported by competent and qualified staff at all times. Recruitment and vetting practices are good protecting service users from harm and abuse. The systems for training and development are good ensuring service users needs are met by appropriately trained staff. EVIDENCE: The manager commented staff have the skills and experience necessary to support service users in the home. Observations confirmed staff were good listeners, communicators and were approachable and comfortable with service users. A review of staff records indicated staff have completed LDAF (learning disability award framework) training and other specialist training in autistic spectrum disorders to give them the knowledge and skills necessary to work with service users in the home. The inspector noted a shortfall in NVQ (National Vocational Qualification) training for staff and action has been required in respect of this matter. During discussions the provider confirmed the company is committed to staff training and development to achieve the Cavendish Care DS0000047704.V310305.R01.S.doc Version 5.2 Page 21 training targets set out in the NMS (National Minimum Standards). A service user commented ‘‘staff are quite nice, friendly and the manager is friendly too’’. The manager stated the home had a policy on staff recruitment and staff are vetted before being employed by the home. The inspector sampled staff recruitment files and noted employees have completed application forms, health questionnaires, two references, statement of terms and conditions, job descriptions, a recent photograph and CRB (criminal record disclosure) information. Recruitment files were in good order and kept in a locked drawer to promote confidentiality of information. The manager remarked the home has an induction policy and staff have induction training. The inspector sampled training records and noted staff have training in equal opportunities and training is linked to service users’ needs. The home has a structured induction programme and during discussions a new employee at the home confirmed ‘‘induction was carried out by the manager’’ and further evidence indicated training was arranged to cover food hygiene and fire safety. The employee commented ‘‘the home offered a range of training opportunities’’ and a review of records indicated staff have foundation training which covers the principles of care, safe working practices and specialist training in managing challenging behaviour to promote the safety of service users. Cavendish Care DS0000047704.V310305.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39&42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The day to day management of the home is good ensuring service users benefit from a well run home. The systems for quality assurance are good ensuring service users and other stakeholders participate in the development of the home. The arrangements for safe working practices are good ensuring the health and safety of staff and service users is protected. EVIDENCE: The home has an experienced registered manager who provides management stability and leadership to the staff team. The manager is working towards the RMA (registered manager award) qualification and is aware of the role and responsibilities involved in managing the home. The inspector noted there are clear lines of responsibility and accountability within the home and during discussions a member of staff stated ‘‘the manager is very good, she is always there and very fair’’ and a service user commented ‘‘if I have problems I go Cavendish Care DS0000047704.V310305.R01.S.doc Version 5.2 Page 23 straight to the manager’’. The manager stated the home had a policy on quality assurance and a review of records indicated the home conducted an annual service review in March 2006 involving service users, relatives and other stakeholders to obtain feedback about the home. A report on the outcomes of the service review is available for information. Records indicated the home had regular Regulation 26 (monitoring visits) to promote quality assurance and the home has met the requirements made by the CSCI (commission for social care inspection) to improve the running of the home. During discussions a staff stated ‘‘the quality of care is very good and service users do things for themselves’’. The manager commented the home had a policy on health and safety and a review of staff records indicated staff have training in food hygiene, first aid, fire awareness and other appropriate and relevant training to promote the safety and welfare of service users. Observations confirmed the kitchen was clean, food was appropriately stored and fridge and freezer temperatures were within normal limits to promote good food safety. COSHH (control of substances hazardous to health) products were stored in a locked cupboard and the home had current certificates for gas safety and fire equipment. Further evidence indicated regular fire alarm tests and monitoring of water temperatures to promote the safety of staff and service users. Cavendish Care DS0000047704.V310305.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 2 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 2 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 2 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Cavendish Care DS0000047704.V310305.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 YA1 Regulation 5(1)(b) Requirement The registered person must ensure information about fees is included in the service user guide to ensure prospective service users have up to date information on which to make decisions about admission to the home. The registered person must ensure staff who administer medications have accredited training in medications to promote health. The registered person must ensure where staff at the home amend a prescription it is witnessed, signed and dated by a second member of staff to safeguard the welfare of service users. The registered person must ensure staff have training in the local authority (Surrey County Council) procedures on safeguarding adults to protect service users from harm. The registered person must do an action plan with timescales outlining how the home will meet NVQ (National Vocational DS0000047704.V310305.R01.S.doc Timescale for action 01/11/06 2. YA20 13(2) 10/01/07 3. YA20 13(2) 10/10/06 4. YA32 13(6) 01/12/06 5. YA32 18(1)(a) 01/10/06 Cavendish Care Version 5.2 Page 26 Qualification) training targets to ensure service users are supported by competent and qualified staff at all times. 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 YA17 Good Practice Recommendations The registered person shall ensure menu plans at the home have input from a dietician to meet the nutritional needs of service users. Cavendish Care DS0000047704.V310305.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 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 Cavendish Care DS0000047704.V310305.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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